Core IM | Internal Medicine Podcast #92 The Geriatric Assessment: 5 Pearls Segment
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Oct 31, 2021 Discover essential tips for conducting geriatric assessments, focusing on the significance of meticulous evaluations in revealing hidden medical needs. Explore practical strategies for assessing mobility and cognitive functions, including use of tools like the mini-cog and MoCA. Learn how toenail length can indicate overall health and the challenges faced by older adults. Gain insights on the importance of thoughtful medication management and deprescribing in improving care outcomes for the elderly.
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The Toenail A1C
- Dr. Shreya Trivedi shares an anecdote about a 90-year-old patient whose long toenails revealed declining functional status.
- This prompted a closer look at his needs and led to physical therapy involvement.
Patient-Centered Approach
- Start with what matters most to the patient, not just your checklist.
- Ask about their goals and priorities to guide your care.
Toenails as Indicators
- Toenail length can indicate functional decline and unmet needs.
- It prompts further assessment of physical, cognitive, and emotional well-being.