Geriatric assessments are complete evaluations designed to assess the health and well-being of older adults.

These assessments, or evaluations, are different from a normal medical evaluation. The goal of the assessment is to create a plan to improve an older adult’s quality of life and health while preparing for future medical, social and emotional needs.

A geriatric assessment may be led by any doctor, social worker or geriatric care manager, but is usually set up by a geriatrician – a doctor with special training in the care and treatment of older adults. They will arrange for a team of specialists to perform the assessment and determine the patient’s physical, mental, social, financial, environmental, and spiritual health and well-being.

The main part of this team may include clinicians, nurses and social workers. An extended team may include therapists, nutritionists, pharmacists, psychologists and other health professionals.

Eligibility

A geriatric assessment is a good idea when one of the following occurs:

  • A previous doctor or specialist has predicted the individual will require a lot of healthcare services and supports
  • The person:
    • Has a diagnosis of Alzheimer’s or similar dementia
    • Has a disability keeping them from performing daily tasks
    • Is prone to falling
    • Is experiencing feelings of depression, social isolation or has other psychosocial disorders
    • Is considering changing their living situation, such as from independent living to a nursing home

Services

  • Gather data through questionnaires, in-person observation or medical devices
  • Discussions with the person and family members and caregivers involved
  • Work with all parties to create a care plan that makes sure the individual, family and care providers all agree on health care, living arrangements and their respective roles
  • Set up the care plan
  • Monitor the effectiveness of the care plan and prepare for changes needed
  • Make changes to the care plan that address problems as they come up

Geriatric assessments may be performed in different settings including at home, clinics, hospitals or nursing homes. Individuals with many health concerns may undergo a ‘rolling’ assessment in which the evaluation takes place during several visits. People may also complete questionnaires to save time and provide useful information. A virtual team, where specialists communicate and make care plans electronically, may also be available.

Find in Your Area

Visit 2-1-1 to find a geriatric assessment center or a list of geriatricians near you.

For assessments for older adults with Down Syndrome, contact the Dorothy Adler Geriatric Assessment Center. Visit their website or call 203-688-6361.