Comprehensive Geriatric Assessment
What is comprehensive Geriatric Assessment?Comprehensive Geriatric Assessment, which emerged during 1980s, is a type of medical assessment that aims to uncover the multidimensional problems among elderly with the purpose of developing and implementing a well-coordinated management plan for each patient’s specific needs.
Why do I need CGA?As we all know that Australians are living longer and it is anticipated that by 2050 the dependence ratio of older people will rise significantly. Treating them is very challenging given aged-related physiological changes which in turn affects both the metabolism and also action of drugs, they are under-represented in clinical trails, clinical guidelines tend to focus on treatment of each disease and then drug interactions for being on a number of medications. Then there are other issues such as impaired mobility, reduced functional capacity, presence or absence of dementia in a particular patient and level of family support or social support which is different in each patient which also significantly affects their management of medical illnesses. A Geriatrician by using his management and clinical experience of addressing these issues on a regular basis during and after training is best suited to developing an effective, more successful and holistic management plan for these patients.
How can I have my CGA or CGA of my relative done?Your general practitioner need to refer you or the relative to the Geriatrician and or you can also ask your GP to have CGA done for you or your relative.
Is there an evidence that CGA is effective?There is considerable evidence for sustained benefit to patients patient function compared to no CGA and or usual general practitioner/usual care. These benefits are apparent for interventions within patient’s home and almost all the reported outpatient programs appear to be equally effective. In addition CGA may also reduce hospital presentations and admissions into residential care facilities (nursing home/hostels).
How much time it takes to perform CGA?It takes about one hour to perform CGA because in addition to medical assessment the specialist may need to have information from family & or carer (other key stake holders such as GP & other). An input from allied health professionals, to address to mobility, functional capacity and psychosocial issues which significantly affect management of chronic & complex diseases in elderly people is also sometime needed.
How much it will cost?At Mediclinic all bulk-billed patients are bulk-billed and also all DVA patients are charged through DVA. For all other patients please contact us on (02) 8313 9064 to discuss your situation and make a booking.
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