Author Archives: ddoell

RGPEO Rounds

Here is a link to RGPEO Rounds — Past Presentations

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Protected: AGS – 2016

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Morse Fall Scale

Purpose: Identify individuals at risk for falls. Validation: In the original study (Morse 1989) sensitivity was 78% and specificity 83% In a validation study (Eagle 1999) the Morse Fall Scale had a sensitivity of 72% and a specificity of 51%. … Continue reading

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CAM (Confusion Assessment Method)

Purpose: A method for detecting delerirum in a high risk setting. Rationale: Delirium is common among hospitalized elderly patients and is associated with increased morbidity and mortality. Delirium commonly goes unrecognized. Existing cognitive tools were inadequate for detecting delirium. The … Continue reading

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CSHA Clinical Frailty Scale

Purpose: Tool for measuring frailty. Rationale: Previous frailty tools, although shown to predict death and institutionalization, have not gained acceptance among practising clinicians. Thus the need for a tool that would be easier to use. The Tool: An example and … Continue reading

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HABAM (Hierarchical Assessment of Balance and Mobility)

Purpose: Display changes in balance and mobility graphically in the acute hospital setting. Rationale: Several tools are available to measure balance and mobility, but have been developed in community, outpatient, or nursing-home settings and may not be useful in the … Continue reading

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MoCA (Montreal Cognitive Assessment)

Purpose: Detection of mild cognitive impairment. Rationale: Previous screening tolls, like the MMSE, do not adequately detect mild cognitive impairment. The Test: The test is availabe online in several languages here: Validation: In the original study (Nasreddine 2005) using … Continue reading

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Memory Impairment Screen

Purpose: Screening test for Alzheimer’s Disease and other dementias. Rationale: This screen addresses the problem with many delayed recall memory screens in that they have a high rate of false negative and false positive errors. Increasing the number of items … Continue reading

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Welcome to The Comprehensive Geriatric Assessment

This site is an online resource providing access to valuable information and a forum for discussion for those health care workers ineterested in providing better care for the elderly through the use of assessment tools and other resources.

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