Comprehensive Geriatric Assessement

Question 1

what is frailty?

Answer 1

a susceptibility sate

Question 2

what is senescence?

Answer 2

deterioration with age

Question 3

what does age related decline lead to?

Answer 3

> degradation of redundancy
impairment of individual organ function
breakdown of complex interplay between organ systems (dyshomeostasis)

Question 4

what would suggest frailty?

Answer 4

> unintentional weight loss
> exhaustion
> weak grip strength
> slow walking speed
> low physical activity

Question 5

name some frailty syndromes

Answer 5

> falls
immobility
delirium
functional loss

Question 6

what are some health domains that need to be assessed in a comprehensive geriatric assessment?

Answer 6

> medical
> spiritual
> psychological 
> functional
> behavioural
> nutritional
> environmental
> social
> societal

Question 7

what do you want to assess in the medical health domain?

Answer 7

> what is pathological and what is physiological
what is reversible and what isn’t
iatrogenic harm

Question 8

what do you want to assess in the psychological health domain?

Answer 8

> mood
confidence (fear of falling)
cognition (delirium? dementia?)

Question 9

what do you want to assess in the functional health domain?

Answer 9

> mobility
activities of daily living
community living skills

Question 10

what do you want to assess in the social health domain?

Answer 10

> support networks

> potential for abuse