Comprehensive geriatric assessment

tomi1's version from 2017-02-09 20:59

Section 1

Question Answer
purpose improve identification and documentation of geriatric problems- improves patient outcomes
candidates for CGA1.frail pre-op 2.acute change in functional ability 3.transfer of care 4.>2 geriatric giants
overview of CGAactive problems + current needs
components of CGAmedical hx-mental health status-functional capacity-social history-environment
approach to CGA PATIENT FOCUSED- therefore ICE is very important
geriatric giantsfalls, incontinence, confusion, immobility, poly pharmacy, infection

Section 2

Question Answer
medical history active problems/co morbidity/ medication/NUTRITIONAL STATUS/ CONTINENCE/ ADVANCE CARE PLANNING
Mental health status cognition/capacity/mood/fears
capacity defineability to make own choices and decisions
assessing capacity understand, retain, weigh up pros and cons, communicate decision
5 principles of capacityassume everyone has capacity-well informed risks and benefits- able to make unwise decisions-best interests-least restrictive

Section 3

Question Answer
functional capacity ADL,gait/balance,exercise, driving
specialty involved in assessing functional capacityphysiotherapist and medical team
social historyinformal care, formal care, social network
environment finances, accessibility to resources (food, clothes, heat), transport facilities

Section 4

Question Answer
MDT specialties in gerismedics, nursing, social workers, occupational therapists, physiotherapists
physio rolemobility assessment, walking aids, gait and balance assessment
occupational therpaistfunctional assessment, home visits, cognitive assessment
social servicessafeguarding, financial assistance, housing
nursing advocate, contact with relatives, specialist care