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Principles of Geriatric Assessment - Coggle Diagram
Principles of Geriatric Assessment
Common Principles of Assessment
Normal Aging
Hemeostenossi: Aging decreases reserve and results in elderly being able to get sick more easily, and taking more time to recover
Chronic Disease
More prevalent in elderly populations
Deconditioning
Process of physiological change following periods of inactivity, bed rest or sedentary life
Increases risk of falls and frailty
Comprehensive Geriatric Assessment
Systematic problem list focused evaluation of an older eprson
Focus on appropriate medical diagnoses of acute/subacute disease
Inpatient vs Outpatient
Seniors admitted with
Fractures, falls, delirium, recurrent admissions, multiples medical issues, polypharm
Community dwelling older patients
Functional disability, increased fall risk, cognitive decline, depression, polypharmacy
Assessment Team
Physician, SLP, Nurse, Audiologist, SW, Neuropsychologist, PT, Nutritionist, OT, Pharmacist
Atypical Presentation
Associated with diagnostic delay, increased mortiality
Functional decline increases linlihood of further decline and increased mortality
Predictive of Future Functional decline
Geriatric Medicine Model
Top down model -> Presenting problem to look for multiple potential causes of the issue
Steps to Assessment
Getting History (diagnostic, important to get collateral)
2.Other essential Info (PMHx, Drugs, Supports, functional status)
Physical Exam
Labs and Investigations
Factors to prompt referral
Assessment/Evaluation of Geriatric giants
Frail and failing
Those sufference depence in ADLs
Increased need/Utilization fo services/Supports
Muyltiple and complex Medical/Functional Problems
Geriatric Giants
Definition
Principal chronic disabilities of old age that impact physical, mental, and social domains
Cognitive impairment, Incontinence, postural instability, coaregiver stress, dizziness, Polypharm, Frailty, Elder Abuse