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Comprehensive assessment of the elderly patient.

Successful clinical evaluation of the elderly patient begins with supportive office-staff response to the initial contact, affording the patient an opportunity both to provide and to obtain health-related information. The physician uses a problem-oriented historical interview that includes an informal mental status examination. The physical examination focuses on disorders that can be reversed or stabilized, avoiding premature hospitalization. Brief follow-up visits provide continuous, empathic and optimistic support.