comprehensive geriatric assesment

Question 1

elderly age range
senilee age range
long livers age range

Answer 1

elderly : 60 -75 years old
senile: 75 - 90 years old
Long livers > 90 years old

Question 2

7 Ds for elderley assesment

Answer 2

delerium
dementia
drugs
disability
dignity
depression
disease

Question 3

what are the features of delerium

Answer 3

• Acute onset (develops over a short period)
• Fluctuating course
• Affection of conscious level, orientation and attention
• Highly reversible upon correction of cause
• Due to an organic cause in most of cases
• May be associated with perceptual and thought abnormalities
• Hypoactive or Hyperactive

Question 4

what are the common causes of delerium

Answer 4

PINCH ME
Pain
Infection
Nutritional
Constipation
Hydration
Medication
Environment

Question 5

risk factors for delerium

Answer 5

very old
dementia
frailty
very young
very sick
usually in an ICU setting

Question 6

what assessment method is used to identify delirium

Answer 6

4AT delirium assessment tool or
confusion assessment method ( CAM )
A- acute onset and fluctuating
B- inattention
C- disorganized thinking
D- altered level of consciousness

A and must be present along with either C or D

Question 7

how to assesses mental impairment in elderly patients

Answer 7

using AMT-4
1- age
2- date of birth
3- place
4- year

score less than 4 is abnormal and should prompt further cognitive screening

Question 8

how to improve adherence to drugs in the elderly ?

Answer 8

• Reduce number of drugs as much as possible
• Advice use of pill dispenser
• Advice use of alarm
• Offer supervision or assistance if needed