Comprehensive Geriatric Assessment (CGA)

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Questions and Answers

What is a potential benefit of managing allergies?

  • Lower healthcare costs (correct)
  • Increased risk of illness
  • Less need for medication
  • Enhanced social skills

How might proper nutrition contribute to overall health?

  • It can lead to decreased emotional well-being
  • It may cause digestive problems
  • It enhances functional ability (correct)
  • It results in increased fatigue

What combination of effects can managing allergies and nutrition have?

  • No significant impact on well-being
  • Lower healthcare costs and improved functional ability (correct)
  • Increased dependence on medications
  • Worsened health and increased costs

Which of the following is a misconception regarding the impact of allergies?

<p>They do not significantly affect healthcare costs (C)</p> Signup and view all the answers

What is NOT a benefit associated with proper nutrition?

<p>Increased likelihood of nutritional deficiencies (B)</p> Signup and view all the answers

What state was she found in?

<p>Weak and lethargic (A)</p> Signup and view all the answers

Where was she found?

<p>In her bed (B)</p> Signup and view all the answers

Which of the following describes her condition?

<p>Weak and lethargic (C)</p> Signup and view all the answers

What mental state can be inferred from her weakness and lethargy?

<p>She is experiencing fatigue and possible illness (A)</p> Signup and view all the answers

What might be a potential reason for her being found weak and lethargic?

<p>She could be suffering from an ailment (D)</p> Signup and view all the answers

What is the purpose of a comprehensive geriatric assessment?

<p>To assess physical, mental, and social aspects of an elderly person's health (B)</p> Signup and view all the answers

Which of the following principles is NOT commonly associated with comprehensive geriatric assessment?

<p>Narrow focus on physical ailments only (A)</p> Signup and view all the answers

Which of the following factors is integral to the physical assessment approach in geriatric patients?

<p>Considering comorbidities and functional status (B)</p> Signup and view all the answers

What characterizes the approach to physical assessment for older adults?

<p>It considers the aging process and its impact on health (C)</p> Signup and view all the answers

Which of the following best describes the format of a comprehensive geriatric assessment?

<p>A multi-faceted process involving various specialists assessing different domains (B)</p> Signup and view all the answers

What is one major factor contributing to the prevalence of disease mentioned?

<p>Reduction in the body’s ability to respond to stress (B)</p> Signup and view all the answers

Which type of modifications should be considered during the assessment of disease prevalence?

<p>Environmental modifications (C)</p> Signup and view all the answers

In the context of disease, what aspect should environmental modifications address?

<p>Sensory and physical health needs (C)</p> Signup and view all the answers

Which of the following statements best reflects the relationship between stress response and disease prevalence?

<p>A reduction in stress response contributes to higher disease prevalence. (D)</p> Signup and view all the answers

What should be the focus of environmental modifications related to health assessment?

<p>Addressing sensory and environmental health factors (A)</p> Signup and view all the answers

Why is touch particularly important for older individuals?

<p>They have less physical contact overall. (A)</p> Signup and view all the answers

What is a common perception about touch among patients?

<p>Touch is expected to provide comfort. (B)</p> Signup and view all the answers

What does the content suggest about manifestations of caring behaviors?

<p>Caring behaviors can vary greatly among individuals. (D)</p> Signup and view all the answers

How do older individuals generally feel about touch?

<p>They tend to appreciate and need it. (C)</p> Signup and view all the answers

What misconception might some have about touch and older individuals?

<p>Older individuals dislike any form of touch. (D)</p> Signup and view all the answers

What is a key consideration when modifying an approach for individuals with impairments?

<p>Adjusting based on physical or cognitive impairments (A)</p> Signup and view all the answers

Why is it important to modify approaches for individuals with cognitive impairments?

<p>To ensure effective communication and understanding (C)</p> Signup and view all the answers

Which of the following would be an inappropriate approach when working with individuals with impairments?

<p>Implementing strategies based solely on past experiences (B)</p> Signup and view all the answers

What could be a consequence of not adjusting an approach for cognitive impairments?

<p>Increased frustration among participants (A)</p> Signup and view all the answers

What aspect is essential for effectively modifying approaches for physical impairments?

<p>Assessing the specific physical limitations of individuals (D)</p> Signup and view all the answers

Flashcards

Allergies

An immune system response to a harmless substance.

Nutrition

The process of taking in and using food for growth and energy.

Lower healthcare costs

Reduced expenses related to medical care.

Improved functional ability

Enhanced capacity to perform daily tasks.

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XV

A section/topic number for a listing, likely of things related to nutrition

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Comprehensive Geriatric Assessment

A multidimensional evaluation that assesses older adults' physical, mental, social, and functional health.

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Physical Assessment

Part of a comprehensive geriatric assessment that examines a patient's physical health, including their body systems.

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Underlying Principles

The fundamental ideas or concepts guiding comprehensive geriatric assessment.

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What are the Three Underlying Principles of Comprehensive Geriatric Assessment?

The three principles are: 1. Patient-centered Approach: Emphasize individual needs and preferences. 2. Multidisciplinary Team: Involve professionals from various fields. 3. Functional Assessment: Focus on daily living abilities.

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Lethargic

Feeling tired, weak, and lacking energy.

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Weak

Lacking physical strength or power.

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Planning

Thinking about and preparing for something in advance.

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Found in bed

Located in a bed, usually implying a sick or injured state.

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Prevalence of disease

How common a disease is within a population.

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Reduced ability to respond to stress

The body's weakened capacity to cope with challenges, both physical and mental.

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Environmental modifications

Changes made to the environment to support better health and function.

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Sensory considerations

Understanding how senses (sight, hearing, touch, etc.) are affected by the environment.

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Assessment

The process of evaluating a situation or person to understand their needs and create a plan.

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Caring behaviors

Actions that show concern, kindness, and support for others, especially patients.

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Non-caring behaviors

Actions that lack concern, kindness, and support, potentially causing distress or neglect to others.

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Adjust Approach

Modifying how you help someone based on their physical or mental challenges.

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Importance of touch

Physical contact, like a gentle hand on the shoulder, can provide comfort and reassurance to patients, especially those who are ill or vulnerable.

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Patient-Centered Care

Focusing on what the patient needs and wants, making sure they are involved in decisions about their care.

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Multidisciplinary Team

A group of healthcare professionals from different areas (doctors, nurses, therapists) working together to care for a patient.

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Older persons and touch

Older adults often find physical touch comforting and validating, even more so than younger individuals.

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Why is touch important for patients?

Touch can convey empathy, provide comfort, reduce anxiety, and make patients feel valued and cared for.

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Functional Assessment

Evaluating how well a person can do everyday tasks like walking, bathing, or eating.

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Cognitive Impairment

Problems with thinking, learning, or remembering, affecting daily life.

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Study Notes

Comprehensive Geriatric Assessment (CGA)

  • CGA is an interdisciplinary process assessing older adults using a biopsychosocial functional model
  • Three underlying principles: physical, psychological, and socioeconomic factors
  • Focus on functional abilities central to evaluation
  • Purpose: To prevent functional decline and improve care for older adults

Tools Used in CGA

  • Physical: Physical examination, nutritional assessment (BMI, MNA)
  • Functional: Barthel's Index, Katz Index of Independence in ADLs, Lawton Instrumental Activities of Daily Living Scale, Time Up and Go (TUG)
  • Socioeconomic: Financial situation, family APGAR, housing
  • Psychological: Cognitive assessment (MMSE, Mini-Cog, MoCA), mood and emotion
  • Medical: Review of systems, comorbidities
  • Culturally sensitive: considering patients cultural and social backgrounds, avoiding stereotypes

Special Considerations for CGA

  • Atypical illness presentation: altered presentation of illness in older adults
  • Interrelationship between physical, psychosocial aspects of aging:
  • Health conditions and disability affects functional status
  • Individualized assessment: Tailoring the CGA to the individual older adult

The Interviewer

  • Cultural sensitivity is critical: Be respectful and understanding, avoid stereotyping, learn about patient's culture's beliefs and practices.
  • Communication is key: Use clear, concise explanations, allow time for the patient to respond, respect personal space.
  • EHR use during an interview may affect communication and should be used mindfully to improve interview quality.

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