3 - Comprehensive Geriatric Assessment 2 Flashcards
what is the use of CGA?
best way to assess and manage health in older people with frailty
what 3 words are at the centre of the aim of CGAs?
Goal centred
Holistic
Multidisciplinary
why is goal-centred care essential in CGA?
it is the right thing to do (i.e. to do what the patient wants)
it is easier (i.e. more focussed than concentrating on a load of different diseases/ medications etc.)
name 6 different health domains?
medical psychological functional nutritional behavioural spiritual
in terms of health domains, describe illness in frail people?
illness leads to disruption in multiple domains and can be caused by disruption in any health domain
what is the aim of most modern medicine?
to amelioriate and treat chronic disease while reducing exacerbations of chronic disease
aim is not to cure, it is to manage
describe 3 aspects of psychological health?
mood
confidence
cognition
describe 3 aspects of functional health?
mobility
ADLs
community living skills
describe 3 aspects of behavioural health?
behavioural determinants of ill health (e.g. smoking)
activities/ pastimes
occupation
describe relationship between nutritional health and ill health?
Poor nutrition leads to ill health AND Ill health leads to poor nutrition
which screening tool can be used to assess nutritional health?
MUST
describe 4 aspects of environmental health?
housing
heating
sanitation
adaptation
describe 2 types of support networks in terms of social health?
practical/ emotional
formal/ informal
describe 4 potential types of abuse in terms of social health?
Financial
Physical
Sexual
Neglect
describe 2 political aspects of societal health put in place for the frail population?
money - winter heating allowances and pensions
accessibility - free bus passes & disability access
