40 Questions
What is the main purpose of the more thorough assessment recommended for individuals with loss of intrinsic capacity?
To define the goal of care and develop a personalized care plan
What is fundamental to the concept of integrated care, according to the text?
Involving the person (and their caregivers) in setting goals and decision-making
What role do health and care workers in the community play in supporting older individuals with the implementation of the care plan?
Identifying complications or further decline
What is emphasized as important for both specialized geriatric and acute care in the context of the assessment and care plan?
Ensuring referral pathway and monitoring of the care plan
What should be included in the care plans for individuals with loss of intrinsic capacity?
Organizing services according to the person's needs and preferences
In the context of older people and their caregivers, what is the role of a transdisciplinary team?
To create a unity of intellectual frameworks beyond the disciplinary perspectives
How does the interdisciplinary team differ from the multidisciplinary team?
Interdisciplinary teams focus on minimizing assessments and allowing information to flow between disciplines based on each other’s assessment
What is the distinguishing feature of a transdisciplinary team?
The core assessment is key to transdisciplinary care, and it requires guidance and support from each team member
How do intrinsic capacity and functional ability relate to the 5Ms framework?
Intrinsic capacity encompasses mental, mobility, and material aspects, while functional ability involves mental and social aspects
How would Isha's care narrative be different in a transdisciplinary team model?
A single team member would assess Isha comprehensively using the 5Ms framework or another tool
What is one of the components of the physical component of the Comprehensive Geriatric Assessment (CGA)?
Immunization status and advanced directives
Which assessment tool is a validated frailty assessment tool?
Groningen Frailty Indicator Questionnaire
What is one of the syndromes that indicates frailty in older individuals?
Susceptibility to side effects of medication
Which approach to the Comprehensive Geriatric Assessment (CGA) has been mandated by governments in several countries?
InterRAI instruments
Why might the comprehensive nature of integrated care and CGA act as a barrier to implementation?
Perception of being time-consuming
What are the four domains of CGA?
Physical, psychological, functional, and social
In what setting is it mentioned that the CGA can be a valuable diagnostic tool even with limited time?
Emergency departments
What is the second leading cause of unintentional injury deaths worldwide?
Falls
What is the main purpose of a multifactorial falls risk assessment (MFRA)?
To reduce the risk of falling and injury in older people
At what age does the prevalence of gait disorders start to increase?
At the age of 60
What is the main concern expressed by Rosa regarding the care provided to older people in the emergency department?
High admission rates and long lengths of stay
What does Yuri propose as a solution to identifying the needs of older people early?
Using the 5Ms approach to design a short version CGA
What is one potential barrier to implementing comprehensive integrated care and CGA according to the text?
Time-consuming nature of the process
What is one challenge faced in an emergency department environment that impacts the time available for assessment?
Limited time due to the acuity of patients' presentation
What is highlighted as a key consideration before implementing CGA according to the text?
Targeting those most likely to benefit from CGA
What does integrated care for the older person focus on?
Maintaining functional ability and intrinsic capacity
What is the purpose of the Comprehensive Geriatric Assessment (CGA)?
To address the needs of older complex patients
What are some examples of frailty syndromes?
Decreased mobility, delirium, and incontinence
Why is it important to establish a governance structure for integrated care?
To support the development of services and care pathways
What is the main focus of the WHO ICOPE in relation to integrated care?
Integrated care pathways for priority conditions associated with loss of intrinsic capacity
What is the primary consideration for intervention programs according to the text?
Full co-operation of the older person and their caregivers
Which type of exercise may be included in a personalized intervention program?
Functional exercises and Tai Chi
Why might the use of MFRA (multifactorial risk assessment) be limited according to the text?
High cost and lack of professionals to conduct the assessment
What treatment is urgently administered to Martin for his delirium?
Antibiotics
What might impact Martin's muscle strength and gait according to the text?
Hepatic and renal systems changes
What is a potential drawback of using telehealth and smart home systems for intervention?
Limited effectiveness in lower-income countries
Why is it important for intervention programs to be individually targeted?
To consider disease processes and environmental hazards
What might be included in the management of orthostatic hypotension according to the text?
Exercise program including Tai Chi
What is a potential impact on the effectiveness of multifactorial risk assessment according to the text?
Local contexts and healthcare systems
Why might medication review and appropriate deprescribing be considered as part of a multidomain approach?
To address age-related changes in functioning
Learn about the Comprehensive Geriatric Assessment (CGA) process in primary care settings and other specialized healthcare environments. Understand the importance of accumulating information over time and managing chronic diseases with multi-complexity.
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