• CGA - Comprehensive Geriatric Assessment should take 2h
• Consider Special tests in All Geriatric Hx if concerned

<aside>

Unique for Geriatric (MSAF)

• Detailed Medication, Geriatric Syndromes, Attorney (LOA), Function, +/- Goal of Care
• Consider collateral Hx and Mental Status Exam if patient appears to be non-reliable historians
• Consider hearing difficulty and visual difficulty (false positives) </aside>

*Also remind them to be up-to-date with seasonal vaccine

ID

• Patient, Caregiver (+ relationship)

HPI

• Consider Geriatric Disease Atypical Presentations

PMHx

Medical Hx & Comorbidity

• Ask about common conditions Older Adult > 65 (RF) are prone to
  • Metabolic syndrome
  • COPD
  • OA - Osteoarthritis
  • Cataract

Medication & Allergy

• In addition to Rx, OTC, Herbal, Vitamin:
  • “puffers, creams, eye/ear drops, or injections”
• In addition to drug signature:
  • Recent Changes, Adverse reactions, Adherence
  • Factors Affecting Adherence: Assemble (Packaging), Access, Assistance (need help?), Appreciation (understand?)
• Detailed Medication Hx if indicated

Family Hx & Social Hx

• POA

Function

• Function Assessment (ADL, IADL) → DEATH SHAFT