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Population Medicine
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Lectures
Geriatric Assessment
Author
: Richard Dupee, M.D.
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Geriatric Assessment
Aging
Years of Life Expectancy at Birth
Frequency Of Common Chronic Conditions
What’s Different About The 65+ Age Group?
The 65+ Age Group Includes Many Healthy People
Death Rates For Some Chronic Disorders Are Declining
Death Rates For Some Chronic Disorders Are Rising
The Oldest People Have Higher Risks Of Disability and Morbidity
The Risk Of Disability Increases With Age
Age And Physiologic Stress
The Risk Of Morbidity and Mortality Rises With the Following
Atypical Presentations In Older Patients
Older Patients Have High Rates Of Comorbidity
The Risk Of Cognitive Disorder Is Higher For Older Patients
Social Supports Can Be The Key To Preserving Function
Small Improvements Can Make A Big Difference
Quality of Life
The Changing Face of Your Waiting Room
Basic Principles of Working With Older Adults
Basic Principles of Working With Older Adults (cont’d)
Ageism
What the Older Adult Patient Expects From a Primary Care Provider
Recognizing the Patient’s Healthcare Agenda
Communications Challenges You May Face
Establishing Good Communication
Establishing Good Communications (cont’d)
Communicating With Hearing-Impaired Patients
Communicating With Visually Impaired Patients
Communicating With Cognitively Impaired Patients
The Importance of Caregivers
Assessment of the Elderly Patient
Physical Health Assessment
Functional Assessment
Tools to Assess Functional Status
Mental Health Assessment
Mental Health Assessment (cont’d)
Why Screen for Cognitive Loss?
Cognitive Assessment: Performance Measures
Assess Psychological Status
Assess Nutritional Status
Strategies for Rapid Screening
Strategies for Rapid Screening
Strategies for Rapid Screening
Social Health Assessment
Social Health Assessment (cont’d)
Social Health Assessment (cont’d)
Polypharmacy
Adverse Drug Reactions
Avoiding adverse drug events in older patients
Iatrogenic Illness
When Further Evaluation is Needed
The CGA Process
Team Meeting
Case Management
Case Management
Benefits of Comprehensive Geriatric Assessment
Case 1
Case 1
Case 1
Case 2
Case 2
Case 2
Case 3
Case 3