[Comparability of comprehensive geriatric assessment and icope methodology for the primary assessment of geriatric status in social protection institutions.]

Abstract

The aim of the study is to study the issue of comparability of comprehensive geriatric assessment and the methodology of integrated care for the elderly in institutions of the social protection system. The work was carried out on the basis of social protection institutions of the Kemerovo region - Kuzbass, a gerontological examination of 2 708 citizens over 60 years of age - potential recipients of gerontological prevention measures was conducted. In order to assess their functional abilities, an integrated care system for the elderly and a comprehensive geriatric assessment were used, followed by a comparison of the capabilities of both. The geriatric profile of the studied people was characterized by the prevalence of cognitive disorders, decreased motor activity, impaired nutrition and vision, the prevalence of hearing loss and symptoms of depression. The analysis of the results of the functional ability assessment and the results of a comprehensive geriatric assessment showed their reliable comparability in all positions in all groups of recipients of social services, which allows us to recommend the system for implementation in the practice of social work as a screening methodology for assessing the functionality of recipients of gerontological prevention programs (p<0,05). To carry out comprehensive gerontological prevention, it is advisable to use a screening scale for functional impairment and a comprehensive geriatric assessment within the questionnaires and scales available to the competence of social workers to identify the main domains of individual viability.