Table 3 Content of the comprehensive geriatrc assessment (CGA)
Domain | Question (Q) or instrument (I) in CGA | Condition/disease |
|---|---|---|
Physical | Â | Â |
Medication | Do you experience difficulties or side effect with medication use? Polypharmacy defined as the use or three or more different medications Medication adherence (questionnaire of Aburuz) [55] | Medication safety and side effects Polypharmacy Medication adherence |
Mobility and stability | Have you fallen once or more in the past twelfth months? [56] Fear of falling (FES-I) [57] Do you experience dizziness? | Falls Fear of falling Dizziness Osteoporosis risk |
Nutrition | Short Nutritional Assessment Questionnaire (SNAQ) [59] Have you been admitted to a hospital because of dehydration? Difficulties with swallowing? Do you have pain in your mouth? | Malnutrition Dehydration Swallowing disturbance Oral hygiene |
Urine and fecal problems | Do you experience urinary incontinence? Do you experience fecal incontinence? Do you have a indwelling urinary catheter? Do you experience obstipation? | Urinary incontinence Feacal incontinence Indwelling urinary catheter use Obstipation |
Skin | Do you have pressure ulcer(s)? | Pressure ulcer |
Pain | Visual analogue scale for pain [60] | Pain |
Allergy | Are you allergic? | Allergy |
Phychological | Â | Â |
Cognition | Do you have memory problems? Mini- Mental State Examination (MMSE) [20] | Cognitive impairment |
Delirium | Have you ever experienced a delirium? Confusement Assessment Method(CAM) [61] | Delirium |
Depression | Depression | |
Anxiety | Do you feel anxious? | Anxiety |
Dependency | Do you smoke? Do you use benzodiazepines? | Alcohol, smoking and medication use |
Functional | Â | Â |
ADL functioning | Modified Katz ADL index score [31] | ADL dependency |
IADL functioning | IADL questions of Lawton and Brody [32] | IADL dependency |
Mobility difficulty | Are you using a walking aid? | Mobility difficulty |
Hearing | Do you experience difficulties with hearing, despite the use of a hearing aid? | Hearing impairment |
Visual | Do you experience difficulties with your vision, despite the use of glasses? | Visual impairment |
Sleep | Do you experience problems with sleeping? Do you use sleeping medication? If yes, how often? | Sleeping disorder |
Social | Â | Â |
Loneliness | Jong Gierveld-questionnaire [38] | Loneliness |
Finance | Can you manage financially? | Finance |
Health related quality of live | EQ-6D [34] | Health related quality of live |
Burden of caregiver | CarerQol instrument [37] | Burden of caregiver |
Physical examination | Â | Â |
Body mass index | (kg/m2) | Obesity or weight loss |
Blood pressure | (mmHg) | Hypertension |
Pulse | (beats/min) | Pulse |
Grip strength | Maximal grip strength in the dominant hand (kg) [22] | Frailty |
Walking speed | Walk three meter at usual pace (seconds) [22] | Frailty |