Exam (elaborations)
Comprehensive Geriatric Assessment (CGA)
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Comprehensive Geriatric Assessment (CGA)
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1 of 20Term
What are some tools to screen for depression?
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- prevention of decline in performance of ADLs (activities of daily living) and
IADLs (instrumental ADLs)
- screen for functional impairments
- screen for preventable diseases
, - ask do you feel sad or depressed?
- do you often feel helpless?
- geriatric depression scale (GDS) - 15 question test, more than 6 = more
likely depressed
- patient health questionnaire (PHQ-9)
- medical assessment
- assessment of functioning
- psychosocial assessment
- social assessment
- environmental assessment
- 20-30% of elderly-nutritional disorders
- serum albumin and cholesterol, although nonspecific are prognostic factors for
mortality
- weight loss >10% of the previous 6 months is a red flag
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2 of 20
Term
Describe the components of the directed medical history and
physical exam one can do in the office-based assessment?
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- IADL
- vision
- hearing
- weight/nutrition
- gait and balance/feet
, - problem list
- co-morbid conditions
- medication review
- nutritional status
- did the patient fill out the questionnaire?
- observe the patient walk and getting on exam table
- what kind of detail does the patient give you in history?
(1) does the patient look to someone else for the correct answer?
(2) does he/she have eye-contact with you?
- look for atypical presentation of depression
- CVA can disrupt prefrontal systems and result in a distinctive clinical picture of
depression: motor retardation, apathy, and greater cognitive impairment
- assessment of cognitive function
- 40% of depressed patients have dementia or 40% of dementia patients are
depressed depending on how you look at it
- get history of risk factors including social isolation or recent losses
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3 of 20
Term
What are the components of a CGA?
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