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Comprehensive geriatric assessment (CGA) is a process used by healthcare practitioners to assess the status of older people who might have frailty in order to optimize their subsequent management. These people often have complex, multiple and interdependent problems ( multimorbidity ) which make their care more challenging than in younger ...
The Confusion Assessment Method (CAM) is a diagnostic tool developed to allow physicians and nurses to identify delirium in the healthcare setting. [1] It was designed to be brief (less than 5 minutes to perform) and based on criteria from the third edition-revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R).
The Saint Louis University Mental Status (SLUMS) Exam is a brief screening assessment used to detect cognitive impairment. [1] It was developed in 2006 at the Saint Louis University School of Medicine Division of Geriatric Medicine, in affiliation with a Veterans' Affairs medical center. [2]
Other tests are also used, such as the Hodkinson [12] abbreviated mental test score (1972), Geriatric Mental State Examination (GMS), [13] or the General Practitioner Assessment of Cognition, bedside tests such as the 4AT (which also assesses for delirium), and computerised tests such as CoPs [14] and Mental Attributes Profiling System, [15] as ...
If the comprehensive geriatric care management assessment is being conducted by a registered nurse, then a physical assessment can be included such as vitals signs recording temperature, pulse, respirations, blood pressure, oxygen saturation, and sometimes FBS or RBS (fasting or random blood sugar) checks for diabetics.
[3] [4] [5] Other recommended tools were the Mini-Cog [6] and the Memory Impairment Screen (MIS). [7] A recently conducted study in Australia [8] found that the GPCOG in comparison to the MMSE and Rowland Universal Dementia Assessment Scale (RUDAS) [9] was best to rule out dementia in a multicultural cohort of 151 community-dwelling persons. [8]
SPICES beads, and annual personal progress badges are awarded as the travel cards are filled. [17] Venture Scouts plan activities based on a self-assessment of their current personal development using the SPICES (similar to wheel of life tool). [ 18 ]
Based on the results of a 2019 Cochrane meta-analysis of available studies the ACE-III should only be used as an adjunct to a full clinical assessment and not alone for the screening of dementia or mild cognitive impairment in patients presenting with or at risk for cognitive decline. [14]