The geriatric assessment incorporates all facets of a conventional medical history, including main problem, current illness, past and current medical problems, family and social history, demographic data, and a review of systems.
If on assessment of an older patient you are able to identify three out of the five following indicators as being present, then you can identify the patient as being frail: unintentional weight loss ; feelings of exhaustion ; weakness; slow walking speed and low levels of physical activity .
The evaluation of functional performance in older adults is essential for planning support needed in older age. Changes related to normal aging , acute illnesses, worsening chronic illnesses, and hospitalization can contribute to a decline in the ability to perform tasks necessary to live independently in the community.
Goals : A Community Health Needs Assessment provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status.
Despite an extensive body of literature documenting the effectiveness of GA for improving health care outcomes in many settings for identifiable groups of frail elderly patients, no explicit Medicare reimbursement mechanisms currently exist to cover GA services provided by either hospital or physician.
Non-verbal communication is important to use with Alzheimer’s patients, and not only because spoken and written language becomes harder for them. It’s also because dementia-related illnesses make it harder for the patient to understand others as well.
Frail people usually suffer from three or more of five symptoms that often travel together. These include unintentional weight loss (10 or more pounds within the past year), muscle loss and weakness , a feeling of fatigue , slow walking speed and low levels of physical activity.
Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults . It is also a marker of a more widespread syndrome of frailty , with associated weakness, slowing, decreased energy, lower activity, and, when severe, unintended weight loss.
Frailty is related to the ageing process, that is, simply getting older . It describes how our bodies gradually lose their in-built reserves, leaving us vulnerable to dramatic, sudden changes in health triggered by seemingly small events such as a minor infection or a change in medication or environment.
CGA is a timely assessment for persons over the age of 70. It can also be done after a doctor detects a potential risk to the patient’s health.
Nowadays, many assessment instruments are used to evaluate elderly people’s mobility and balance, such as the Timed Up and Go (TUG) test, Short Physical Performance Battery (SPPB), Dynamic Gait Index (DGI), and Berg Balance Scale (BBS).
A geriatric physician , also called a geriatrician , is a medical doctor who specializes in the diagnosis, treatment , and prevention of disease and disability in older adults. Geriatric physicians are primary care doctors who are specially trained in the aging process.
The goals of geriatric assessment are as follows: (1) provide a long- term solution for “hard to manage” patients with multiple physi- cian and/or emergency room visits and hospital admissions with poor follow-up; (2) focus on preventive medicine rather than acute medicine; (3) focus on improving/maintaining functional
A geriatrician can be helpful if you : Suffer from multiple medical conditions. Find that treatment for one medical condition negatively affects a second condition. Are experiencing functional decline or physical frailty.
A consultation with a geriatrician can help if you (or a loved one) are managing multiple medical issues such as memory loss, urinary frequency or incontinence, Parkinson’s disease, falls, arthritis, or polypharmacy (too many pills).