Comprehensive Geriatric Assessment: 5Ms Framework and 4 Dimensions

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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?

Support the older person with implementation of the care plan (B) Signup and view all the answers

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

Strong referral pathways (B) Signup and view all the answers

What should be provided to older people and their caregivers?

Information and resources about community supports (D) Signup and view all the answers

What is the defining characteristic of a transdisciplinary team?

The ability of any team member to complete a core assessment (A) Signup and view all the answers

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

Facilitates comprehensive core assessment by different team members (A) Signup and view all the answers

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

Duplication of information and diluted benefit to the patient (C) Signup and view all the answers

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

Communicates in real time to reduce duplication of work (D) Signup and view all the answers

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

It serves as a tool for comprehensive core assessment (A) Signup and view all the answers

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

Concern about her functional ability (D) Signup and view all the answers

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

Medication reconciliation and review (B) Signup and view all the answers

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

Delirium and incontinence (A) Signup and view all the answers

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

Perceived time-consuming process by healthcare workers (C) Signup and view all the answers

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

Canada, New Zealand, and Singapore (A) Signup and view all the answers

What does the functional assessment in CGA evaluate?

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

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

Montreal Cognitive Assessment (MoCA) (C) Signup and view all the answers

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

Shifting the delivery of care toward community-based, planned, and coordinated care (C) Signup and view all the answers

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

An organized approach to assessment, formulation of a care plan, coordinated delivery of services according to the plan, and monitoring (B) Signup and view all the answers

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

Increased susceptibility to side effects of medication (A) Signup and view all the answers

Which approach best describes Integrated Care for older people?

Maintaining the functional ability and intrinsic capacity of older people so that they can live well in their own homes and communities (A) Signup and view all the answers

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

Establishment of a governance structure to support the development of services and care pathways (B) Signup and view all the answers

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

To provide a holistic approach to adapting the CGA to different settings (C) 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?

Inadequate assessment meeting patients' needs (D) 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)?

Yuri (A) Signup and view all the answers

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

The time required to complete CGA (B) Signup and view all the answers

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

To prevent unnecessary resource utilization (A) Signup and view all the answers

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

The acuity of the patient's presentation (B) 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?

To detect those at risk of delirium at first point of contact (C) Signup and view all the answers

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

To track the patient's progress over time (A) Signup and view all the answers

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

Prison health services, long-term care settings, and HIV clinics (D) 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)?

Oncology clinics and HIV clinics (C) Signup and view all the answers

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

Actions performed routinely by individuals necessary for living independently (A) 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?

To track the patient's progress over time (B) Signup and view all the answers

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

Prison healthcare service, oncology unit, and nephrology service (A) Signup and view all the answers

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

Prison health services (D) Signup and view all the answers

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

Management of chronic diseases with associated multi-complexity (D) Signup and view all the answers

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

Oncology clinics and nephrology service (B) Signup and view all the answers

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

Oncology unit and nephrology service (B) Signup and view all the answers