Get the free Comprehensive Geriatric Assessment referral request form

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 two or more of the following

How to fill out comprehensive geriatric assessment referral

How to fill out comprehensive geriatric assessment referral

1. To fill out a comprehensive geriatric assessment referral, follow these steps:
2. Begin by collecting all necessary information about the patient, including their personal details, medical history, medication list, and any relevant test results.
3. Next, carefully review the patient's cognitive and functional status. Assess their mental capacity, memory, mobility, activities of daily living, and overall quality of life.
4. Evaluate the patient's physical health by checking vital signs, conducting a thorough physical examination, and assessing any existing medical conditions or symptoms.
5. Screen the patient for common geriatric syndromes, such as falls, incontinence, polypharmacy, malnutrition, depression, and cognitive impairment.
6. Consider the patient's social and environmental factors. Determine their living situation, social support, financial resources, and access to healthcare services.
7. Based on your assessment findings, identify the specific areas of concern that require further examination or intervention.
8. Document all relevant findings, observations, and recommendations in the comprehensive geriatric assessment referral form.
9. Submit the referral to the appropriate healthcare provider or geriatric specialist for further evaluation and management.
10. Follow up on the referral and communicate with the involved healthcare professionals to ensure continuity of care and appropriate interventions.
11. Continuously re-evaluate the patient's condition and adjust the geriatric assessment plan as needed to optimize their overall well-being.

Who needs comprehensive geriatric assessment referral?

1. Comprehensive geriatric assessment referral is typically needed for older adults who may benefit from a multidimensional evaluation of their health, function, and overall well-being.
2. Potential candidates for comprehensive geriatric assessment referral include:
3. - Older adults with multiple chronic conditions or complex medical needs
4. - Individuals experiencing a decline in cognitive function, memory loss, or other signs of dementia
5. - Patients presenting with functional impairments, mobility issues, or difficulties performing activities of daily living
6. - Older adults at risk of falls, frailty, or other geriatric syndromes
7. - Individuals with frequent hospitalizations or emergency room visits
8. - Older adults who may benefit from a comprehensive evaluation of their medication regimen and potential interactions
9. - Patients requiring assessment and management of nutritional deficiencies or malnutrition
10. - Individuals exhibiting signs of depression, anxiety, or other mental health concerns
11. - Older adults with social isolation, limited social support, or complicated living situations
12. - Patients requiring end-of-life planning or palliative care assessment
13. It is important to note that the decision to refer for a comprehensive geriatric assessment should be individualized based on the patient's specific health needs and goals of care.

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What is comprehensive geriatric assessment referral?

A comprehensive geriatric assessment referral is a systematic process that evaluates an older adult's medical, psychological, and functional capabilities to develop a coordinated plan for treatment and long-term care.

Who is required to file comprehensive geriatric assessment referral?

Healthcare professionals, including physicians and nurse practitioners, are typically required to file a comprehensive geriatric assessment referral for patients who meet certain criteria based on age and health status.

How to fill out comprehensive geriatric assessment referral?

To fill out a comprehensive geriatric assessment referral, practitioners should collect necessary patient information, including demographics, medical history, current medications, and specific concerns related to the patient's health and daily functioning.

What is the purpose of comprehensive geriatric assessment referral?

The purpose of the comprehensive geriatric assessment referral is to identify the healthcare needs of older adults, enhance their care planning, and ensure appropriate resources are allocated to manage their health effectively.

What information must be reported on comprehensive geriatric assessment referral?

Essential information to be reported on a comprehensive geriatric assessment referral includes patient demographics, medical history, current medications, mental health status, physical abilities, and any specific issues that require attention.