Geriatric Flashcards

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1
Q

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

A

Geriatric assessment

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2
Q

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.

A

Person-centered

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3
Q

___________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.

A

Comprehensive Geriatric Assessment (CGA)

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4
Q

__________________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.

A

Geriatric Assessment

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5
Q

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

A
  1. functional ability
  2. physical health
  3. cognition and mental health
  4. socio-environmental circumstances
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5
Q

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

A

Medical assessment

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5
Q

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

A

Assessment of functioning

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5
Q

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

A

Psychological assessment

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6
Q

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

A

Social assessment

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6
Q

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

A

environmental assessment

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7
Q

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

A

comprehensive

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7
Q

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

(True/False?)

A

True

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8
Q

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?)

A

False
it is a good time to encourage….

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9
Q

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

A

True

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9
Q

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

A

geriatrician

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9
Q

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.

A

open

10
Q

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.

A

therapeutic procedures

11
Q

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

A

standardization

12
Q

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

A

multifactorial

13
Q

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

A

True

14
Q

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 _____________.

A

geriatric syndromes
incontinence
immobility

15
Q

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

A

medical comorbidities

16
Q

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.

A

Affective
Social
Economic
Spiritual

17
Q

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?)

A

True

18
Q

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

A

True