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CGA - Comprehensive Geriatric AssessmentPrinciples of Geriatric Assessment Questions And
Answers 100% Correct | Latest
Geriatric Assessment - ANSWER -Broad term used to describe health
evaluation of older patients
-Doesn't center on treating diseases as they occur
-Health status of older patients is dependent on issues beyond medical conditions
including social, psychological, and environmental factors
-Geriatric assessment is sometimes used to refer to evaluation by individual
clinician and at other times to the more comprehensive interdisciplinary
approach, comprehensive geriatric assessment (CGA)
-Affected by multiple factors
~underreporting of symptoms and impairments
~atypical presentation of disease
~altered spectrum of health conditions
~not limited to acute and chronic diseases but
includes geriatric syndromes, cognitive, and
physical disabilities
-Goal of clinical encounter is to identify impairments, diseases, and other factors
impeding the patient's preferences and goals. Interindividual variability in all these
factors combine to make assessment challenging in older adults
-CGA focuses on the physical, psychosocial, and environmental factors that
influence well being in older adults.
-CGA interdisciplinary teams include geriatrician, social worker, nurse, pharmacist,
psychiatrist, dietitian, rehab services (PT,OT)
-Examples of CGA teams
~Geriatric Evaluation & Management Programs
,CGA - Comprehensive Geriatric Assessment
(GEMS)
~Primary Care Teams in Managed Care
~Program for All-Inclusive Care of the Elderly
(PACE)
~Geriatric Assessment and Intervention Network
(GAIN)
GEMS - ANSWER -develop initial care plans based on comprehensive medical,
cognitive, environmental, social, and economic assessments
-team members typically work in the same organization together
-patients with multiple problems in many domains who require comprehensive
assessment may benefit from this type of care team
Primary Care Management Teams - ANSWER -manage complex chronic
conditions of patients who are frequently hospitalized or in the emergency room
-team members are generally not assigned to work in the same space or area.
-complex patients with multiple chronic conditions that are not well managed may
benefit from this type of care team
PACE - ANSWER -manage complex medical, cognitive, emotional, and
functional needs of community elders eligible for nursing home placement
-team members typically work in the same area, generally see patients multiple
times a week, and share caseloads.
-frail elders who are nursing home eligible but wish to remain in the community
may benefit from this type of care team.
, CGA - Comprehensive Geriatric Assessment
CGA: Components - ANSWER -physical, functional, socio-economic,
psychological
-function is central focus
CGA-The Patient History - ANSWER Challenges
-Communication
-Underreporting of symptoms
-Vague or Non-specific Symptoms
-Multiple Complaints
The Patient Interview
-Listen to the patient
Setting the Stage
-Minimize extraneous noise
-Speak slowly and in deep tones
-Face the patient
-Provide adequate lighting
Eliciting Complete and Accurate Information
-Ask specific questions
-Include additional information sources
The Patient History
-Chief Complaint (CC)
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