Geriatric

Question 1

It is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socio-environmental circumstances

Answer 1

Geriatric assessment

Question 2

Geriatric assessment requires us to use a ____________approach to find out what matters to our older patients to maximize their strengths, functional independence and outcomes.

Answer 2

Person-centered

Question 3

___________is a multidimensional and usually interdisciplinary diagnostic process to determine the medical conditions, mental health, functional capacity, and social circumstances of the person with frailty.

Answer 3

Comprehensive Geriatric Assessment (CGA)

Question 4

__________________by the individual clinician extends beyond the traditional disease-oriented medical evaluation of older persons’ health to include assessment of cognitive, affective, functional, social, economic, environmental, and spiritual status, as well as a discussion of patient preferences regarding advance directives.

Answer 4

Geriatric Assessment

Question 5

The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s, and these are:

Answer 5

1. functional ability
2. physical health
3. cognition and mental health
4. socio-environmental circumstances

Question 5

What component is this in terms of geriatric assessment based on the following elements?
-Problem list
-Comorbid conditions and disease severity
-Medication review
-Nutritional status

Answer 5

Medical assessment

Question 5

What component is this in terms of geriatric assessment based on the following elements?
-Basic activities of daily living
-Instrumental activities of daily living
-Activity/exercise status
-Gait and balance

Answer 5

Assessment of functioning

Question 5

What component is this in terms of geriatric assessment based on the following elements?
-Mental status (cognitive) testing
-Mood/depression testing

Answer 5

Psychological assessment

Question 6

What component is this in terms of geriatric assessment based on the following elements?
-Informal support needs and assets
-Care resource eligibility/financial assessment

Answer 6

Social assessment

Question 6

What component is this in terms of geriatric assessment based on the following elements?
-Home Safety
-Transportation and telehealth

Answer 6

environmental assessment

Question 7

Information gained from a __________ geriatric assessment allows clinicians to implement a person-centered care plan which can reduce functional decline, support independence and improve quality of life

Answer 7

comprehensive

Question 7

An assessment can also facilitate discharge planning and reduce length of stay, medication use, and the need for admission to residential care.

(True/False?)

Answer 7

True

Question 8

A comprehensive geriatric assessment is not a good time to encourage the older person and their family to consider advance care planning, identify their substitute decision maker and document their decisions
(True/false?)

Answer 8

False
it is a good time to encourage….

Question 9

Older people are the major users of hospitals, and often have longer stays, which increases their risk of functional decline.
(True/False?)

Answer 9

True

Question 9

A specialist interdisciplinary team approach involving a _____________ to undertake a comprehensive assessment.

Answer 9

geriatrician

Question 9

Collecting information through observation, ____ questioning of the older person and their family or carers, and reviewing their medical records to complement your assessment using the validated tools.

Answer 9

open

Question 10

Interventions for problems of aging include exercise, counseling, _______________ and devices, environmental adaptations, as well as educational or organizational maneuvers targeted at healthcare providers and systems.

Answer 10

therapeutic procedures

Question 11

Another challenge with non-pharmacologic interventions is ___________ of procedures, dose and intensity.

Answer 11

standardization

Question 12

Since complex problems of aging can involve multiple systems and have multiple contributors, many geriatric interventions, such as fall prevention orgeriatric assessment, are ______________.

Answer 12

multifactorial

Question 13

In fact, single interventions for complex problems often do not make clinical sense, because many contributors to the problem would remain unaddressed.
(True/False?)

Answer 13

True

Question 14

Circumstances that drive the CGA include an acute illness associated with a significant change in functional ability, transfers of care for rehabilitation or continuing care, consideration of surgery, and experiencing two or more “____________” of falls, delirium, _____________, or _____________.

Answer 14

geriatric syndromes
incontinence
immobility

Question 15

Other reasons to refer for a CGA may be age, ________________such as heart failure or cancer,psychosocial disorderssuch as depression or isolation, previous or predicted highhealth care utilization, consideration of change in living situation, and specific acute care situations of fractures,failure to thrive, recurrent pneumonia, andpressure soresin addition to the geriatric syndromes

Answer 15

medical comorbidities

Question 16

Geriatric assessment by the individual clinician extends beyond the traditional disease-oriented medical evaluation of older persons’ health to include assessment of cognitive, ______________. functional, ____________, ______________, environmental, and _____________ status, as well as a discussion of patient preferences regarding advance directives.

Answer 16

Affective
Social
Economic
Spiritual

Question 17

Assessment instruments can be used to guide these evaluations BUT DO NOT substitute for clinical skills and judgment, including the skill of eliciting important items from the patient’s history and physical examination.
(True/false?)

Answer 17

True

Question 18

Information obtained from assessment instruments can direct the clinician’s attention to issues that are particularly relevant to an individual patient.
(True/False)

Answer 18

True