Comprehensive assessment Flashcards
1
Q
Purpose of CGA
A
- PREVENTION of decline in performance of ADL and IADL’s
- screen for functional impairments
- screen for preventable diseases
2
Q
describe the value of CGA
A
- improve FUNCTION
- improves health quality of life (HQL)
- Decrease hospitalizations
3
Q
What makes up the geriatric assessment team
A
- CMA/nurse-phone intake
- social worker
- pharmD (brown bag assessment)
- geriatrician/geriatric fellow
- students and resident
4
Q
what are the 5 areas of CGA
A
- Medical assessment (problem list, comorbid conditions, disease severity, medication review, nutritional status)
- assessment of functioning (ADL, IADL, activity/exercise, gait and balance)
- psychosocial assessment (cognitive testing, mood/depression testing)
- social assessment (informal support needs and assets)
- environmental assessment (home safety)
5
Q
how to conduct office-based assessment
A
- functional assessment by observation
- directed medical history and physical examination
- assessment instruments/tools (psychological assessment)
6
Q
Four IADLs
A
- telephone
- transportation
- medications
- finances
- At 3 years, # of IADLs impairments was strong predictor of incident dementia
7
Q
malnutrition and weight loss
A
- 20-30% of elderly-nutritional disorders
- serum albumin and cholesterol are prognostic factors for mortality (nonspecific)
- WEIGHT LOSS of 10% in the previous six months is a RED FLAG!
8
Q
Get up go test
A
- only valid for patients not suing an assistive device
- patient sits in a chair
- get up and walk 10ft and return to chair
- fail if more than 20 secs (needs further check up)
9
Q
psychological assessment
A
- look for atypical presentation of depression
- assessment of cognitive function
- Geriatric depression scale
10
Q
Cognitive functional assessment
A
- folstein mini-mental state exam (MMSE)
- Montreal cognitive assessment (MOCA)
- clock draw test (CDT)
- verbal fluency or animal naming
- mini-cog (4/7) need further testing
11
Q
Karnofsky scale
A
- 10 and below is very bad
12
Q
establish a plan of action
A
- further evaluation for identified issues
- written recommendations
- next meeting with more family members
- advance directives, legal documents
