CGA and Acute Illness

Question 1

CGA

Answer 1

Comprehensive Geriatric Assessment

Question 2

What is CGA?

Answer 2

A multidisciplinary team assessment to determine an elderly persons medical, psychosocial and functional capacities to develop a plan and long term follow up
Review regularly

Question 3

Why can differential diagnosis not be used?

Answer 3

There is always more than one problem i.e multifactorial

Use a problem list instead - a list of all the problems a patient has e.g confusion, falls, polypharmacy

Question 4

Name the 4 main sub-headings to CGA?

Answer 4

Medical
Psychological
Social/environment
Functioning

Question 5

Medical

Answer 5

Problem list
Co-morbid conditions and severity
Medical review
Nutritional status

Question 6

Psychological

Answer 6

Mental status

Mood

Question 7

Social/environment

Answer 7

Needs
Social circle
Care resources
Safety

Question 8

Functioning

Answer 8

Basic and extended ADL’s

Activity and exercise

Question 9

1/3rd of elderly people with an MI don’t present with chest pain. What do they present with?

Answer 9

Collapse
Delirium
Dizziness
Breathlessness

Question 10

What do elderly people have a higher risk of when given abx?

Answer 10

C.diff

Question 11

Name the 4 C abx.

Answer 11

Co-amoxiclav
Clindamycin
Cephalosporin
Ciprofloxacin

Question 12

Why is it risky to give antihypertensives to an elderly person?

Answer 12

Increased risk of falls