NR601_Comprehensive_Geriatric_Assessment

Comprehensive Geriatric Assessment Domain Dimensions of Assessment Screening tool related to the domains Physical health History Taking: should be tailored, encompasses not only verbally taking a history from the patient but includes observation of not only appearance but behavior and language (KennedyMalone et al., 2014) Being flexible while taking health history will improve the amount and quality of information obtained from the patient (Obtaining an Older Patient’s Medical History, n.d.) Physical examination: In addition to the physical examination, the interview can continue during this process. Providers should be able to accommodate any noted areas of impairment such as vision, hearing, cognition, or speech. Weight and vital signs Baseline vitals at initial visit. Orthostatic hypotension common in the elderly. Essential to the CGA and physical exam. Monitoring the weight is essential for a comprehensive nutritional Mini Nutritional Assessment: created with a target population of geriatrics and the most common assessment tool among healthcare settings (Marshall et al., 2016). Evaluates 4 aspects: BMI, weight loss, arm, and calf circumference. As well as lifestyle, medications, s/s of depression/dementia, evaluation of meal/snack intakes including fluids as well as the perception of an individual’s health & nutrition. Evaluates a total of 18 items. STOPP/START (Screening Tool of Older Persons’ Prescriptions & Screening Tool to Alert doctors of Right Treatment) assist in the enhancement of the appropriate This study source was downloaded by from CourseH on :54:53 GMT -06:00 assessment. Diagnostics Should produce results that vary widely from normal results from individual to individual to be of value for the patient (KennedyMalone et al., 2014) Nutritional Assessment Many geriatrics live in poverty, nutritional assessments assist in prevention of starvation and nutrient deficiency. Medication review Need to be reviewed with each visit, patient’s that bring their medications to the office are able to have a more accurate medication review. prescriptions for aging adults (Hill-Taylor et al., 2016). START- list of 22 rules omitting certain medications for the elderly while the STOPP encompasses unsuitable combinations of medications and conditions in the elderly. References: Hill-Taylor, B., Walsh, K. A., Stewart, S., Hayden, J., Byrne, S., & Sketris, I. S. (2016). Effectiveness of the STOPP/START (Screening Tool of Older Persons’ potentially inappropriate Prescriptions/Screening Tool to Alert doctors to the Right Treatment) criteria: systematic review and meta-analysis of randomized controlled studies. Journal of Clinical Pharmacy and Therapeutics , 41 (2), 158–169. Kennedy-Malone, L., Fletcher, K. R., & Plank, L. M. (2014). Advanced Practice Nursing in the Care of Older Adults . F A Davis Company. Marshall, S., Young, A., Bauer, J., & Isenring, E. (2016). Malnutrition in Geriatric Rehabilitation: Prevalence, Patient Outcomes, and Criterion Validity of the Scored Patient-Generated Subjective Global Assessment and the Mini Nutritional Assessment. Journal of the Academy of Nutrition and Dietetics , 116 (5), 785–794. Obtaining an Older Patient’s Medical History . (n.d.). Retrieved September 5, 2020