Geriatric assessment domains, measures, and possible interventions
| Domains . | Tools . | Interventions5,10,40 . |
|---|---|---|
| Comorbidity | HCT-CI Cumulative Illness Rating Scale-Geriatric OARS comorbidity | Referral to specialist familiar with transplant |
| Physical function | ADLs IADLs TUG 4-meter gait speed 6MWT | Physical therapy Occupational therapy Address uncontrolled pain |
| Psychological | PHQ-9 Hospital Anxiety and Depression Scale Mental Health Inventory-17 Short Form-36 (mental component summary) PROMIS Anxiety Geriatric Depression Screen | Referral to psychiatry Cognitive behavioral therapy Initiate antidepressants |
| Cognition | MiniCog Mini-Mental Status Exam MoCA Blessed-Orientation-Memory-Concentration Test | Review medications for possible contributing cause Address depression if present Delirium precautions when admitted |
| Nutritional status | MNA Preoperative Nutrition Screen Albumin Weight lossa | Refer to dietician Encourage nutrition supplement use Address possible contributing factors |
| Polypharmacy and potentially inappropriate medications | ≥7 medications Beers Criteria | Stop potentially inappropriate and unnecessary medications Review medications for possible drug-drug interactions Consult pharmacist |
| Social support | Medical Outcomes Study Social Support Survey | Complete health care power of attorney Identify short-term and long-term needs |
| Domains . | Tools . | Interventions5,10,40 . |
|---|---|---|
| Comorbidity | HCT-CI Cumulative Illness Rating Scale-Geriatric OARS comorbidity | Referral to specialist familiar with transplant |
| Physical function | ADLs IADLs TUG 4-meter gait speed 6MWT | Physical therapy Occupational therapy Address uncontrolled pain |
| Psychological | PHQ-9 Hospital Anxiety and Depression Scale Mental Health Inventory-17 Short Form-36 (mental component summary) PROMIS Anxiety Geriatric Depression Screen | Referral to psychiatry Cognitive behavioral therapy Initiate antidepressants |
| Cognition | MiniCog Mini-Mental Status Exam MoCA Blessed-Orientation-Memory-Concentration Test | Review medications for possible contributing cause Address depression if present Delirium precautions when admitted |
| Nutritional status | MNA Preoperative Nutrition Screen Albumin Weight lossa | Refer to dietician Encourage nutrition supplement use Address possible contributing factors |
| Polypharmacy and potentially inappropriate medications | ≥7 medications Beers Criteria | Stop potentially inappropriate and unnecessary medications Review medications for possible drug-drug interactions Consult pharmacist |
| Social support | Medical Outcomes Study Social Support Survey | Complete health care power of attorney Identify short-term and long-term needs |
Over the preceding 3 months.
6MWT, 6 minute walk test; ADLs, activities of daily living; IADLs, instrumental activities of daily living; MNA, mininutrition assessment; MoCA, Montreal cognitive assessment; OARS, Older Americans Resources and Services; PHQ-9, patient health questionnaire-9; TUG, timed up and go.
Adapted from Jayani et al.1