Week 3 discussion .docx - Geriatric Assessment tools...

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Geriatric Assessment tools explain the purpose of the tool scoring guidelines how you apply the assessment in practice The General Practitioner Assessment of Cognition (GPCOG) is a screening test for cognitive impairment that should only be administered by trained medical staff. This tool has proven to be a reliable, valid and efficient tool to screen for dementia particularly in a primary care office. It takes 4 minutes to administer the patient assessment and 2 minutes to interview the caregiver. So the timing fits well for a busy primary care office. For the patient assessment, the patient gets one point for each correct answer and the score will be between 0 and 9. A score of 9 means that there is no significant cognitive impairment. If the score is 5-8 more information is needed and an informant interview should be done. A score of 0-4 indicates cognitive impairment. For the informant interview a yes response indicates impairment, so every question that is not answered with a Yes scores one point. To total the scorer, one point is given for every answer that is NOT a yes, giving you a score between 0-6. If the score is 0-3, cognitive impairment is indicated. Instructions for the test include: Read out each question as it is presented on the screen, each question should be asked only once, make sure that the patient wears glasses and hearing aids if needed, and that there are no interruptions or noises during testing (GPCOG Website, n.d.). The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use. The CAGE questionnaire was developed to identify alcoholics and is popular with primary care givers. This short questionnaire can be completed quickly by a nurse or practitioner to screen for alcoholism. The CAGE questions can be used in primary care using informal phrasing as a part of the general health history and should NOT be preceded by questions about how much or how frequently the patient drinks. The questions are as follows: Have you ever felt you should Cut down on your drinking? Have people Annoyed you by criticizing your drinking? Have you ever felt bad or Guilty about your drinking? Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover ( Eye opener )?
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Scoring is calculated by giving one point for every YES from the patient. A score of 2 or higher is considered clinically significant (Ewing, n.d.). References GPCOG Website. (n.d.). Ewing, J. (n.d.). CAGE questionnaire. Retrieved from What specific patient populations would you use these two tools with in your practice?
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  • Fall '15
  • Major depressive disorder

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