Comprehensive Geriatric Assessment
Domain Dimensions of
Assessment
Screening tool related to
the domains
Physical health History Taking:
should be
... [Show More] tailored,
encompasses not only
verbally taking a history
from the patient but includes
observation of not only
appearance but behavior
and language (KennedyMalone et al., 2014)
Being flexible while taking
health history will improve
the amount and quality of
information obtained from
the patient (Obtaining an
Older Patient’s Medical
History, n.d.)
Physical examination:
In addition to the physical
examination, the interview
can continue during this
process. Providers should
be able to accommodate
any noted areas of
impairment such as vision,
hearing, cognition, or
speech.
Weight and vital signs
Baseline vitals at initial visit.
Orthostatic hypotension
common in the elderly.
Essential to the CGA and
physical exam.
Monitoring the weight is
essential for a
comprehensive nutritional
Mini Nutritional
Assessment: created with
a target population of
geriatrics and the most
common assessment tool
among healthcare settings
(Marshall et al., 2016).
Evaluates 4 aspects: BMI,
weight loss, arm, and calf
circumference. As well as
lifestyle, medications, s/s of
depression/dementia,
evaluation of meal/snack
intakes including fluids as
well as the perception of an
individual’s health &
nutrition. Evaluates a total
of 18 items.
STOPP/START
(Screening Tool of Older
Persons’ Prescriptions &
Screening Tool to Alert
doctors of Right Treatment)
assist in the enhancement
of the appropriate
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assessment.
Diagnostics
Should produce results that
vary widely from normal
results from individual to
individual to be of value for
the patient (KennedyMalone et al., 2014)
Nutritional Assessment
Many geriatrics live in
poverty, nutritional
assessments assist in
prevention of starvation and
nutrient deficiency.
Medication review
Need to be reviewed with
each visit, patient’s that
bring their medications to
the office are able to have a
more accurate medication
review.
prescriptions for aging
adults (Hill-Taylor et al.,
2016). START- list of 22
rules omitting certain
medications for the
elderly while the STOPP
encompasses unsuitable
combinations of
medications and
conditions in the elderly.
References:
Hill-Taylor, B., Walsh, K. A., Stewart, S., Hayden, J., Byrne, S., & Sketris, I. S. (2016).
Effectiveness of the STOPP/START (Screening Tool of Older Persons’ potentially
inappropriate Prescriptions/Screening Tool to Alert doctors to the Right Treatment)
criteria: systematic review and meta-analysis of randomized controlled studies. Journal
of Clinical Pharmacy and Therapeutics , 41 (2), 158–169.
Kennedy-Malone, L., Fletcher, K. R., & Plank, L. M. (2014). Advanced Practice
Nursing in the Care of Older Adults . F A Davis Company.
Marshall, S., Young, A., Bauer, J., & Isenring, E. (2016). Malnutrition in Geriatric
Rehabilitation: Prevalence, Patient Outcomes, and Criterion Validity of the Scored
Patient-Generated Subjective Global Assessment and the Mini Nutritional
Assessment. Journal of the Academy of Nutrition and Dietetics , 116 (5), 785–794.
Obtaining an Older Patient’s Medical History . (n.d.). Retrieved September 5, 2020 [Show Less]