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The “geriatric process”

The “geriatric process”. Assesment Health (diagnoses, prognosis) Function (physical, mental) Resources (culture, education, social, economic) Agree objectives of care What does the patient want? What is feasible? Specify the management plan Therapy to improve the patient

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The “geriatric process”

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  1. The “geriatric process” • Assesment • Health (diagnoses, prognosis) • Function (physical, mental) • Resources (culture, education, social, economic) • Agree objectives of care • What does the patient want? • What is feasible? • Specify the management plan • Therapy to improve the patient • Prosthesis to reduce the demands of the environment • Regular review • Is progress as expected • Does the plan need changing Grimley Evans

  2. Comprehensive Geriatric Assessment End-of-study mortality odds ratios of individual and combined CGA trials. Stuck et al. Lancet 1993 Better Worse No different

  3. Stroke Unit Trials Odds of death or dependency at the end of scheduled follow up with stroke unit compared with conventional care. Stroke Unit Trialists' Collaboration. BMJ 1997;314:1151

  4. Thrombolysis for myocardial infarction Fibrinolytic therapy triallist’s collaborative group. Lancet 1994;343:311-22

  5. Ambulatory and comprehensive care Day hospitals Forster,Young and Langhorne BMJ 1999; 318: 837-841

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