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Department of Veterans Affairs Veterans Health Administration Washington, DC 20420VHA Directive 1140.04 Transmittal Sheet November 28, 2017GERIATRIC EVALUATION 1. REASON FOR ISSUE: This Veterans Health
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How to fill out geriatric evaluation

01
To fill out a geriatric evaluation, follow these points:
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Start with basic demographic information such as name, age, and contact details.
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Include relevant medical history, including any chronic conditions or past surgeries.
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Assess cognitive function by asking questions related to memory, reasoning, and problem-solving.
05
Evaluate physical health by examining vital signs, conducting a physical examination, and reviewing any recent medical tests.
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Assess functional ability by asking about activities of daily living, such as bathing, dressing, and eating.
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Screen for depression and other mental health issues by using standardized assessment tools.
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Evaluate medication use, including prescription drugs, over-the-counter medications, and any supplements.
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Assess social support by inquiring about living arrangements, caregiver availability, and participation in social activities.
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Consider a comprehensive review of the individual's social, emotional, and financial well-being.
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Summarize the evaluation findings and develop a care plan based on the person's needs and resources.
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Review and update the geriatric evaluation periodically to track changes in health and functional status.

Who needs geriatric evaluation?

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Geriatric evaluation is beneficial for the following individuals:
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- Elderly individuals who are experiencing a decline in physical or cognitive abilities.
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- Those who have multiple chronic conditions and require coordinated care.
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- Older adults who may be at risk of medication interactions or adverse effects.
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- Individuals who have recently experienced a major health event or hospitalization.
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- Elderly individuals who are planning to undergo a major surgery or procedure.
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- Older adults who are experiencing mood disturbances or significant changes in behavior.
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- Individuals who require assistance with activities of daily living or have concerns about safety at home.
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- Elderly individuals with complex social situations or limited social support.
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- Those who are interested in proactive planning for their future healthcare needs.
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- Caregivers or family members who need guidance in managing the care of an elderly loved one.
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Geriatric evaluation is a comprehensive assessment of an elderly individual's physical health, mental health, functional abilities, and social support system.
Geriatric evaluation may be required for elderly individuals who are receiving medical or long-term care services, or for those who are at risk of cognitive decline or functional impairment.
Geriatric evaluation can be completed by a qualified healthcare professional, such as a geriatrician, psychiatrist, or social worker. The evaluation typically involves a series of assessments, including medical history, physical exam, cognitive testing, and functional assessments.
The purpose of geriatric evaluation is to identify and address physical, mental, and social needs of elderly individuals, in order to improve their overall quality of life and well-being.
Geriatric evaluation may include information on medical history, medication use, cognitive function, mental health status, physical abilities, social support system, and living situation.
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