Chapter iii physical assessment and recording the findings geriatric review of systems the review of systems for an elderly patient involves keeping in mind the following physiologic changes. Geriatrics, or geriatric medicine, is a specialty that focuses on health care of elderly people it aims to promote health by preventing and treating diseases and disabilities in older adults.
Frail elderly patients with complex conditions (eg, multiple disorders, use of several drugs) often require assessment by an interdisciplinary team 6 approach to the interview• asking patients to describe a typical day - establishes a rapport• have the patient wear their eyeglasses, dentures, hearing aids, etc. Assess your assessment although the physical-assessment algorithm of the geriatric patient will not differ from that of patients in younger age groups, there are some useful tips you should. The comprehensive geriatric assessment (cga) is a multidimensional, multidisciplinary diagnostic process used to determine medical, functional, and psychosocial problems and capabilities in an elderly patient who may be at risk for functional decline.
Position paper comprehensive functional assessment for elderly patients health and public policy committee , american college of physicians the american colleg e of physicians believes that. The first part of the evaluation of balance and gait is to carefully examine the lower extremities the initial search is for mechanical problems in the legs look carefully for orthopaedic. Geriatric assessment geriatric assessment is a broad term used to describe the evaluation of older patients, a process that recognizes the diverse medical and psychosocial conditions that influence the health status of older persons. Geriatric assessment is sometimes used to refer to evaluation by the individual clinician (usually a primary care clinician or a geriatrician) and at other times is used to refer to a more intensive multidisciplinary program, also known as a comprehensive geriatric assessment (cga. Thus, some elderly patients, particularly the frail or chronically ill, are best evaluated using a comprehensive geriatric assessment, which includes evaluation of function and quality of life, best administered by an interdisciplinary team.
The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person's functional ability, physical health, cognition and mental health, and. Elements of a comprehensive health assessment of a geriatric patient describe the elements of a comprehensive health assessment of a geriatric patient what special considerations should the nurse keep in mind while performing this assessment 2 end-of-life care becomes an issue at some point for elderly clients. Comprehensive assessment of the frail elderly patient provides useful diagnostic and prognostic information and serves as a baseline for better understanding immediate and long-term patient and family needs and wishes. Optimal preoperative assessment of the geriatric surgical patient d risk factors for postoperative delirium postoperative delirium is a common complication in elderly patients in one prospective study of patients. Patient profile the menu of questions for the geriatric review of systems is shown in appendix a part i, the patient profile, represents data that can be extracted from the chart or obtained from the patient or family member before the patient is seen.
Comprehensive geriatric assessment is 'a multidimensional, interdisciplinary diagnostic process to determine the medical, psychological, and functional capabilities of a frail elderly person in order to develop a coordinated and integrated plan for treatment and long-term follow-up' 1. The examination of an elderly patient often requires special techniques and attention to the patient's comfort and ease this paper outlines a reasonable approach to each phase of the interview and discusses the particular medical problems of this age group older people are often slow to bring. Key goals of the conference were to heighten the awareness of health professionals to the importance of comprehensive assessment of elderly patients, to identify and describe a sample of assessment instruments which are now available, and to circumscribe the state of current research in the assessment field. Geriatric functional assessment an educational exercise with a standardized patient instructor emphasizing functional status assessment and communication skills relevant to the care of older patients.
Handbook of geriatric assessment, fifth edition is a multidisciplinary text that takes a contemporary approach in line with patient and family centered care with contributions from the foremost experts in the field, it contains the latest information on geriatric assessments for older adults.
Comprehensive health assessment of the elderly in primary care will become a more important element of general practice as population aging proceeds and evidence of efficacy emerges. If the patient has difficulty balancing in the chair or cannot rise without using his or her hands on the arms of the chair, consider proximal muscle weakness, arthritis, or neurologic disease. A geriatric evaluation and management (gem) assessment is a consultative resource for patients, their family members and caregivers, and their primary care physicians the assessment provides a comprehensive assessment of an older adult's health issues in the context of social and family needs, and it provides a comprehensive plan for managing.