Abstract
Research in health care traditionally is focused on the diagnosis, management, and prevention of major acute diseases. The goal has been effective therapy and restoration of a patient to a disease-free state. We now understand that the acute disease model does not work well for elderly persons. We recognize that the major ill-nesses of elderly persons are chronic and multiple. Normal aging is not illness, but it does alter the management of ill elderly persons. For elderly persons, functional assessment is as important as a disease diagnosis. Consideration of a person’s social supports, environment, and personal and functional goals is necessary for appropriate health care. Contemporary research in geriatrics reflects these principles.
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