Table 1.
The geriatric assessment performed at the start of treatment
| Domain | Assessment | Possible intervention |
|---|---|---|
| Multimorbidity | Medical record review Clinical examination |
Treatment or referrals |
| Medication | Assessment of medication list based on START/STOPP criteria | Discontinuation Change in dosage Change in prescription of medication |
| Psychological function | Geriatric depression scale (GDS) | Referral to therapy or medication |
| Cognitive function | Minimal Mental State Examination (MMSE) | Cognitive evaluation Medication Social support |
| Nutritional status | Local nutritional screening based on minimal nutrition assessment (MNA) | Referral to dietitian |
| Physical function | Gait speed 10 m: (cut off 1 m/s) Handgrip assessed with the Jamar Dynamometer: (cut off 20 kg for women and 30 kg for men) |
Referral to physiotherapist and scheduled program |
| Functional status | Activities of daily living (ADL) Instrumental activities of daily living (IADL) | Social support Occupational therapy assessment for equipment needs Transport support |
| Laboratory parameters | TSH, cbalamin, folat, albumin, vitamin D | Treat deficiencies |