Geriatric assessment Flashcards
1
Q
what is involved in a comprehensive geriatric assessment to assess is someone has frailty?
A
Function impairment/co-morbidities Residence in a care home Acute confusion / delirium Immobility or falls List up to 6 medications / poly pharmacy
2
Q
what are the aims of a comprehensive geriatric assessment?
A
determine what the problems are
- multiple health problems
- multiple health domains affected
determine what can be reversed and can be made better
produce management plan
3
Q
what are the different health domains?
A
health psychological functional behavioural nutritional social societal environmental
4
Q
what is the frailty phenotype?
A
3 out of 5;
unintentional weight loss exhaustion reduced grip strength slow walking speed low physical activity
5
Q
what are the disadvantages of a frail patient staying in hospital?
A
disorientation and delirium learned dependance hospital acquired infection iatrogenic harm reconditioning
6
Q
what are the benefits of a frail patient staying in hospital ?
A
clinical expertise
access to complex tests and interventions
rapid access to supervised care in emergency situation
