Exam #2: Comprehensive Geriatric Assessment Flashcards Preview

Geriatrics > Exam #2: Comprehensive Geriatric Assessment > Flashcards

Flashcards in Exam #2: Comprehensive Geriatric Assessment Deck (19):
1

What is the purpose of the CGA?

- Prevent decline of ADLs & IADLs
- Screen for functional impairments
- Screen for preventable disease

2

What is the value of the CGA?

- Improves function
- Improves quality of life
- Decreases hospitalizations

3

List the members of the Geriatric Assessment Team.

- CMA/ Nurse
- Social Worker
- PharmD
- Students/ Residents
- Geriatrician/ Fellow

4

What are the components of the GCA?

- Medical assessment
- Assessment of Function
- Psychosocial Function
- Social assessment
- Environmental assessment

5

What are the elements of the medical assessment?

1) Problem list
2) Comorbid conditions
3) Medication review
4) Nutritional status

6

What are the elements of the functional assessment?

ADLs/ IADLs
Gait & Balance

7

What are the elements of the psychosocial assessment?

Cognitive testing
Mood/ depression testing

8

What are the three parts of the overall CGA?

- Observation
- History & Physical
- Assessment tools

9

What things are you looking for in the observation phase of the CGA?

- Did the patient fill out the health questionnaire?
- How did the patient walk to/get on the exam table

10

What are the four major IADLs?

- Telephone
- Transportation
- Medications
- Finances

11

How is dementia related to the IADLs?

These are a predictor of incident dementia
- More impairments= more likely to be demented

12

When is weight loss a red flag in the geriatric population?

>10% of body weight lost in the last six months

13

What is the get up and go test used for?

Evaluation of gait/ balance

14

How do you perform the Get up and Go test?

- Sit
- Stand/ walk
- Return to sitting

*****Should take less than 20 seconds

15

What are the major things to keep in mind when performing a psychological assessment?

1) Look for atpyical presentation of depression
2) Ask about risk factors
3) Be sure to perform cognitive assessment

16

What is a good assessment tool for depression?

- Geriatric Depression Scale (GDS)
- Patient Health Questionnaire

*****GDS, normal is 0-5 & >5= depression

17

What are the different cognitive function assessment tools?

- Folstein mini-mental exam
- Montreal cognitive assessment
- Clock draw test
- Verbal Fluency
- Mini-cog

18

What is the Karnofsky scale?

Tool for assessing function

19

What do you need to remember when the patient returns to the office following initial evaluation?

Use the same assessment for re-evaluation