Comprehensive Assessment

of the Frail Older Patient

Saima Rashid
GP ST1
Areas Covered
 What does it Mean?

 How is it done?

 When is it done?

 Who should do this?

 What are the Benefits?

Introduction
 Life Expectancy

 More than half the time spent in disability

issues (Medical-Age Related)

 Frailty
What it is?
 “CGA is a diagnostic process to determine a
frail older person’s

Medical condition
Mental Health
Functional Capacity
Social Circumstances”
How it is Done?
 SAP (Single Assessment Process

 Developed by DOH in 2001 as a part of

National Service Framework
How it is Done?

SAP

Contact Overview Specialist Comprehensive

Assessment Assessment Assessment Assessment
Domains Items to be assessed
Medical Co-morbid conditions and disease severity
  Medication Review
  Nutritional status
  Problem list
Mental Health Cognition
  Mood and anxiety
  Fears
Functional capacity Basic activities of daily living
  Gait and balance
  Activity/exercise status
  Instrumental activities of daily living
Social circumstances Informal support available from family or friends
  Social network such a visitors or daytime activities
  Eligibility for being offered care resources
Environment Home comfort, facilities and safety
  Use or potential use of telehealth technology etc
  Transport facilities
  Accessibility to local resources
When is it Done?
 Assessment Indicating Severe Problems

 Acute Medical Illness

 Planning for Transfer of Care for Rehabilitation

 Multiple Falls

 Pre-Operative Assessment

 Continuing Care Assessment

 Intermediate Care or Community Based Rehabilitation

Who should do this?
 Health and Social Care Workers

 Multidisciplinary Teams
Benefits
Frail Older People Disabling Illnesses

Function Outcome
Improved Quality of Life
Admission to Care Home
 ?
Thanks