| Sumario: | The article focuses on the integration of sleep assessment into Comprehensive Geriatric Assessment (CGA) for older adults, highlighting that sleep disturbances affect up to 75% of this population and are linked to adverse health outcomes such as frailty, cognitive decline, and falls. Despite its importance, sleep evaluation is inconsistently included in CGA frameworks, with wide variation in assessment tools and limited national guidance. A pragmatic, layered approach—starting with brief screening questions followed by targeted instruments like the Insomnia Severity Index and Epworth Sleepiness Scale—is recommended to feasibly incorporate sleep into CGA. Effective management of sleep disturbances requires multidisciplinary care beyond pharmacological treatment, including behavioral and environmental interventions, yet structured clinical pathways remain underdeveloped. The article underscores the need to recognize sleep as a core domain in geriatric care to improve health outcomes and quality of life for older adults.
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