Geriatrics and geriatric patient

Hana Vaňková, MDAssisstant Professor, 3rd Medical Faculty, Charles University in PragueCentre of Gerontology, PragueCentre of Expertize in Longevity and Long term care, CELLO UK

Comprehensive geriatric assessment (CGA)•Defines ▫ limitations▫risks▫needs ▫Priorities of a concrete patient

•Complex plan, „tailored“ for a concrete patient – to support or restore independece and quality of life

•Bridging the "no man's land„ between health care and social care systém

Tools of CGA

•ADL, IADL – self- sufficiency, independence

•Get up and go test – mobility

•MNA - Mini Nutritional Assessment

•MMSE – cognition•GDS - depresivity

Tools of CGA•MMSE – cognition•GDS – depresivity

Clock test•One of screening tests of cognitive abilities •The task is to draw a clock face, including the

numbers and draw clock hands showing the specified time

•The ability to accomplish the Clock test is usually impaired in the early stages of Alzheimer's disease

•Always impaired in advanced dementia •Usually NOT impaired in patients with depression