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International Journal of Epidemiology 2003;32:988-989
© International Epidemiological Association 2003

Special Theme: Mental Health

Commentary: Disability amongst elderly people world-wide: the need for multi-dimensional health assessment

Rowan H Harwood

Correspondence: Dr Rowan Harwood, B Floor South Block, Queen’s Medical Centre, Nottingham NG7 2UH, UK. E-mail: rowan.harwood@mail.qmcuh-tr.trent.nhs.uk

The first 10% of the full text of this article appears below.

Chronic and disabling diseases cannot be described adequately by diagnosis alone. The WHO published a classification of the consequences of disease over 20 years ago, which has recently been revised as the International Classification of Functioning, Disability and Health.1,2 This retains three fundamental levels of assessment—the body level (anatomical or physiological problems; impairments), person level (activity limitations), and the person in context level (participation restrictions). Elderly people often have multiple pathologies and reduced physiological reserve, and experience a restrictive environment. Multi-level assessment across physical, psychological, and social domains is therefore particularly necessary, and forms the basis for ‘comprehensive geriatric assessment’.3

For the health . . . [Full Text of this Article]


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