Podcast
Questions and Answers
What is one reason to consider splitting the assessment into smaller parts?
What is one reason to consider splitting the assessment into smaller parts?
Why might the scope of practice of a nurse be insufficient during the assessment process?
Why might the scope of practice of a nurse be insufficient during the assessment process?
What is an important consideration in conducting a comprehensive geriatric assessment (CGA)?
What is an important consideration in conducting a comprehensive geriatric assessment (CGA)?
What might be considered ‘normal’ age-related changes during an assessment?
What might be considered ‘normal’ age-related changes during an assessment?
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What is a key component of achieving a holistic picture of an individual's needs?
What is a key component of achieving a holistic picture of an individual's needs?
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What is the primary goal of the comprehensive geriatric assessment (CGA)?
What is the primary goal of the comprehensive geriatric assessment (CGA)?
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Which of the following assessments is NOT included in the comprehensive geriatric assessment?
Which of the following assessments is NOT included in the comprehensive geriatric assessment?
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What aspect should a nurse recognize when using the CGA framework in practice?
What aspect should a nurse recognize when using the CGA framework in practice?
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In addition to the identification of goals and outcomes, which step is part of the CGA approach to care?
In addition to the identification of goals and outcomes, which step is part of the CGA approach to care?
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Which of the following correctly describes the role of the interdisciplinary team in the CGA?
Which of the following correctly describes the role of the interdisciplinary team in the CGA?
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Study Notes
Comprehensive Geriatric Assessment (CGA)
- CGA is recognized as the best practice for caring for older adults, particularly with frailty or multiple health conditions.
- It employs an interdisciplinary and intersectoral approach, incorporating medical history, physical and psychosocial assessments, functional status evaluation, and polypharmacy review.
- Inclusion of spiritual assessment is vital for a holistic understanding of the patient's needs.
- The CGA framework resembles the nursing process, focusing on collaboration between care providers to establish goals, create care plans, facilitate interventions, and evaluate outcomes.
Assessment Components
- The primary assessment groups in CGA include:
- Physical assessment
- Functional ability
- Psychological health
- Polypharmacy considerations
- Social history
- Spiritual wellbeing
- Each component necessitates a thorough evaluation to gain a complete view of the individual's requirements.
Implementation Considerations
- Completing a CGA involves a comprehensive initial assessment, which may be lengthy and requires the patient's active engagement.
- If the patient struggles to participate fully, the assessment can be divided into smaller sessions over time.
- Nurses must recognize when to refer complex cases to interdisciplinary team members for comprehensive management.
Future Discussions
- The chapter will examine specific assessment areas, relevant screening tools, and distinctions between normal age-related changes and conditions warranting professional referrals.
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Description
Test your knowledge on the Comprehensive Geriatric Assessment (CGA) approach to care for older adults. This quiz covers the interdisciplinary aspects, including medical history, physical and psychosocial assessments, and managing complexities such as frailty and comorbidities. Enhance your understanding of best practices in geriatric care.