How to Applicate Comprehensive Geriatric Assessment in Geriatric Rehabilitation

W. Aries
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Abstract

: Comprehensive Geriatric Assessment (CGA) is a multidimensional, multidisciplinary diagnostic instrument designed to collect data on the medical, psychosocial-economy, enviromental, spiritual and places high value on functional status. Measurement of functional is an essential components, and the patient’s ability to function can be viewed as a summary measure of the overall impact of elderly health conditions. This geriatric models of assessment used in patient first visit to assess geriatric patients who have complicated condition and need special approach. CGA has several essential aspects of evaluating elderly patients, so it is known for it’s costly and time consuming. This caused by difficulties in taking histories of geriatric patients, and systematically reviewing the patients. CGA aimed to integrates the functional and medical goals of care, allowing physicians to improve clinical outcomes and patients satisfaction. This tools can be used in primary care (e.g puskesmas), clinic, hospital, long term care or home, and as a strategy to make evaluation process more efficient. Prognosis is focused on medical and function information. CGA can be applied in 4 step process, used by individual clinician but more refers to an interdisciplinary team.
如何将老年综合评估应用于老年康复
老年综合评估(CGA)是一种多维、多学科的诊断工具,旨在收集医疗、心理、社会、经济、环境、精神方面的数据,并高度重视功能状况。功能的测量是必不可少的组成部分,患者的功能能力可被视为对老年人健康状况总体影响的汇总测量。这种老年评估模型用于患者首次就诊,以评估病情复杂,需要特殊方法的老年患者。CGA有几个评估老年患者的基本方面,所以它是出了名的昂贵和耗时。这是由于很难对老年患者进行病史记录和系统的回顾所致。CGA旨在整合护理的功能和医疗目标,使医生能够改善临床结果和患者满意度。这些工具可用于初级保健(例如puskesmas)、诊所、医院、长期护理或家庭,并作为提高评估过程效率的一项战略。预后的重点是医学和功能信息。CGA可分为四个步骤,由临床医生个人使用,但更多的是指跨学科的团队。
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