The composition of world population has changed dramatically in recent decades. Medical advances have given people an opportunity to live longer, healthier and more productive. Increased the expectancy (GREY CHALLENGE) comes with its own set of social, economic and emotional challenges. By 2040, the elderly may consume 50% of the total health care expenditure. Preventive health care programs can improve/ maintain elderly patient’s health, functional abilities, independence and life satisfaction. These programs can prolong the time before they require admission in hospital. Effective preventive healthcare to the elderly is the need of the hour. Measures or enhance are maintain physical, mental and social function must be emphasized. They can reduce economic burden in the long run. These preventive care procedures may vary between relatively healthy elderly compared with the “frail” elderly. While cardiac, pulmonary and major central nerves system disorders are reported, disabilities such as urinary incontinence, loco-motor dysfunction, defective hearing and vision, podiatric problems, depression, alcoholism and non-medical social needs are not reported. Hence comprehensive function assessment of elderly patients is very important. Potentially serious psycho-social stresses are common (Undesired retirement, inadequate finances, death of spouse etc). Significant part of elderly has major functional disability (10-20%). Hence, the importance of Psychological elements of health in elderly. CGA stands for Comprehensive Geriatric Assessment. CGA comprises interdisciplinary proactive approach to generate a senior citizens PROBLEM LIST in following domains:

1. Physical assessment.
2. Function, social and environmental assessment.
3. Psychological components.
4. Medication review.

CGA is process of care comprising of number of steps:

1. Multi-dimensional holistic assessment.
2. Formulation of a plan to address issues.
3. Interventions in support of plans.
4. Review of progress.

Just as a pediatrician specializes in the care of children, a geriatrician specializes in the care of older adults. As we age, our bodies’ physiology changes. We react differently to medications, and often experience chronic illnesses or impairments that threaten our independence. A geriatrician is trained to recognize and treat conditions that are unique to older adults. Our geriatricians also provide resources and educational materials that patients can use to maintain healthy lives.

Often, patients who benefit the most from the services of a geriatrician have chronic illnesses, impaired physical function, impaired memory or cognitive function, depression or anxiety, weight loss, problems with balance or recurrent falls, and/or urinary incontinence. CGA should form part of the process of pro-active care.

• When an older person presents with obvious frail syndromes (Falls, confusion, reduced mobility and increasing incontinence).
• When an older person has been discharged from a hospital after presenting a frailty syndrome.
• In care homes, where most residents will have frailty.
• All frail elderly people.

Comprehensive assessment should be done every 2 years for ages 65-74 and yearly for age 75 and older.

Mentioned in services

• Qualified and experience medical consultants detecting the disabilities before the patients complains and prevents its progression.
• Personalized medical care.
• Value for money.
• Treatment with compassion.
• Daycare for Dementia patients

Daycare for physical patients