History taking and CGA Flashcards
1
Q
History tips for elderly
A
- Take into accound cognitive ability and sensory deficits
- Collateral history from relative?
2
Q
Phrases to NOT use
A
- Poor historian
- Acopia
- Mechanical fall
3
Q
History needs to include? - PC
A
- Current reason for admission
- Falls history
- Assessment of cognition - collateral history if needed
- Continence assessment - bowels and bladder
4
Q
History - other things to incluce
A
- PMH with disease severity
- Compliance of medications
- Alcohol intake, smoking history
- Systemic enquiry
5
Q
Social history should incluce
A
- Where they live - home, residential, nursing, sheltered accom
- How they are supported and by who
- How they mobilise and what aids
- Who performs tasks such as cleaning and shopping
- Adaptations or safety features within the home eg pendant alarm
- Care package?
- Advanced decisions - DNAR?
6
Q
What is CGA?
A
- Comprehensive geriatric assessment
- Multidisciplinary diagnostic process to determine the medical, psychological and functional capabilities of a frail older person in order to develop a plan for treatment and long term follow up
7
Q
Benefits of CGA
A
- Better outcomes
- Reduced admissions
- Reduced long term care
- Greater patient satisfaction
- Lower costs
8
Q
What does CGA emphasize on?
A
- Quality of life
- Functional status
- Prognosis
- Outcome
9
Q
Typical CGA team
A
- Geriatrician
- Nurse specialist
- Occupational therapist
- Physiotherapist
- Pharmacist
- others eg SALT, dietician
10
Q
Domains of CGA
A
- Problem list - current and past
- Medication review
- Nutritional status
- Mental health - cognition, mood and anxiety, fears
- Functional capacity - ADLs, gait and balance, activity/exercise, IADLs?
- Social circumstances - support from family/friends, social network eg visitors or daytime activities, eligibility for care resources
- Environment - home, facilities, safety within home, transport, accessability to local resources
PENS MF
11
Q
A
