Comprehensive Geriatric Assessment: 5Ms Framework and 4 Dimensions
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Questions and Answers

What is the purpose of the more thorough assessment for an individual identified with loss of intrinsic capacity?

  • To engage communities and support caregivers
  • To define the goal of care and develop a personalized care plan
  • To understand the person's values, priorities, and preferences (correct)
  • To assess and manage underlying diseases and polypharmacy

    • What is fundamental to the concept of integrated care, according to the text?

  • Polypharmacy assessment
  • Acute care management
  • Person-centered care (correct)
  • Specialized geriatric care

    • What should the care plans span for an individual with loss of intrinsic capacity?

  • Referral pathways
  • Polypharmacy management
  • Social and physical environments
  • All domains of intrinsic capacity (correct)

    • What is the role of health and care workers in the community, as per the text?

    <p>Support the older person with implementation of the care plan</p> Signup and view all the answers

    What is important for both specialized geriatric and acute care, according to the text?

    <p>Strong referral pathways</p> Signup and view all the answers

    What should be provided to older people and their caregivers?

    <p>Information and resources about community supports</p> Signup and view all the answers

    What is the defining characteristic of a transdisciplinary team?

    <p>The ability of any team member to complete a core assessment</p> Signup and view all the answers

    How does the role of care coordinator differ in transdisciplinary care compared to other team models?

    <p>Facilitates comprehensive core assessment by different team members</p> Signup and view all the answers

    What is the key challenge of the multidisciplinary team approach mentioned in the text?

    <p>Duplication of information and diluted benefit to the patient</p> Signup and view all the answers

    In what way does the interdisciplinary team differ from the multidisciplinary team?

    <p>Communicates in real time to reduce duplication of work</p> Signup and view all the answers

    How does intrinsic capacity relate to the 5Ms framework in providing care for older people?

    <p>It serves as a tool for comprehensive core assessment</p> Signup and view all the answers

    What additional context contributes to the complexity of Isha's case?

    <p>Concern about her functional ability</p> Signup and view all the answers

    What is included in the physical component of the Comprehensive Geriatric Assessment (CGA)?

    <p>Medication reconciliation and review</p> Signup and view all the answers

    Which syndromes indicate frailty in older persons according to the text?

    <p>Delirium and incontinence</p> Signup and view all the answers

    What is one potential barrier to the implementation of integrated care and CGA?

    <p>Perceived time-consuming process by healthcare workers</p> Signup and view all the answers

    Which countries have mandated the use of interRAI instruments for comprehensive geriatric assessment?

    <p>Canada, New Zealand, and Singapore</p> Signup and view all the answers

    What does the functional assessment in CGA evaluate?

    <p>Ability to perform activities of daily living (ADLs) and balance/mobility</p> Signup and view all the answers

    Which of the following is NOT a validated frailty assessment tool mentioned in the text?

    <p>Montreal Cognitive Assessment (MoCA)</p> Signup and view all the answers

    What is the main focus of integrated care for the older person?

    <p>Shifting the delivery of care toward community-based, planned, and coordinated care</p> Signup and view all the answers

    What does the term 'Comprehensive Geriatric Assessment (CGA)' refer to?

    <p>An organized approach to assessment, formulation of a care plan, coordinated delivery of services according to the plan, and monitoring</p> Signup and view all the answers

    What is one of the indications of frailty in older people?

    <p>Increased susceptibility to side effects of medication</p> Signup and view all the answers

    Which approach best describes Integrated Care for older people?

    <p>Maintaining the functional ability and intrinsic capacity of older people so that they can live well in their own homes and communities</p> Signup and view all the answers

    What is an essential requirement for the implementation of integrated care?

    <p>Establishment of a governance structure to support the development of services and care pathways</p> Signup and view all the answers

    What is the purpose of the 5Ms framework in Comprehensive Geriatric Assessment (CGA)?

    <p>To provide a holistic approach to adapting the CGA to different settings</p> Signup and view all the answers

    What is the main concern expressed by Rosa about the care provided to older people in the emergency department?

    <p>Inadequate assessment meeting patients' needs</p> Signup and view all the answers

    According to the conversation, who advocates for using the 5Ms approach to design a short version Comprehensive Geriatric Assessment (CGA)?

    <p>Yuri</p> Signup and view all the answers

    What aspect of the CGA process does Paul express concerns about?

    <p>The time required to complete CGA</p> Signup and view all the answers

    Why is it important to target those who are most likely to benefit from CGA?

    <p>To prevent unnecessary resource utilization</p> Signup and view all the answers

    In an emergency department environment, what limits the time available for assessment?

    <p>The acuity of the patient's presentation</p> Signup and view all the answers

    What is the primary purpose of using the 5Ms approach to design a short version CGA as mentioned by Yuri?

    <p>To detect those at risk of delirium at first point of contact</p> Signup and view all the answers

    What is the purpose of accumulating information incrementally in primary care settings?

    <p>To track the patient's progress over time</p> Signup and view all the answers

    In which specialized settings is Comprehensive Geriatric Assessment (CGA) considered an important component of planning care needs?

    <p>Prison health services, long-term care settings, and HIV clinics</p> Signup and view all the answers

    What kind of services are examples of specialized units and clinics where older people may undergo Comprehensive Geriatric Assessment (CGA)?

    <p>Oncology clinics and HIV clinics</p> Signup and view all the answers

    What do healthcare settings define as Activities of Daily Living (ADLs)?

    <p>Actions performed routinely by individuals necessary for living independently</p> Signup and view all the answers

    Why is updating the patient record to include cumulative deficits over time considered important in the management of chronic diseases?

    <p>To track the patient's progress over time</p> Signup and view all the answers

    Where can supplementary reading material on adapting CGA in various care settings be found?

    <p>Prison healthcare service, oncology unit, and nephrology service</p> Signup and view all the answers

    In what setting can older people present for assessment for reasons other than Comprehensive Geriatric Assessment (CGA)?

    <p>Prison health services</p> Signup and view all the answers

    What is the continuous process referred to in the context of managing chronic diseases?

    <p>Management of chronic diseases with associated multi-complexity</p> Signup and view all the answers

    What are examples of specialized units and clinics where older people may undergo Comprehensive Geriatric Assessment (CGA)?

    <p>Oncology clinics and nephrology service</p> Signup and view all the answers

    What examples are provided as supplementary reading material for adapting CGA in various care settings?

    <p>Oncology unit and nephrology service</p> Signup and view all the answers

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