Comprehensive Geriatric Assessment

The "Comprehensive Geriatric Assessment" program is implemented in order to comprehensively evaluate elderly individuals with all their organs and systems, socio-cultural and economic aspects. Thanks to the Comprehensive Geriatric Assessment, it is revealed that; whether elderly individuals over the age of 65 have a loss of function and if any, whether these losses are due to age or diseases. After the evaluation, treatment recommendations are offered to eliminate or minimize these losses.

Contents of the Comprehensive Geriatric Assessment Program

• Nutritional status assessment (examination, laboratory)
• Evaluation of activity of daily living (günlük yaşam aktivitesi / aletli GYA)
• Karnofsky performance scale
• Geriatric depression scale 
• Mental status examination (mini-mental state examination)
• Walking, balance status examination (Timed up and go tests and tilt table test)
• Evaluation of Acute disease status.
• Determination of chronic illnesses/conditions, proper treatment recommendations
• Detection of sensory losses (visual, hearing)
• Incontinences (fecal, urinary)
• Prevention of excessive (multiple) drug use (treatment arrangement, narration, treatment card),
• Addiction status assessment (smoking, alcohol)
• Determination of periodic laboratory monitoring program
• Cancer screening, risk assessment
• Needs for exercise and rehabilitation
• Preventive treatment needs (drugs, vaccines, ulcer, osteoporosis prophylaxis)
• Need for tools (splint, walking aid, O2 support)
• Suggestions for improving the living environment
• Evaluation of sarcopenia (muscle tissue loss)
• The evaluation performed in the internal medicine outpatient clinic is completed in approximately one hour and a systemic examination of the patient is performed by the internist(s).
• When necessary; Consultations are made with related specialties such as Neurology, Psychiatry, Orthopedics, Eye, Otorhinolaryngology, Physical Therapy, and Rehabilitation.
• The fact that patients have all their previous laboratory results and radiological examinations with them when they come for the examination, makes an additional contribution to the correct evaluation.
• The tests planned in the initial evaluation; blood count, liver, kidney, and thyroid function tests, lipid profile, fasting and postprandial blood glucose, diagnosis urine, electrolytes, prostate-specific antigen, total protein, albumin, sedimentation, vitamin B12, folic acid, ferritin, electrocardiogram, chest radiography, bone density, and whole abdominal ultrasonography. If these tests have been done in the last 3 months, there is no need for a repeat.
• When necessary; stomach-colon endoscopy, mammography, tomography, echocardiography, coronary angiography, whole-body scintigraphy, etc. tests are also done.
• At the end of the evaluation; individuals are informed about the functions of their organs and systems. A treatment card is prepared, and nutritional characteristics are explained. The need for rehabilitation, the need for tool use, and the need for emotional and mental treatment, if any, are indicated. The patients are explained which laboratory tests should be done and how often.
• During the follow-up phase, the follow-up of the elderly individual can also be carried out in the home environment, if deemed necessary.

Comprehensive Geriatric Assessment Process

• The evaluation performed in the internal medicine outpatient clinic is completed in approximately one hour and a systemic examination of the patient is performed by an internist.
• When deemed necessary; consultations are made with related specialties such as Neurology, Psychiatry, Orthopedics, Eye, Otorhinolaryngology, Physical Therapy, and Rehabilitation.
• The fact that patients have all their previous laboratory results and radiological examinations with them when they come for the examination, makes an additional contribution to the correct evaluation.
• The tests planned in the initial evaluation; blood count, liver, kidney, and thyroid function tests, lipid profile, fasting and postprandial blood glucose, diagnosis urine, electrolytes, prostate-specific antigen, total protein, albumin, sedimentation, vitamin B12, folic acid, ferritin, electrocardiogram, chest radiography, bone density, and whole abdominal ultrasonography. If these tests have been done in the last 3 months, there is no need for a repeat.
• When necessary; stomach-colon endoscopy, mammography, tomography, echocardiography, coronary angiography, whole-body scintigraphy, etc. tests are also done.
• At the end of the evaluation; individuals are informed about the functions of their organs and systems. A treatment card is prepared, and nutritional characteristics are explained. The need for rehabilitation, the need for tool use, and the need for emotional and mental treatment, if any, are indicated. The patients are explained which laboratory tests should be done and how often.
• During the follow-up phase, the follow-up of the elderly individual can also be carried out in the home environment, if deemed necessary.

For Information and Appointment on Comprehensive Geriatric Assessment:

0216 578 41 12 • Prof. Dr. Yaşar Küçükardalı
0216 578 41 09 - 0216 578 41 10 • Secretarial office