Exam (elaborations)
13 - Comprehensive Geriatric Assessment
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13 - Comprehensive Geriatric Assessment
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1 of 40Term
test for falls?
-what indicates increased risk of falls?
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, 1. periodically questioning them about their hearing.
2. Audioscope examination
3. otoscope examination
4. whispered voice test
5. examine the patient's medications for ototoxic drugs
the geriatric assessment differs from a standard medical evaluation by:
1. including nonmedical domains
2. emphasizing functional capacity and quality of life
3. and often, by incorporating a multidisciplinary team
Deficits in ADL and IADL can signal the need for more in-depth evaluation of the
patient's socioenvironmental circumstances and the need for additional
assistance
Tinetti Balance and Gait Evaluation
-this is the timed up and go (TUG) test
-Increased risk of falling if it takes more than 16 seconds to get up from a
chair without using the arms, walk 10 feet, and walk back to sit
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2 of 40
Term
urinary incontinence is associated with ...? (5)
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, A comprehensive geriatric assessment (CGA) is known to slow the functional
decline of older adults
Deficits in ADL and IADL can signal the need for more in-depth evaluation of the
patient's socioenvironmental circumstances and the need for additional
assistance
hearing aids
-they minimize hearing loss and improve daily functioning.
-decubitus ulcers
-sepsis
-renal failure
-UTIs
-increased mortality
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3 of 40
Term
who should be routinely screened for osteoporosis?
-how?
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routinely screening women 65 years and older for osteoporosis with dual-
energy x-ray absorptiometry of the femoral neck
, 1. exercise
2. physical therapy
3. a home hazard assessment
4. withdrawal of psychotropic medications
The Centers for Medicare and Medicaid Services encourages the use of Beers
criteria, which list medication and medi-cation classes that should be avoided in
older persons, as part of an older patient's medication assessment to reduce
adverse effects
recommended that older patients who have had diabetes for at least five years
have an assessment by an ophthalmologist.
-every 5 years
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4 of 40
Term
geriatric assessment
-what does this include? (5)
-CU? (4)
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Tinetti Balance and Gait Evaluation
-this is the timed up and go (TUG) test
-Increased risk of falling if it takes more than 16 seconds to get up from a chair
without using the arms, walk 10 feet, and walk back to sit
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