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Functional Assessment

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Comprehensive geriatric assessment is defined as a multidisciplinary diagnostic and treatment process that identifies medical. Psychological and functional limitations of a frail older person in order to develop a coordinated medical management of illness. It requires evaluation of multiple issues including physical, cognitive, affective, social, financial, environmental and spiritual components that influences an older persons by a team of health professionals may identify a variety of treatable health problems and lead to a better outcome. However, it is initiated through the primary care clinician or by a clinician caring for a patient in the hospital setting. The content of assessment varies depending on the settings of care. CGA is not available in all settings due to issues related to the tie required for evaluation, need for coordination of multidisciplinary specialties and lack of reimbursement for some components.
Overall elements of comprehensive geriatric assessment includes:
Physical Health-This focuses on medication use and the risk for malnutrition, falling, incontinence and immobility. The physical examination seeks to identify specific diseases or conditions for which curative, restorative, palliative or preventive treatment may be available. Special attention is directed towards visual or hearing impairment, nutritional status and conditions that may contribute to frailty and falling or difficulty in ambulation.
Mental Health-Cognitive, behavioral and emotional statuses are evaluated with particular emphasis on detecting dementia, delirium and depression.
Social and Economic Status-The social support network includes the availability and competence of caregivers, the elderly person’s economic resources and other sources of support such as cultural, ethnic and spiritual resources. It also includes the individual’s own assessment of the quality of…...

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