Comprehensive geriatric assessment

Question 1

what is the purpose of the CGA?

Answer 1

1. prevention of decline in performance of ADLs and IADLs
2. screen for functional impairments
3. screen for preventable diseases

Question 2

what are the 5 areas of the CGA?

Answer 2

1. medical
2. functioning
3. psychosocial
4. social
5. environmental

Question 3

what are the elements of the medical assessment?

Answer 3

problem list, comorbid conditions, medication review, nutritional status

Question 4

the average geriatric patient takes how many medications per day?

Answer 4

7.6

Question 5

what is a strong predictor of incident dementia at 3 years?

Answer 5

Number of IADL impairments

Question 6

what are the depression screening tests?

Answer 6

1. geriatric depression scale

2. patient health questionnaire

Question 7

what does the Karnofsky scale determine?

Answer 7

palliative performance, how much care a patient may need

Question 8

what is the average cost of nursing homes in the American system per year? what is the range?

Answer 8

1. $86,000 per year on average

2. 65k - 200k

Question 9

what are the important USPSTF A and B recommendations?

Answer 9

1. bone mass measurement
2. colorectal cancer screening
3. mammogram
4. pap, pelvic, breast