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Comprehensive geriatric assessment form pdf 2025

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The document is an Initial Comprehensive Geriatric Assessment Form designed to evaluate the health and functional status of elderly patients. It includes sections for patient details, clinical frailty score, mobility, cognitive function, emotional well-being, daily living activities, and medication management. The form aims to identify long-term conditions and necessary actions for patient care, facilitating discussions among healthcare professionals.

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What is the score on the CGA assessment?

The score ranges from 17 (not at all impaired) to 0 (heavily impaired). A score lower or equal to 14 requires CGA. It is most often performed by a nurse or a clinical research associate. It takes less than 10 minutes to complete this questionnaire (median: 4 min.)

How long does a CGA take?

How long does a CGA take? A CGA takes approximately 60 minutes and is a Medicare billing item. It is provided to persons aged at least 65 years and older, and requires a referral by the general practitioner (GP).

How long does it take to complete a CGA?

To complete the process fully may take up to two hours.

geriatric assessment example

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How do I get a comprehensive geriatric assessment?

CGA programs are usually initiated through a referral by the primary care clinician or by a clinician caring for a patient in the hospital setting. The content of the assessment varies depending on different settings of care (eg, home, clinic, hospital, nursing home).

What are the 4 domains of comprehensive geriatric assessment?

Comprehensive geriatric assessment is a multidimensional process designed to assess the functional ability, health (physical, cognitive, and mental), and socioenvironmental situation of older people.

How long does geriatric assessment take?

Such a comprehensive assessment of physical and mental health and social situation usually takes more than 60 min to complete, with additional time needed to define interventions [7].

What is involved in a comprehensive geriatric assessment?

Our team developed a standardized, single page CGA form that captures a persons current and relevant past history of function (activities of daily living) and mobility, as well as cognition, medical history (chronic and acute diseases), medication use, and social support.

What can I expect from a geriatric assessment?

A geriatric assessment is a tool that doctors use to evaluate a persons health and well-being. It looks at your physical function, nutrition, other medical conditions, mental health, and how much social support you have at home.