Clinical Scenario
Comprehensive geriatric assessment
DOMAINS
- Medical: diagnoses, medications, nutrition, continence. - Functional: ADLs/IADLs, gait, falls. - Psychological: cognition (4AT, MoCA), mood (GDS). - Social: home, carers, finance. - Environmental: home hazards, equipment.
PROCESS
- Structured MDT (geriatrician, nurse, PT, OT, SALT, pharmacist, social worker).
- Synthesise findings into a problem list with goals.
- Evidence: CGA reduces mortality, institutionalisation and readmission.
APPLICATION
- Frailty pathways (SDEC), virtual wards, anticipatory care planning, discharge to assess.
- Apply to acutely admitted older adults, pre-operative assessment, falls clinic, dementia services.