Geriatrics — Comprehensive Geriatric Evaluation

Internal Medicine · Clinical Specialties

How it begins

The Comprehensive Geriatric Assessment (CGA) constitutes the core diagnostic approach of modern Geriatrics. Compared to the classic biomedical model - centered on the diseased organ - the CGA proposes a systematic, multidimensional and interdisciplinary assessment that quantifies the medical, functional, cognitive, affective, nutritional and social capacities of the elderly patient, with the aim of developing a plan of...

What it covers

1. Definition, Nature and Fundamentals of the EGI
2. · The four "i's" and the logic of the EGI
3. Biological Bases: Aging, Homeostenosis and Atypical Presentation
4. · Clinical consequences: the atypical presentation of the disease
5. Fragility, Functional Reserve and Risk Stratification
6. · The gradient robustness — fragility — disability
7. Indications, Target Population and Patient Selection
8. · Who benefits? The geriatric patient
9. Clinical-Medical Domain: Anamnesis, Pluripathology and Examination
10. · Particularities of the geriatric anamnesis
11. · Directed physical examination
12. Functional Domain: ABDL, IADL and Mobility
13. · Validated instruments
14. · Execution tests (performance-based)
15. Cognitive Domain: Screening, Delirium and Dementia
16. · Cognitive screening instruments
17. Affective Domain: Depression, Anxiety and Mood
18. · Validated instruments
19. Nutritional Domain: Malnutrition and Sarcopenia
20. · Validated instruments
21. Social, Socio-Family and Environmental Domain
22. · Components of social assessment
23. · Instruments
24. Geriatric Syndromes: the Language of the EGI
25. Gait, Balance and Falls: Specific Assessment
26. · Gait and balance instruments
27. Polypharmacy, Iatrogenics and Deprescription
28. · Prescription adaptation tools
29. Synthesis: from the Multidimensional Diagnosis to the Comprehensive Care Plan
30. · The EGI process, step by step
31. Evidence, Effectiveness and Care Levels
32. · Proven benefits
33. · Geriatric care levels and devices
34. Integrative Summary