40 Questions
Which healthcare setting are older adults significantly more likely to seek and accept services in, as compared to specialty mental health care?
Primary care
Which of the following is NOT one of the elements contingent upon successful aging?
Seeking specialty mental health care
Which domain of Comprehensive Geriatric Assessment (CGA) includes the 4 sub-domains referred to as the 4Ds?
Psychological Assessment
Which screening test is a quick test for short-term memory?
Three Item Recall Test
Which test is a rapid screening instrument for mild cognitive dysfunction?
MoCA
In mild cognitive impairment (MCI), the amnestic form often precedes which disease?
Dementia
Which tool is used for GP screening for dementia?
GPCOG (General Practitioner Assessment of Cognition)
Which test is a brief screening tool for early cognitive impairment?
Mini-COG
What is the main benefit of CGA in community settings for people with frailty?
Prolonging independent living at home
What is a key process that supports implementation and maximizes the impact of CGA?
Access to joint health and social care funding
When is referral for specialist single professional assessment considered appropriate in the context of CGA?
When there is clarity of when referral for specialist single professional assessment is appropriate
What role does the GP play in the Primary Care setting with regard to CGA?
Evaluating conditions for appropriate secondary care referral
Which factor is instrumental in reducing the incidence of hospital admissions from care homes in the context of CGA?
Development of multi-disciplinary (MDT) teams
What does CGA stand for in the context of the given text?
Clinical Geriatric Assessment
What kind of team does referral from the emergency unit or ward go to, as mentioned in the text?
Multi-Disciplinary Team (MDT)
What aspect of CGA supports reducing hospital admission and prolonging independent living at home?
Clear identification of a joint core level of competence in assessment between health and social care practitioners
What is the purpose of the TUG test mentioned in the text?
To assess gait and balance in elderly patients
Why is the Problem Oriented Medical Record (POMR) considered more appropriate for elderly care?
It provides a centralized location of data required for personalized care
What is the advantage of using CGA based record-keeping?
It provides easily identifiable and updatable parameters for periodic monitoring
What is the main role of a nurse or GP in the Comprehensive Geriatric Assessment (CGA)?
To lead the performance of selected portions of CGA
How can a GP customize his Electronic Medical Record (EMR) to incorporate POMR style annotations for elderly patients?
By using paper templates specifically designed for POMR style annotations
What is an advantage of developing a model of proactive care for Older Adults living with Frailty?
Centralized location of data required for personalized care
Why are Most Electronic Medical Record systems in GP practice structured for SOAP annotation considered inadequate for the elderly?
They do not provide easily identifiable and updatable parameters for monitoring
Why would the GP's electronic record keeping system (EMR) need to be revised and/or upgraded?
To accommodate the easy retrieval and centralised availability of data necessary for CGA and subsequent interventions
What does CGA stand for in the context of the text?
Comprehensive Geriatric Assessment
Which health care professionals are typically part of the core team in the CGA process?
Physician, nurse, and social worker
What is a characteristic of the 'virtual team' approach mentioned in the text?
Team communication completed via telephone or electronically
What role does the GP play in the CGA-based proactive model of care?
Architect and coordinator of patient care
How long may it take to fully complete a CGA assessment according to the text?
Up to 2 hours
Which professionals are included as necessary in the multidisciplinary team for interventions?
Doctor and other relevant members such as nurse, physiotherapist, occupational therapist etc
What is the GP advised to do if a comprehensive geriatric assessment is impossible within their practice's constraints?
Schedule multiple consultations to cover aspects of CGA
What is an integral part of both the Brief CGA record keeping template and the Full CGA record keeping template?
"Personalised Care Plan"
What is the primary focus of Comprehensive Geriatric Assessment (CGA)?
Assessment of physical and cognitive function
Which domain is included in the Medical Assessment sub-domain of CGA?
Pain Assessment
What is the primary purpose of Proactive Care?
To improve the quality of life for older adults
What does the term 'geriatric syndrome' refer to?
Unique features of common health conditions in older people
What is the main difference between Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)?
ADLs focus on physical tasks, while IADLs involve more complex skills related to daily living
What is the primary goal of Personalised Care Planning?
To collaborate with the patient and clinician to agree on goals and actions for managing the patient's health problems
What is Frailty characterized by?
Diminished strength and endurance
What does Proactive Care involve?
Assessing individual’s needs, drafting care plans, providing services, and monitoring needs
Test your knowledge of the Comprehensive Geriatric Assessment (CGA) process, including initiation by nurses or GPs, lab investigations, referral to multidisciplinary teams, and personalized care planning.
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