Author/Editor     Šabovič, Mišo
Title     Celovit geriatrični pregled - nov sistematični pristop v obravnavanju geriatričnih bolnikov
Translated title     Comprehensive geriatric assessment - a new systematic approach for systematic management of geriatric patients
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 43, št. 3
Publication year     2004
Volume     str. 255-60
Language     slo
Abstract     In the article the comprehensive geriatric assessment (CGA) - a new systematic approach to the collection of patient data that allows appropriate evaluation of chronic diseases, gerontologic syndromes and functional impairment, is presented. According to CGA, first subjective and objective database is collected, then integrated into an assessment (particular attention is focused on the nine main problem issues), and finally a care plan is created in cooperation with a patient and relatives. CGA was developed in USA and has been shown useful in the clinical practice. In the clinical trials it has been revealed that use of CGA improves the quality of life of geriatric patients and probably prolongs the life. It is realistic that the implication of CGA would result in improved medical care of old people in our specific local conditions as well.
Summary     V članku je predstavljen celovit geriatrični pregled (CGP) - nov pristop za obravnavanje geriatričnih bolnikov. CGP je sistematični pristop v zbiranju informacij, ki omogoča ustrezno in pravilno oceno zdravstvenega stanja starostnika, prepoznavanje bolezni in gerontoloških sindromov ter ugotavljanje funkcionalnega stanja bolnika. Pri CGP podatke o bolniku zbiramo in obdelujemo sistematično: najprej zberemo natančno določene subjektivne in objektivne podatke, ki jih nato v skladu s priporočili obdelamo in na koncu ocenimo stanje bolnika. Posebno pozornost posvetimo devetim najpomembnejšim problemskim področjem starostnikov. V sodelovanju z bolnikom in njegovimi svojci določimo cilje in izdelamo načrt zdravljenja. Ta, v ZDA razvit pristop (angl. comprehensive geriatric assessment), se je v praksi izkazal za učinkovitega. Raziskave so pokazale, da so starostniki, pri katerih so uporabljali omenjeni pristop, živeli bolj kakovostno in verjetno tudi dlje. Zdi se logično, da bi tudi v naših razmerah uporaba CGP izboljšala medicinsko obravnavo starostnikov.
Descriptors     GERIATRIC ASSESSMENT
MEDICAL HISTORY TAKING
PHYSICAL EXAMINATION
AGED