Comprehensive Geriatric Assessment Flashcards
What happens to people as a result of age related decline?
Impairment of individual organ function
Dyshomeostasis
Increased susceptibility to environmental stress (increased frailty)
What is the general phenotype for frailty?
3 out of 5 of ; Unintentional weight loss Exhaustion Weak grip strength Slow walking speed Low physical activity
What are the 4 frailty syndromes?
Falls
Immobility
Delirium
Functional loss
What happens to increase frailty?
Insults to the system cause decompensation and after recovery from the insult the patient is left more frail than before
What are the 9 levels on the clinical frailty scale?
Very fit Well Managing well Vulnerable Mildly frail Moderately frail Severely frail Very severely frail Terminally ill
What are the 9 health domains that can be affected by frailty?
Medical Psychological Functional Behavioural Nutritional Spiritual Environmental Social Societal
What happens to frail patients when they get an illness?
Leads to disruption in multiple health domains and can be triggered by disruption in any health domain
What is happening as a result of ageing population?
Patients are multimorbid, old, frail, and complex
What is the function of comprehensive geriatric assessment?
To assess and manage illness in older people with frailty
What is done in a comprehensive geriatric assessment?
Determine what problems are - medical problems and medical domains
Determine what we can reverse and what we can make better
Produce management plan
What is the spiritual health domain?
How the patient fits into the bigger picture
What’s important to them
The meaning in their life
What is involved in the psychological health domain?
Mood
Confidence - fear of falling
Cognition
What is involved in the functional health domain?
Mobility
Activities of daily living
Community living skills
What are risks of being in hospital?
Disorientation and delirium Learned dependency Deconditioning Iatrogenic harm Hospital acquired infection
What is involved in the behavioural health domain?
Behavioural determinants of ill health
Activities/pastimes
Occupation
