Comprehensive geriatric assessment

Question 1

Effects of Ageing (Senescence)

Answer 1

Age related decline leads to
Impairment of individual organ function
Breakdown of the complex interplay between organ systems (dyshomeostasis)
This leads to
Increased susceptibility to environmental stress

= FRAILTY

Question 2

how do you identify someone as frail

Answer 2

frailty index

Unintentional weight loss
Exhaustion
Weak grip strength
Slow walking speed
Low physical activity

Question 3

what does Dyshomeostasis lead to

Answer 3

Falls
Immobility
Delirium
Functional loss

Question 4

What is health?

Answer 4

‘a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity’ - WHO = Rubbish!

Question 5

what are health domains

Answer 5

Medical
Psychological
Functional
Behavioural
Nutritional
Spiritual
Environmental
Social
Societal

Question 6

comprehensive geriatric assessment

Answer 6

Process to assess and manage illness in older people with frailty

Determine what the problems are
Multiple medical problems present at once
Multiple health domains affected
Determine what we can reverse and what we can make better
Produce a management plan

person/goal centered approach

Question 7

Established models of CGA

Answer 7

Inpatient
Intermediate Care
Hospital at Home

Question 8

Good Geriatric Care

Answer 8

Early identification of need

Early Comprehensive Geriatric Assessment

Early provision of appropriate level of care for needs

Discharge people when goals are met, or when risk outweighs benefit