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Comprehensive Geriatric Assessment Questions and Answers with Complete Solutions 100% Correct
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CGA - Comprehensive Geriatric AssessmentComprehensive Geriatric Assessment Questions and
Answers with Complete Solutions 100% Correct
What is the focus of geriatric assessment? - ANSWER function
what is the purpose of CGA? - ANSWER -prevention of decline in performance
of ADLs and IADLs
-screen for functional impairments
-screen for preventable diseases
what is the value of CGA? - ANSWER -improves FUNCTION
-improves health QOL
-decreases hospitalizations
What are the principles of CGA - ANSWER -perform routinely in all sites of care
-ideally, have informant present to provide or verify pertinent historical info
-using efficient strategies to incorporate CGA into routine office practice
what areas are involved in rapid screening - ANSWER functional, mobility,
nutrition, vision, hearing, cognition, depression
what types of assessments are involved in comprehensive assessment -
ANSWER physical, medication, cognitive, psychologic, social , functional
what does the physical assessment include - ANSWER -vision
-hearing
, CGA - Comprehensive Geriatric Assessment
-nutrition
what is involved in the vision assessment - ANSWER -looking for cataracts,
glaucoma, macular degeneration, other probs associated with age
-ask about everyday tasks (driving, watching TV)
-use performance-based screening (Snellen chart, Jaeger card)
what is involved in the hearing assessment - ANSWER -impaired hearing can
lead to depression, social withdrawl
-assess FIRST for cerumen impaction
-usually see bilateral hearing loss in a high-frequency range
-*refer for formal audiometry if:*
--->pt acknowledges hearing loss
--->fails whisper test at 2ft
what is involved in the nutritional assessment - ANSWER -screen for
malnutrition (visual inspection, measure height/weight/BMI)
---> *unintentional weight loss of more than 10% in previous 6 months is a RED
FLAG*
-malnutrition has many causes (illness, depression, dementia, financial hardship,
etc)
what is involved in the medication assessment - ANSWER -review prescribed
and OTC meds
-look for *polypharmacy, tx failure, medication nonadherence*
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