Geriatrics — Comprehensive Geriatric Evaluation

Internal Medicine · Clinical Specialties

How it begins

La Evaluación Geriátrica Integral (EGI) constituye la tecnología diagnóstica nuclear de la Geriatría moderna. Frente al modelo biomédico clásico —centrado en el órgano enfermo— la EGI propone una valoración sistemática, multidimensional e interdisciplinaria que cuantifica las capacidades médicas, funcionales, cognitivas, afectivas, nutricionales y sociales del paciente anciano, con el objetivo de elaborar un plan de…

What it covers

1. Definition, Nature and Fundamentals of the EGI
2. · The four "i's" and the logic of the EGI
3. Biological Bases: Aging, Homeostenosis and Atypical Presentation
4. · Clinical consequences: the atypical presentation of the disease
5. Fragility, Functional Reserve and Risk Stratification
6. · The gradient robustness — fragility — disability
7. Indications, Target Population and Patient Selection
8. · Who benefits? The geriatric patient
9. Clinical-Medical Domain: Anamnesis, Pluripathology and Examination
10. · Particularities of the geriatric anamnesis
11. · Directed physical exploration
12. Functional Domain: ABDL, IADL and Mobility
13. · Validated instruments
14. · Execution tests (performance-based)
15. Cognitive Domain: Screening, Delirium and Dementia
16. · Cognitive screening instruments
17. Affective Domain: Depression, Anxiety and Mood
18. · Validated instruments
19. Nutritional Domain: Malnutrition and Sarcopenia
20. · Validated instruments
21. Social, Socio-Family and Environmental Domain
22. · Components of social valuation
23. · Instruments
24. Geriatric Syndromes: the Language of the EGI
25. Gait, Balance and Falls: Specific Assessment
26. · Gait and balance instruments
27. Polypharmacy, Iatrogenics and Deprescription
28. · Prescription adaptation tools
29. Synthesis: from the Multidimensional Diagnosis to the Comprehensive Care Plan
30. · The EGI process, step by step
31. Evidence, Effectiveness and Care Levels
32. · Proven benefits
33. · Geriatric care levels and devices
34. Integrative Summary