Case Study

Depression is a mental issue characterized by loss of interest in things and activities, persistent low moods, reduced energy, and neurovegetative disturbance leading to social dysfunction and varying occupational levels. Depression can be classified based on the number of symptoms, severity, duration, and degree of functional impairment. Depression can come slowly with time or be triggered by a major loss just like the way Mrs. Roberts became depressed after the death of her husband. Many people have developed the symptoms of depression at some point in their lives. Depression ranges from minor to major problems, life-threatening health issues (Alexopoulos et al., 2014). Fortunately, depression is treatable through several tools like the Comprehensive Geriatric Assessment (CGA) Tool.

Comprehensive Geriatric Assessment (CGA) Tool

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CGA is a designed multidisciplinary, multidimensional assessment for evaluating socioenvironmental circumstances, function ability, cognition,  and mental health, and physical ability in older people. Often, CGA is initiated when a health professional identifies a potential problem like nutrition, hearing, vision, balance, and fecal and urinary continence (Sternberg & Bentur, 2014; Lin et al., 2014). Mrs. Roberts has some of these symptoms; she is disorganized and dirty, and the checkbook has been unbalanced for several months. Therefore, CGA is a good tool for her treatment. In this case, the CGA will help in the diagnosing of  medical conditions: coordination and managing care, developing a treatment and follow-up plans and evaluating optimal placement and long-term care needs (Jiang & Li, 2016). Moreover, CGA is in some way different from a standard medical evaluation since it incorporates nonmedical domains, emphasizing the quality of life and functional capacity, and including a multidisciplinary team.

Evaluation Plan

The home-based geriatric assessment has been an effective form of treatment when it comes to reducing mortality, preventing institutionalization and improving functional status. However, the hospital performed CGA specifically in dedicated units has also been effective. The geriatric assessment can be administered by the community health worker, primary care provider or the patient’s family on detecting potential problems (Alexopoulos et al., 2014). CGA ought to be very flexible in terms of scope and adaptability for it to serve many patients just like any effective medical evaluation (Jiang & Li, 2016). Multidisciplinary-based geriatric assessment is the best form of treatment for elder patients with significant functional limitation and multiple medical problems (Lin et al., 2014). In this case, Mrs. Roberts is a typical example of an elder with the conditions treatable through the CGA tool. The team can include a psychiatric, nutritionist, social worker, psychotherapist and others (Sternberg & Bentur, 2014). In the case of treating Mrs. Roberts, she would be assessed, information concerning her depression analyzed, and then an intervention strategy would be devised by the multidisciplinary team before initiating treatment. The final step would be follow-up by the team to see how she is progressing. 

Conclusion

Depression is a treatable mental issue that affects the mood and makes a person lose interest in the thing he or she once valued. The assessment of depression can be done through several tools. Among the tools used in the treatment of depression is the Comprehensive Geriatric Assessment tool. The geriatric assessment is used in the treatment of geriatric conditions like functional impairment that Mrs. Roberts was suffering from due to her depression. Performing the geriatric assessment helps a health professional or an interdisciplinary or multidisciplinary treating a person with the geriatric conditions to manage the conditions and delay, prevent or treat their complications.

References

Alexopoulos, G., Moreno, C., Möller, H.-J., Kasper, S., & SpringerLink (Online service). (2014). Guide to Assessment Scales in Major Depressive Disorder. (Springer eBooks.) Cham: Springer International Publishing.

Jiang, S., & Li, P. (January 01, 2016). Current Development in Elderly Comprehensive Assessment and Research Methods. Biomed Research International, 2016.

Lin, Jui-Hung, Huang, Min-Wei, Wang, Deng-Wu, Chen, Yi-Ming, Lin, Chu-Sheng, Tang, Yi-Jing, Yang, Shu-Hui, … Lane, Hsien-Yuan. (2014). Late-life depression and quality of life in a geriatric evaluation and management unit: an exploratory study. (BioMed Central Ltd.) BioMed Central LtdSternberg, Shelley A, & Bentur, Netta. (2014). The contribution of comprehensive geriatric assessment to primary care physicians. (BioMed Central Ltd.) BioMed Central Ltd.

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