Skip to main content
The Western Journal of Medicine logoLink to The Western Journal of Medicine
. 1981 Dec;135(6):497–502.

Specialized Geriatric Assessment Units and Their Clinical Implications

Laurence Z Rubenstein 1,2,3
PMCID: PMC1273324  PMID: 7336716

Abstract

Geriatric assessment units are among the several innovative responses by members of the US health care system to the many unmet needs facing elderly people who are frail and ill. Based on British models, these units are designed to improve the assessment of medical and psychosocial problems, to provide therapy and rehabilitation, and to determine optimal posttherapy placement at as high a level of independent functioning as possible. While generally similar, the structures and functions of various North American units vary considerably in such areas as type of patients accepted, amount of rehabilitation carried out and type of institutional setting (such as chronic-care hospital, acute-care hospital or outpatient facility). These differences have a bearing on outcomes. Though few experimental studies exist, impacts from the units appear to be substantial, and include more thorough diagnosis, higher levels of patient functioning and improved placement. Physicians can apply several of the lessons from these units to improve their care of elderly patients.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brocklehurst J. C., Carty M. H., Leeming J. T., Robinson J. M. Medical screening of old people accepted for residential care. Lancet. 1978 Jul 15;2(8081):141–142. doi: 10.1016/s0140-6736(78)91521-0. [DOI] [PubMed] [Google Scholar]
  2. Cheah K. C., Baldridge J. A., Beard O. W. Geriatric evaluation unit of a medical service: role of a geropsychiatrist. J Gerontol. 1979 Jan;34(1):41–45. doi: 10.1093/geronj/34.1.41. [DOI] [PubMed] [Google Scholar]
  3. Chekryn J., Roos L. L., Jr Auditing the process of care in a new geriatric unit. J Am Geriatr Soc. 1979 Mar;27(3):107–111. doi: 10.1111/j.1532-5415.1979.tb04137.x. [DOI] [PubMed] [Google Scholar]
  4. Dastoor D. P., Klingner A., Müller H. F., Kachanoff R. A psychogeriatric assessment program. V. Three-year follow-up. J Am Geriatr Soc. 1979 Apr;27(4):162–169. doi: 10.1111/j.1532-5415.1979.tb06440.x. [DOI] [PubMed] [Google Scholar]
  5. Dastoor D. P., Norton S., Boillat J., Minty J., Papadopoulou F., Müller H. F. A psychogeriatric assessment program. I. Social functioning and ward behavior. J Am Geriatr Soc. 1975 Oct;23(10):465–471. doi: 10.1111/j.1532-5415.1975.tb00932.x. [DOI] [PubMed] [Google Scholar]
  6. Eggert G. M., Granger C. V., Morris R., Pendleton S. F. Caring for the patient with long-term disability. Geriatrics. 1977 Oct;32(10):102-3, 106-7, 110-4. [PubMed] [Google Scholar]
  7. Eisele F. R., Hoke R. R. Health care policy and the elderly: toward a system of long-term care. J Health Polit Policy Law. 1979 Winter;3(4):452–455. doi: 10.1215/03616878-3-4-452. [DOI] [PubMed] [Google Scholar]
  8. Ford C. V., Spar J. E., Davis B., Liston E. H. Hospital treatment of elderly neuropsychiatric patients. I. Initial clinical and administrative experience with a new teaching ward. J Am Geriatr Soc. 1980 Oct;28(10):446–450. doi: 10.1111/j.1532-5415.1980.tb01117.x. [DOI] [PubMed] [Google Scholar]
  9. Hughes E. M., Lindsey A. M. A Geriatric Evaluation Service: follow-up survey. J Am Geriatr Soc. 1980 Jul;28(7):320–324. doi: 10.1111/j.1532-5415.1980.tb00623.x. [DOI] [PubMed] [Google Scholar]
  10. Ingman S. R., McDonald C. A., Lusky R. An alternative model in geriatric care. J Am Geriatr Soc. 1979 Jun;27(6):279–283. doi: 10.1111/j.1532-5415.1979.tb06130.x. [DOI] [PubMed] [Google Scholar]
  11. Kane R. L., Kane R. A. Care of the aged: old problems in need of new solutions. Science. 1978 May 26;200(4344):913–919. doi: 10.1126/science.417403. [DOI] [PubMed] [Google Scholar]
  12. Kleh J. When to institutionalize the elderly. Hosp Pract. 1977 Feb;12(2):121-5, 131, 133-4. doi: 10.1080/21548331.1977.11707082. [DOI] [PubMed] [Google Scholar]
  13. Mackeprang B., Bentzon M. W. Some aspects concerning admittance to and accommodation in geriatric institutions housing persons with varying degrees of need for care. Scand J Soc Med. 1978;6(2):59–62. doi: 10.1177/140349487800600203. [DOI] [PubMed] [Google Scholar]
  14. Mitchell J. B. Patient outcomes in alternative long-term care settings. Med Care. 1978 Jun;16(6):439–452. doi: 10.1097/00005650-197806000-00001. [DOI] [PubMed] [Google Scholar]
  15. Pattie A. H., Gilleard C. J. Admission and adjustment of residents in homes for the elderly. J Epidemiol Community Health. 1978 Sep;32(3):212–214. doi: 10.1136/jech.32.3.212. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Poliquin N., Straker M. A clinical psychogeriatric unit: organization and function. J Am Geriatr Soc. 1977 Mar;25(3):132–137. doi: 10.1111/j.1532-5415.1977.tb00275.x. [DOI] [PubMed] [Google Scholar]
  17. Schuman J. E., Beattie E. J., Steed D. A., Gibson J. E., Merry G. M., Campbell W. D., Kraus A. S. The impact of a new geriatric program in a hospital for the chronically ill. Can Med Assoc J. 1978 Mar 18;118(6):639-42, 645. [PMC free article] [PubMed] [Google Scholar]
  18. Sloane P. D. Nursing home candidates: hospital inpatient trial to identify those appropriately assignable to less intensive care. J Am Geriatr Soc. 1980 Nov;28(11):511–514. doi: 10.1111/j.1532-5415.1980.tb01132.x. [DOI] [PubMed] [Google Scholar]
  19. Spasoff R. A., Kraus A. S., Beattie E. J., Holden D. E., Lawson J. S., Rodenburg M., Woodcock G. M. A longitudinal study of elderly residents of long-stay institutions: I. Early response to institutional care. Gerontologist. 1978 Jun;18(3):281–292. doi: 10.1093/geront/18.3.281. [DOI] [PubMed] [Google Scholar]
  20. Wells C. E. Diagnostic evaluation and treatment in dementia. Contemp Neurol Ser. 1977;15:247–276. [PubMed] [Google Scholar]
  21. Williams T. F., Hill J. G., Fairbank M. E., Knox K. G. Appropriate placement of the chronically ill and aged. A successful approach by evaluation. JAMA. 1973 Dec 10;226(11):1332–1335. [PubMed] [Google Scholar]
  22. Williamson J. Prescribing problems in the elderly. Practitioner. 1978 May;220(1319):749–755. [PubMed] [Google Scholar]

Articles from Western Journal of Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES