Geriatric Flashcards
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
Geriatric assessment
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.
Person-centered
___________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.
Comprehensive Geriatric Assessment (CGA)
__________________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.
Geriatric Assessment
The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s, and these are:
- functional ability
- physical health
- cognition and mental health
- socio-environmental circumstances
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
Medical assessment
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
Assessment of functioning
What component is this in terms of geriatric assessment based on the following elements?
-Mental status (cognitive) testing
-Mood/depression testing
Psychological assessment
What component is this in terms of geriatric assessment based on the following elements?
-Informal support needs and assets
-Care resource eligibility/financial assessment
Social assessment
What component is this in terms of geriatric assessment based on the following elements?
-Home Safety
-Transportation and telehealth
environmental assessment
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
comprehensive
An assessment can also facilitate discharge planning and reduce length of stay, medication use, and the need for admission to residential care.
(True/False?)
True
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?)
False
it is a good time to encourage….
Older people are the major users of hospitals, and often have longer stays, which increases their risk of functional decline.
(True/False?)
True
A specialist interdisciplinary team approach involving a _____________ to undertake a comprehensive assessment.
geriatrician
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.
open
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.
therapeutic procedures
Another challenge with non-pharmacologic interventions is ___________ of procedures, dose and intensity.
standardization
Since complex problems of aging can involve multiple systems and have multiple contributors, many geriatric interventions, such as fall prevention orgeriatric assessment, are ______________.
multifactorial
In fact, single interventions for complex problems often do not make clinical sense, because many contributors to the problem would remain unaddressed.
(True/False?)
True
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 _____________.
geriatric syndromes
incontinence
immobility
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
medical comorbidities
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.
Affective
Social
Economic
Spiritual
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?)
True
Information obtained from assessment instruments can direct the clinician’s attention to issues that are particularly relevant to an individual patient.
(True/False)
True
