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Geriatrics and Integrated > Comprehensive Geriatric Assessment > Flashcards

Comprehensive Geriatric Assessment Flashcards

1
Q

What is the process of caring for the elderly?

A 
Assessment
Problem List
Personalised Care Plan
Interventions
Regular Planned Review
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2
Q

What are aspects of the comprehensive geriatric assessment?

A 
Physical
Functional
Mental/psychological
Social/Financial
Environmental
Medication Review
Nutrition Review
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3
Q

What are aspects of physical assessment?

A 
Comorbidity
Continence
Falls
Vertigo
Fractures
Mobility
Balance
Gait
Endurance
Strength
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4
Q

What are aspects of functional assessment?

A

Performance Status
Activities of Daily Living
Instrumental Activities of Daily Living
Advanced ADLs

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5
Q

What are aspects of psychological/mental assessment?

A 
Dementia
Delirium
Confusion
Depression
Mood
Memory
Cognitive status
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6
Q

What are aspects of social/financial assessment?

A 
Living conditions
Caregiver
Financial resources
Neglect
Abuse
Lasting power of attourney
Advanced care plan
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7
Q

What are aspects of environmental assessment?

A 
Home safety
Transport - driving?
Housing
Equipment
Safety pendant
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8
Q

What are aspects of medication review?

A

Polypharmacy
Drug interactions
Adherence

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9
Q

What are aspects of nutritional review?

A 
Nutritional status
Nutritional risk
Diet
Supplements
Feeding
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10
Q

What are the grades of performance status?

A

0
Fully active, able to carry on all pre-disease performance without restriction

1
Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work

2
Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours

3
Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours

4
Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair

5
Dead

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11
Q

What are ADLs?

A
  • Continence
  • Transferring
  • Grooming
  • Dressing
  • Feeding
  • Utilisation of bathroom
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12
Q

What are instrumental ADLs

A
  • Use of transportation
  • Ability to take medications
  • Use of telephone
  • Shopping
  • Finances
  • Provide one’s meals
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13
Q

What are advanced ADLs

A

• Activities that make patient’s life enjoyable

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14
Q

What are ade related changes to phamacodynamics?

A

Absorption
Decreased

Distribution
Decreased for water soluble agents
Increased for lipid soluble agents

Metabolism
Decreased hepatic metabolism

Excretion
Renal decreased

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15
Q

Who is part of the MDT?

A
  • GP
  • Advanced Nurse Practitioner
  • Geriatrician
  • Physiotherapist
  • Occupational Therapist
  • Dietician
  • Speech and Language Therapist
  • Social Worker
  • Clinical Psychologist
  • Psychiatrist
  • District Nurses
  • Carers
  • Specialist Nurses
  • Family
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Geriatrics and Integrated (11 decks)

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