Exam (elaborations)
Comprehensive Geriatric Assessment (CGA)
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Comprehensive Geriatric Assessment (CGA)
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Purpose of CGA 3
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1. Improves function
2. Improves Health Quality of Life (HQL)
3. Decreases hospitalizations
, idea that a systematic evaluation of frail older persons by a team of health
professionals may identify a variety of treatable health problems and lead to
better health outcomes.
1. Prevention of decline in performance of ADLs (Activities of Daily Living) +
IADLs (Instrumental ADL)
2. Screen for functional impairments
3. Screen for preventable diseases
1. CMA/Nurse-phone intake
2. Social Worker- Psychosocial Assessment
3. PharmD- brown bag Assessment
-bring in all of your medications
4. Geriatrician/Geriatric fellow
5. Students and Residents
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Comprehensive Geriatric Assessment (CGA)
Environmental assessment
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Motor Vehicle Safety Water Safety
Firearm Safety Home Safety
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How to conduct office-based assessment 3
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-Did the patient fill out the questionnaire?
-Observe the patient walk and getting on exam table
-What kind of detail does the pt. give you in history?
Look for atypical presentation of depression
Assessment of cognitive function
Get h/o of risk factors: social isolation
Functional assessment by observation
Directed medical history and physical examination
Assessment instruments/tools
-Psychological assessment
1. CMA/Nurse-phone intake
2. Social Worker- Psychosocial Assessment
3. PharmD- brown bag Assessment
-bring in all of your medications
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