Comprehensive geriatric assessment Flashcards
What is frailty?
Reduced ability to withstand illness without loss of function
What is the frailty index?
3 of 5 criteria Unintentional weight loss Exhaustion Weak grip strength Slow walking speed Low physical actovoty
What do people with frailty tend to present with?
"Frailty syndromes" Falls Immobility Delirium Functional loss
What are the aims of CGA?
Determine what problems are
Determine what can be treated and/or reversed
Produce management plan
What are the issues in determining what the problems are with the frail?
Multiple medical problems present at once
Multiple health domains affected
What are the principles of management with CGA?
Patient centred care
Multi disciplinary approach
What are the benefits of a hospital stay?
Access to clinical expertise
Access to complex tests and interventions
Rapid access to supervised care support
What are the risks of hospital, esp in the frail?
Disorientation and delirium Learned dependency Deconditioning Iatrogenic harm Hospital acquired infection
When should patients be discharged?
When goals met or risks outweigh benefits
What are the health domains?
Medical Spiritual Psychological Functional Behavioural Nutritional Environmental Social Societal
