Extra bits from mock

Question 1

what is comprehensive geris assessment

Answer 1

A multidimensional interdisciplinary diagnostic process focused on determining a frail
elderly person’s medical, psychological and functional capability in order to develop a
coordinated and integrated plan for treatment and long-term follow-up

Question 2

what are the advantages of cga

Answer 2

NNT 17 to avoid one death at 6 months, people more likely to remain active
and lower levels of dependency compared to standard treatment of presenting complaint.

Question 3

what are the disadvantages of cga

Answer 3

only seems to be effective when the whole multidisciplinary team are
involved.

Question 4

According to the Gold Standards framework, what 4 questions should an Advanced
Care Plan address?

Answer 4

At this time in your life, what is important to you?
• What elements of care are important to you and what WOULD you like to
happen in future?
• What would you NOT want to happen? Is there anything that you worry
about or fear happening?
• Who would speak for you - your nominated proxy spokesperson or Lasting
Power of Attorney?

Question 5

questions in spiritual history

Answer 5

What support do you have?
• Do you have people you can talk to?
• What is your greatest worry?
• What is the most important issue in your life?
• What would be the most helpful thing for you?
• What do we need to know about you to give you the best care?
• What gives your life meaning?
• Where do you get your strength from?
• Is religion or faith important to you?

Question 6

what is inverse care law?

Answer 6

a perverse relationship between the need for health care and its actual
utilisation. In other words, those who most need medical care are least likely to receive it.
Conversely, those with least need of health care tend to use health services more (and more
effectively)