Coach 2.0

Geriatric Assessment Tools and Recommendations

The geriatric assessment (GA) is a multidimensional assessment for persons 65+ years of age and can involve a multidisciplinary team. The GA is designed to evaluate

  • Functional ability
  • Physical health
  • Cognition
  • Mental health
  • Socio-environmental circumstances

It usually aids in the
 

  • Diagnosis of medical conditions
  • Development of treatment and follow-up plans
  • Coordination of management of care
  • Evaluation of long-term care needs and optimal placement

Unlike standard medical evaluation, the GA can help identify risk factors for poor outcomes and early mortality. It yields a more complete, relevant list of medical, functional, and psychosocial issues and emphasizes functional capacity and quality of life.

The recommendations help identify potential areas for further discussion and evaluation and suggest practical interventions, which may help overall care. The physician determines the plan, but clinical staff can complete the screening tools and carry out the recommendations.

Check each assessment that had a score that suggested impairment.

SPPB score: 9 or lower.
TUG score: higher than 13.5
Fall History score: 1 or higher
Activities of Daily Living: "Yes" to any question.
OARS Comorbidity form: 3 or more comorbidities - OR - has a condition that interferes with quality of life indicated
Polypharmacy: 5 or more regularly scheduled prescription medications daily
BMI: less than 21 kg/m2
Weight Loss: more than 10% of body weight in the past 6 months
OARS Medical Social Support: any response of "None of the time," "A little of the time," or "Some of the time"

Recommendations

Domains that had an impaired score will light up. Download the recommendations to share with your patient.

Physical Performance
Functional Status
Cognition
Comorbiditiy
Polypharmacy
Nutrition
Psychological Distress
Social Support

The site was developed by the Decision Support Lab and researchers at The University of Texas MD Anderson Cancer Center and the University of Rochester and funded through a Patient-Centered Outcomes Research Institute® (PCORI®) Implementation Award (DI-2020C3-21003). The statements presented in this work are solely the responsibility of the author(s) and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors or Methodology Committee.

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