CGA

Medical History

• Chief complaint

• Present/Current illness

• Past medical history including psychiatric and surgical history

• Previous major health problems and treatments

• Hospitalizations (Test remote memory)

Medications

• Current medications

  • Prescribed medications

  • Un-prescribed : Over-the-counters, herbals, vitamins, supplements

• Vaccinations

• Alcohol/Smoking

• Packaging

• Administrations

• Understanding

• Adherence

• Allergy / ADRs

Functional status

• Basic ADLs : Feeding Grooming Dressing Bathing Toileting (bowel & bladder) Ambulation Transfers Stairs

• Instrumental ADLs : Going out Shopping Meal preparation Housekeeping Laundry Financial management Driving/Public transportation Drug administration Telephone

• Advanced ADLs

• Totally independent, partially dependent, totally dependent

• Independent, supervised, assisted, dependent

Living situation & environment

• Living arrangement: Type, appropriate to needs

• Household members

• Home safety issues

• Assistive devices

Family and social supports

• Background social information

• Brief Biography ภูมิลาเนา อาชีพเดิม ระดับการศึกษา สิทธิการรักษา

• Family – parents, siblings

• มองถึง caregiver stress/burden ด้ วย

• Caregivers – current family members

• Social supports & services – แพทย์ประจาตัวs

• Advance Directives / Proxy

• Spiritual health

Review of Systems

• CNS: Headaches/syncope/visual blurring/TIA/vertigo

• CVS: Dyspnea/chest pain/PND/palpitations

• RESP: Cough/hemoptysis/dyspnea/wheezing/sputum

• ABD: N/V/Dysphagia/dyspepsia/melena/bowel habit

• GU: Dysuria/hematuria/nocturia/sexual dysfunction

• Fevers/night sweats/pruritis

• Familial diseases

• Geriatric ROS

  • Diet, exercise, activities, walking aids

  • Bladder or bowel problems

  • Vision & hearing impairments

  • Appetite/Weight

  • Falls

  • Memory/cognitive impairment

  • Mood and Behavior (Inc. sleep)

  • Pain

History taking

Physical exams

Functional assessment

• Barthel Index, Lawton Index

Mobility & Fall

• Get up and go test, FRAT score

Cognitive assessment

• MMSE, TMSE, MoCA

• Clock drawing test

Depression screening

• GDS, PHQ-9, 2Q

Swallowing

• SDQ

Nutritional assessment

• MNA, SGA, MUST

Vision/Hearing/Mobility/Bowels/Bladder/Diet

Cognitive status

Emotional status

Falls