Geriatric

Page 1

ANNUAL GERIATRIC ASSESSMENT

ZILLA SWASTHYA SAMITI BOLANGIR Address Title

Add 1

First name

Add2

Surname

Add 3

Date of birth

Age

Town Postcode

Registration no.

Tel.

Mother language

Resident at :

Home

Care Home

Other :

Marital Status :

Single

Married

Divorced

Widowed

Name of spouse : Name(s) of offspring :

Educational Level :

Main Lifelong Occupation :

Name of Caregiver :

Advanced Directive :

Yes

No

Caregiver Relationship : Spouse Sibling Offspring Other

DNR Directve :

Yes

No

Caregiver Occupation :

Clinical Frailty Score (Rockwood Scale) : Very fit Vulnerable Well Mildly frail Managing Moderately well frail

Caregiver tel. :

GP Practice :

Abbreviations : P1 = Jan-Apr P2 = May-Aug P3 = Sep-Dec

0

Severely frail Very severely frail Terminally ill


ZILLA SWASTHYA SAMITI BOLANGIR 1. Personal Data Education :

Religion and Values:

Food Likes :

Food Dislikes :

Hobbies / Favourite Activities :

Pets :

Topics for Reminiscence :

Caregiver stress :

None

Low

Moderate

Personal Details : ADHAR No : Hospital No : Physician Phone No :

0

High


ZILLA SWASTHYA SAMITI BOLANGIR 2. Medical Allergies :

Vaccinations : Influenza Pneumonia

Date:

Long Term Conditions

Vaccine :

Supervised by :

1 2 3 4 5 6 7 8 9 10 Recurring Conditions :

Regular Clinics / Therapies :

1 2 3 4 5

1 2 3 4 5

Medication :

Dose :

Date Started :

1 2 3 4 5 6 7 8 9 10 Medication Review Dates : P1 P2 P3

0

Date Ended :


ZILLA SWASTHYA SAMITI BOLANGIR Surgical History

Date :

Sequelae :

1 2 3 4 5

Height : Weight : P1 : P2 : P3 :

Kg.

BMI

Cardiac : Tot. chol. Trig. Q score

Lab. Results :

Date :

Haem. :

Renal : eGFR : CKD stage : ACR : PCR :

Lab. Results :

Date :

Bone:

Lab. Results :

Date :

Vit D TUG score Frax score Lab. Results :

Date :

Other :

Lab. Results :

Date :

Hb. WCC Platelets

Appetite : P1 : P2 : P3 :

Within Normal Limits Within Normal Limits Within Normal Limits

Fair Fair Fair

Poor Poor Poor

P1 : P2 : P3 :

Within Normal Limits Within Normal Limits Within Normal Limits

Impaired Solids Impaired Solids Impaired Solids

Impaired Fluids Impaired Fluids Impaired Fluids

Elimination - Bowel : P1 : Continent P2 : Continent P3 : Continent

Incontinent Incontinent Incontinent

Constipated Constipated Constipated

Elimination - Bladder : P1 : Continent P2 : Continent P3 : Continent

Incontinent Incontinent Incontinent

Constipated Constipated Constipated

Swallow :

0


ZILLA SWASTHYA SAMITI BOLANGIR 3. Functional Speech :

Within normal limits Impaired

Vision :

Within normal limits Impaired

Hearing :

Within normal limits Impaired

Understanding :

Within normal limits Impaired

Upper Body Strength : Within normal limits Impaired

Balance:

Lower Body Strength : Within normal limits Impaired

Falls :

Within normal limits Impaired None Yes Number

Walk inside :

Independent

Slow

Assisted

Dependent

Walk outside :

Independent

Slow

Assisted

Dependent

Transfers :

Independent

Slow

Assisted

Dependent

Bed (in/out) :

Independent

Slow

Assisted

Dependent

Aid use :

None

Stick

Frame

Chair

Excercise :

Frequent

Occasional

None

ADLS : Feeding Bathing Dressing Toileting

Independent Independent Independent Independent

Assisted Assisted Assisted Assisted

Dependent Dependent Dependent Dependent

Changed in past year Changed in past year Changed in past year Changed in past year

IADLS : Cooking Cleaning Shopping Medication Driving Banking

Independent Independent Independent Independent Independent Independent

Assisted Assisted Assisted Assisted Assisted Assisted

Dependent Dependent Dependent Dependent Dependent Dependent

Changed in past year Changed in past year Changed in past year Changed in past year Changed in past year Changed in past year

0


ZILLA SWASTHYA SAMITI BOLANGIR 4. Psychological Cognition :

Within Normal Limits

Mild Cognitive Impairment

Delirium :

From :

To :

Dementia Note :

Assessment scores / dates : Emotion :

Within Normal Limits Hallucinations

Low Mood Depression

Anxiety Other :

Health Attitude / Motivation Excellent

Good

Poor

Sleep :

Disrupted

Daytime Drowsiness

Within Normal Limits

5. Social and Environmental Social Engagement: Frequent

Occasional

None

Break Even

Insufficient

Social Activities: Current Social Support: Finance :

Sufficient

Driving :

Yes

No

Notes :

Pets :

Yes

No

Notes :

Personal Safety Concerns : Yes

No

Notes :

Home Safety Concerns : Yes

No

Notes :

Formal Social Assessment : Date :

Notes :

Formal Environmental Assessment : Date :

Notes :

Perceived needs :

0


ZILLA SWASTHYA SAMITI BOLANGIR 6. Advanced Care Planning Concerns about Capacity:

Yes

No

Notes :

Advance Directive:

Yes

No

Notes :

CPR Decision:

Yes

No

Notes :

Will:

Yes

No

Notes :

Power of Attorney :

Yes

No

Name : Relationship :

7. Problem List Problem:

Action Required:

Action by :

1 2 3 4 5

8. Record of visits/interventions Imaging

Date :

Result :

Special investigations

Date :

Result :

1 2 3 4 5

1 2 3 4 5 6 7 8 9 10

0

Notes:


ZILLA SWASTHYA SAMITI BOLANGIR Other visits / interventions

Date :

1 2 3 4 5 6 7 8 9 10

Notes

0

Result :


ZILLA SWASTHYA SAMITI BOLANGIR Notes

0


ZILLA SWASTHYA SAMITI BOLANGIR Notes

0


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