Skip to main content

Utilizing Geriatric Assessments to Fulfill the Medicare Annual Wellness Visits

  • Chapter
  • First Online:

Abstract

Considering that most older adult patients are medically complex with multiple chronic medical issues, an astute clinician needs to understand that there are key geriatric issues that are important. Identifying hearing loss can be life changing if identified and treated. Screening a patient’s balance and recommending physical therapy can potentially avoid a devastating fall with hip fracture and hospitalization. This chapter reviews the components of the comprehensive geriatric assessment, a mainstay of geriatrics, and also explores what aspects fit into the Medicare Annual Wellness Visit.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Werner C, U.S. Census Brief. The older population: 2010. United States Census Bureau. November 2011. Available at https://www.census.gov/prod/cen2010/briefs/c2010br-09.pdf.

  2. Statistical Brief. Sixty-five plus in the United States, United States Census Bureau. Economics and Statistics Administration, U.S. Department of Commerce. May 1995. Available at https://www.census.gov/population/socdemo/statbriefs/agebrief.html.

  3. Stuck AE, Siu AL, Wieland GD, Adams JL, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet. 1993;342:1032–6.

    Article  CAS  PubMed  Google Scholar 

  4. Kuo HK, Scandrett KG, Dave J, Mitchell SL. The influence of outpatient comprehensive geriatric assessment on survival: a meta-analysis. Arch Gerontol Geriatr. 2004;39:245.

    Article  PubMed  Google Scholar 

  5. Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. Gerontologist. 1970;10:20–30.

    Article  CAS  PubMed  Google Scholar 

  6. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86.

    Article  CAS  PubMed  Google Scholar 

  7. Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, Brach J, Chandler J, Cawthon P, Connor EB, Nevitt M, Visser M, Kritchevsky S, Badinelli S, Harris T, Newman AB, Cauley J, Ferrucci L. Guralnik. Gait speed and survival in older adults. JAMA. 2011;305(1):50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A. The Mini-Cog: a cognitive “vital sign” measure for dementia screening in multi-lingual eldelr. Int J Geriatr Psychiatry. 2000;15(11): 1021–7.

    Article  CAS  PubMed  Google Scholar 

  9. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23(10):433–41.

    Article  CAS  PubMed  Google Scholar 

  10. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695–9. http://www.mocatest.org/.

    Article  PubMed  Google Scholar 

  11. O’Connor EA, Whitlock EP, Gaynes B, Beil TL. Screening for depression in adults and older adults in primary care: an updated systematic review. Evidence Synthesis No. 75. Rockville: Agency for Healthcare Research and Quality; 2009. (AHRQ Publication No. 10-05143-EF-1).

    Google Scholar 

  12. US Preventive Services Task Force. Services Task Force. Screening for depression: recommendations and rationale. Ann Intern Med. 2002;136:760–4.

    Article  Google Scholar 

  13. Sheikh JI, Yesavage JA. Geriatric depression scale: recent evidence and development of a shorter version. Clin Gerontol. 1986;5:165–72.

    Article  Google Scholar 

  14. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Arroll B, Khin N, Kerse N. Screening for depression in primary care with two verbally asked questions: cross sectional study. BMJ. 2003;327:1144.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Crews JE, Campbell VA. Vision impairment and hearing loss among community-dwelling older americans: implications for health and functioning. Am J Public Health. 2004;94(5):823–9.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Moore AM, Voytas J, Kowalski D, Maddens M. Cerumen, hearing, and cognition in the elderly. J Am Med Dir Assoc. 2002;3(3):136–9.

    Article  PubMed  Google Scholar 

  18. Oron Y, Zwecker-Lazar I, Levy D, Kreitler S, Roth Y. Cerumen removal: comparison of cerumenolytic agents and effect on cognition among the elderly. Arch Gerontol Geriatr. 2011;52(2):228–32. doi:10.1016/j.archger.2010.03.025.

    Article  PubMed  Google Scholar 

  19. Vargas CM, Kramarow EA, Yellowitz JA. The oral health of older Americans, Aging Trends, No. 3. Hyattsville: National Center for Health Statistics; 2001.

    Book  Google Scholar 

  20. Ranhoff AH, Gjøen AU, Mowé M. Screening for malnutrition in elderly acute medical patients: the usefulness of MNA-SF. J Nutr Health Aging. 2005;9(4):221–5.

    CAS  PubMed  Google Scholar 

  21. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med. 2002;18(4):737–57.

    Article  PubMed  Google Scholar 

  22. de Groot LC, Beck AM, Schroll M, van Staveren WA. Evaluating the DETERMINE Your Nutritional Health Checklist and the Mini Nutritional Assessment as tools to identify nutritional problems in elderly Europeans. Eur J Clin Nutr. 1998;52(12):877–83.

    Article  PubMed  Google Scholar 

  23. Brandeis GH, Baumann MM, Hossain M, et al. The prevalence of potentially remediable urinary incontinence in frail older people: a study using the Minimum Data Set. J Am Geriatr Soc. 1997;45:179.

    Article  CAS  PubMed  Google Scholar 

  24. Fung CH, Spencer B, Eslami M, Crandall C. Quality indicators for the screening and care of urinary incontinence in vulnerable elders. J Am Geriatr Soc. 2007;55 Suppl 2:S443.

    Article  PubMed  Google Scholar 

  25. Roberts RO, Jacobsen SJ, Rhodes T, et al. Urinary incontinence in a community-based cohort: prevalence and healthcare-seeking. J Am Geriatr Soc. 1998;46:467.

    Article  CAS  PubMed  Google Scholar 

  26. Lachs MS, Feinstein AR, Cooney Jr LM, Drickamer MA, Marottoli RA, Pannill FC, Tinetti ME. A simple procedure for general screening for functional disability in elderly patients. Ann Intern Med. 1990;112(9):699–706.

    Article  CAS  PubMed  Google Scholar 

  27. U.S. Preventive Services Task Force. Final update summary: osteoporosis: screening. U.S. Preventive Services Task Force. 2015. http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/osteoporosis-screening

  28. Rao SS, Budhwar N, Ashfaque A. Osteoporosis in men. Am Fam Physician. 2010;82(5):503–8.

    PubMed  Google Scholar 

  29. Willlams CM. Using medications appropriately in older adults. Am Fam Physician. 2002;66:1917.

    PubMed  Google Scholar 

  30. American Geriatrics Society 2012 Beers Criteria Update Expert Panel. American geriatrics society updated beers criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2012;60:616.

    Google Scholar 

  31. Lindquist LA, Lindquist LM, Zickuhr L, Friesema E, Wolf MS. Unnecessary complexity of home medication regimens among seniors. Patient Educ Couns. 2014;96(1):93–7.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Schonberg MA, McCarthy EP, Davis RB, Phillips RS, Hamel MB. Breast cancer screening in women aged 80 and older: results from a national survey. J Am Geriatr Soc. 2004;52(10): 1688–95.

    Article  PubMed  Google Scholar 

  33. Caplan LS. To screen or not to screen: the issue of breast cancer screening in older women. Public Health Rev. 2001;29(2-4):231–40.

    CAS  PubMed  Google Scholar 

  34. Blustein J, Weiss LJ. The use of mammography by women aged 75 and older: factors related to health, functioning, and age. J Am Geriatr Soc. 1998;46(8):941–6.

    Article  CAS  PubMed  Google Scholar 

  35. Sudore RL, Fried TR. Redefining the “planning” in advance care planning: preparing for end-of-life decision making. Ann Intern Med. 2010;153:256.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Jang, M., Miller, R.K., Lindquist, L.A. (2016). Utilizing Geriatric Assessments to Fulfill the Medicare Annual Wellness Visits. In: Lindquist, L. (eds) New Directions in Geriatric Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-28137-7_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-28137-7_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28135-3

  • Online ISBN: 978-3-319-28137-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics