Comprehensive Geriatric Assessment – A magic key for a holistic approach

Comprehensive Geriatric Assessment (CGA) is a multidimensional, interdisciplinary evaluation. CGA involves thorough history-taking, physical examination, and review of medical records. It also includes assessments of domains such as cognition, functional status, mood, social support, nutritional status, medication review, and assessment of environmental factors.

Common domains of a CGA 

  • Medical history
  • Physical examination
  • Cognitive assessment
  • Functional assessment
  • Psychosocial assessment
  • Environmental assessment

Uses of CGA

One of its most important applications is in the diagnosis and management of frailty. Frailty is an intricate clinical syndrome affecting the elderly, particularly those with multiple chronic illnesses. CGA helps the geriatrician to make a personalized care plan according to their needs. It will help the seniors to get back to their best functional status.

Using five or more medicines by a single elderly is known as Polypharmacy. Polypharmacy is common in older adults, particularly those with multiple chronic illnesses. It is associated with an increased risk of adverse drug events, drug-drug interactions, and hospitalization. CGA helps the doctor to decrease the number of medications.

In conclusion, CGA is a valuable tool for healthcare professionals in the care of older adults. CGA has several applications in the care of older adults, including the diagnosis and management of frailty, polypharmacy, cognitive impairment, and other geriatric syndromes. CGA is essential in providing comprehensive care to older adults, particularly those with complex medical conditions and multiple chronic illnesses.


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