Geriatric Assessment

Question 1

What are some health domains?

Answer 1

Medical
Psychological
Functional
Behavioural
Nutritional
Spiritual
Environmental
Social
Societal

Question 2

What are some associated issues with the medical aspect of health?

Answer 2

pathological vs physiological

reversible/non-reversible

Multiple concomitant problems

iatrogenic harm

infection

Question 3

What are some associated issues with the psychological aspect of health?

Answer 3

Mood; low mood, anxiety

Confidence; ‘fear of falling syndrome’

Cognition; delirium, dementia

Question 4

What are some issues associated with functional aspect of health?

Answer 4

Mobility; transfers, mobilising

Activities of daily living

Community living skills

Question 5

What are some issues associated with the behavioural aspect of health?

Answer 5

behavioural determinants of ill health e.g. diet/smoking/drinking

Activities/pastimes

Occupation

Question 6

What are some issues associates with the nutritional aspect of health?

Answer 6

Poor nutrition leads to ill health

Ill health leads to poor nutrition

MUST screening too

Question 7

What are some issues associated with the spiritual aspect of health?

Answer 7

How do I fit into the bigger picture?

What’s important to you?

How do you like to project your self-image?

What’s the meaning of your life?

Question 8

What are some issues associates with the environmental aspect of health?

Answer 8

Housing

Heating

Sanitation

Adaptation

Question 9

What are some issues associated with the social aspect of health?

Answer 9

Support networks; practical/emotional, formal/informal

Potential for abuse; financial, physical, sexual, neglect

Question 10

What are some issues associated with the societal aspect of health?

Answer 10

Attitudes to ageing/the aged; asset v burden, paternalism

Technological advance; enabling v disabling

Political/regulations; money, accessibility