Exam (elaborations)
Comprehensive Geriatric Assessment
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Comprehensive Geriatric Assessment
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1 of 28Definition
Vitamin A, C, D, B12, calcium, iron, & zinc = most common
deficiency in older population, even in the absence of other
conditions
4 components specific to the geriatric nutritional assessment:
i. Nutritional history performed with a nutritional health checklist
ii. A record of a patient’s usual food intake based on 24-hour dietary
recall
iii. Physical examination with particular attention to signs associated
with inadequate nutrition or overconsumption
,iv. Select lab tests – if applicable
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Primary care geriatric assessment Functional assessment
Nutritional status in elderly Obtaining an assessment over time
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2 of 28
Definition
Some combination of PCP and CGA team
Sometimes CGA team becomes the PCP until the situation stabilizes
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Parts of the primary care geriatric
Functional assessment
assessment
Revising the treatment plan Monitoring the treatment plan
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3 of 28
, Definition
the assessment
-Comprised of some combination of physician, nursing, social
worker along with PT, OT, nutritionist, dentists, audiologists,
podiatrists, and eye care professionals
-Make up of team is usually ad-hoc and timing of evaluations is quite
variable
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3rd step of the CGA Affective assessment
2nd step of the CGA 1st step of the CGA
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4 of 28
Definition
Data gathering
Team discussion
Development of plan
Implementation of plan
Monitoring of plan
Revising of plan
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