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Reliable, easily administered, and objective ways of assessing the well-being of the elderly and their use of, and need for, services are rare. The author of this study provides current information on the Multidimensional Functional Assessment of Older Adults (MFAQ) -- the most widely used questionnaire of its type. This volume discusses ways in which the procedure has been used and can be used by clinicians, program evaluators and planners. The book also examines OARS (Older Americans Resources and Services Program) MFAQ and how it permits assessment of the level of functioning in five areas: social, economic, mental health, physical health and self-care. Readers will find detailed and updated information on administration, hand and computer-based scoring, as well as use of the questionnaire.
This is a unique text and reference on the multidimensional assessment of older persons. It combines detailed accounts of measures for a wide range of functions with discussions of their applications in the care of older persons. The effort throughout is to combine information on specific measures with insight into how and when each measure should be used.
This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.
Some decades ago, comprehensive geriatric assessment was referred to as the “new technology of geriatrics”, as research indicated many benefits of building models of care on assessment systems. Since those times, assessment-care technologies have proliferated, and in many countries have become reference standards. Work, however, continues to extend and expand geriatric assessment programs, as represented in the contents of this book.
This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.