Get the free Comprehensive Geriatric Assessment Request - dhs.unr.edu - dhs unr

Comprehensive Geriatric Assessment Request Thank you for referring your patient to Sanford Center Geriatric Specialty Clinic. In order to qualify, your patient needs to meet one or more of the following

How to fill out comprehensive geriatric assessment request

How to fill out comprehensive geriatric assessment request

1. Gather all necessary information about the patient, including medical history, current medications, and recent lab results.
2. Obtain a comprehensive geriatric assessment form or template from your healthcare facility.
3. Start by filling out the patient's personal information, such as name, date of birth, and contact details.
4. Proceed with documenting the patient's primary care physician and any relevant specialists involved in their care.
5. Include a detailed list of current medications, including dosage and frequency.
6. Document the patient's medical history, including any chronic conditions, surgeries, or hospitalizations.
7. Indicate any known allergies or adverse drug reactions.
8. Include recent lab results, such as blood tests, imaging reports, or electrocardiograms.
9. Assess the patient's functional status, including activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
10. Evaluate the patient's cognitive function using appropriate screening tools.
11. Assess the patient's social support system and any available resources for their care.
12. Include any additional information or concerns that may be relevant to the comprehensive geriatric assessment.
13. Review and double-check the completed form for accuracy and completeness before submitting it.

Who needs comprehensive geriatric assessment request?

1. Elderly patients who are experiencing multiple health issues or functional decline may need a comprehensive geriatric assessment request.
2. Patients with complex medical conditions or those taking multiple medications can benefit from a comprehensive geriatric assessment.
3. Individuals with cognitive impairments, such as dementia or Alzheimer's disease, may require a comprehensive geriatric assessment.
4. Frail or vulnerable older adults who are at risk of adverse health outcomes can benefit from a comprehensive geriatric assessment.
5. Patients with a history of falls or mobility issues may need a comprehensive geriatric assessment to evaluate their functional status and determine appropriate interventions.
6. Individuals with limited social support or those facing challenges in accessing healthcare services may require a comprehensive geriatric assessment to identify and address their specific needs.
7. Healthcare professionals, caregivers, or family members who have concerns about an older adult's overall health and well-being can request a comprehensive geriatric assessment to gain a holistic understanding of their condition.

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What is comprehensive geriatric assessment request?

Comprehensive geriatric assessment request is a process to evaluate an older person's medical, psychological, and functional capabilities in order to develop a coordinated plan for treatment and long-term care.

Who is required to file comprehensive geriatric assessment request?

Healthcare professionals, caregivers, or family members may file a comprehensive geriatric assessment request for an older individual.

How to fill out comprehensive geriatric assessment request?

To fill out a comprehensive geriatric assessment request, one must provide detailed information about the individual's medical history, medications, functional status, cognitive abilities, and social support system.

What is the purpose of comprehensive geriatric assessment request?

The purpose of comprehensive geriatric assessment request is to identify the older person's strengths and limitations, develop a care plan tailored to their needs, and improve their overall quality of life.

What information must be reported on comprehensive geriatric assessment request?

Information such as medical history, medications, functional status, cognitive abilities, social support system, and current health concerns must be reported on a comprehensive geriatric assessment request.