Comprehensive Geriatric Assessment (CGA) Flashcards Preview

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Flashcards in Comprehensive Geriatric Assessment (CGA) Deck (10):
1

Domains of the Comprehensive Geriatric Assessment

Medical
Psychological
Functional
Social/environment

2

Medical components of the CGA

"Problem list"
Medication
Nutrition
Co-morbid conditions

3

What ensures the full benefit of CGA is achieved?

Dedicated CGA unit within the hospital- "roving" teams are less effective

4

Benefits of CGA

Reduced mortality
Reduced re-admission rates
Improved cognition
Improved function
Fewer nursing home admissions (NNT=33)

5

Possible causes of impaired immunity in older patients

Diabetes
Treatment for co-morbid conditions e.g. steroids, DMARDs
Malnourishment

6

Common causes of "blunted" cardiovascular responses

Impaired physiology- less able to maintain blood pressure (unlike children and adults)
Beta blockers
Vasodilators e.g. GTN, amlodopine

7

Differences in management of chest pain ?MI in older patients compared to younger

The presentation may be "masked" or unusual e.g. may not get chest pain
Older patients may not tolerate an angiogram (confused, unable to lie flat)
Older patients may have contraindications to certain drugs or have side-effects more frequently

8

How might an MI present atypically in an older patient?

No chest pain (1/3rd of older patients)
Collapse
Dizziness
Breathlessness
Delirium

9

Potential differences in an older patient with sepsis

Early BP drop
May be hypothermic
CRP and WCC may not rise

10

Why do antibiotics in a septic older patient need to be targeted stringently?

Higher chance of C. diff infection in older patients