4 - Comprehensive Geriatric Assessment 3

Question 1

how does CGA work as an inpatient?

Answer 1

Person presents with a decompensated frailty syndrome (e.g. fall, delirium etc.) and is assessed by MDT

Question 2

name 4 members of MDT and their role in assessing CGA?

Answer 2

doctors - Look at medical contributors to disruption to health and take a broad overview/responsibility

physiotherapists - assess mobility

OTs - assess function (ADLs)

Nurses - Provide care needs and assessment over longer period of time

Question 3

name 4 other members of MDT?

Answer 3

social work

pharmacist

dietician

speech and language therapist

Question 4

what is the role of the MDT?

Answer 4

to come up with a plan for goal-centred care by forming a combined view of perspectives

Question 5

what is the aim of MDTs plan for majority of patients?

Answer 5

enabling someone to live their life and get them the support they need to do so at home

Question 6

what is the aim of MDTs plan for a minority of patients?

Answer 6

recognition of the end of a patients life

Question 7

3 benefits of being in hospital?

Answer 7

Access to clinical expertise

Access to complex tests and interventions

Rapid access to supervised care support

Question 8

5 risks of being in hospital?

Answer 8

Disorientation and delirium

Learned dependency

Deconditioning

Iatrogenic harm

Hospital Acquired Infection

Question 9

when is the optimal discharge from hospital?

Answer 9

when goals are met, OR -

when the benefits of staying are less then risks of staying