Geriatrics: Comprehensive Geriatric Assessment | Medical Library

Internal Medicine · Clinical Specialties

How it begins

La evaluación multidimensional e interdisciplinar del anciano como herramienta clínica central. Metodología, instrumentos validados, cuatro esferas, modelos organizativos y uso en contextos especiales.

What it covers

1. Concept, foundations and justification of VGI
2. Why is conventional medicine insufficient in the elderly?
3. Four spheres of the VGI
4. Clinical evidence supporting VGI
5. Clinical sphere — geriatric medical evaluation
6. Geriatric clinical history — peculiarities
7. Comorbidity rates
8. Geriatric syndromes as part of the clinical sphere
9. Sensory evaluation — detail
10. Functional sphere — ABDL, IADL and mobility
11. Basic Activities of Daily Living (ABVD) — Barthel Index
12. Instrumental Activities of Daily Living (IADL) — Lawton and Brody Scale
13. Evaluation of mobility and balance
14. Mental sphere — cognition, mood and behavior
15. Cognitive evaluation
16. Clock Test (Clock Drawing Test)
17. Emotional state evaluation — Depression
18. Evaluation of psychological and behavioral symptoms (SPCD)
19. Social and environmental sphere
20. Dimensions of social evaluation
21. Social evaluation scales
22. Caregiver evaluation — Zarit Scale
23. Elder abuse
24. Evaluation of frailty in the VGI
25. Fried phenotype (Cardiovascular Health Study, 2001)
26. Clinical Frailty Scale (CFS / Rockwood Clinical Frailty Scale)
27. FRAIL Scale — rapid screening
28. Sarcopenia and its evaluation in the VGI
29. Nutritional evaluation in the VGI
30. Mini Nutritional Assessment (MNA)
31. GLIM Criteria (Global Leadership Initiative on Malnutrition, 2019)
32. Nutritional evaluation parameters
33. Dysphagia evaluation
34. Evaluation of gait, balance and risk of falls
35. Fall risk factors — structured assessment
36. Fall risk assessment tools
37. Orthostatic hypotension
38. Post-fall syndrome
39. Polypharmacy and medication review
40. Pharmacokinetic and pharmacodynamic changes in aging
41. Inappropriate medication detection tools
42. Anti-cholinergic load
43. Description
44. Prognostic indices and evaluation of comorbidity
45. Multidimensional prognostic tools
46. Markers of poor short-term prognosis in the elderly
47. Karnofsky index and ECOG in the geriatric context
48. Perioperative and oncogeriatric VGI
49. Perioperative VGI
50. Geriatric preoperative evaluation — key components
51. Oncogeriatric VGI
52. Individualized care plan and therapeutic objectives
53. Definition of therapeutic objectives
54. Components of the care plan
55. Advanced care planning (PAC)
56. Clinical implementation and organizational models
57. VGI implementation models
58. Interdisciplinary team — Roles
59. Rapid screening tools in clinical practice
60. Integrative synthesis and algorithm for using VGI
61. VGI as a continuous process
62. Integrated VGI algorithm
63. Summary table of instruments by sphere