12
Interventions
Table 2. GA-Guided Interventions
GA Measure GA-guided Interventions
Function and Falls
IADLs deficit
History of falls
• Physical therapy (PT) and/or occupational therapy referrals
(OT) to prescribe strength and balance training, assistive
device evaluation, home exercise program, and safety
evaluation
• Fall prevention discussion
• Home safety evaluation
Comorbidity Domain
Comorbidity and
polypharmacy
considerations
• Involve caregiver in discussions to assess risks of therapy and
management of comorbidities
• Involve primary care physician and/or geriatrician in decision-
making for treatment and management of comorbidities;
consider referral to geriatrician
• Review medication list and minimize medications as much as
possible; consider involving a pharmacist
• Assess adherence to medications; have patient bring in
medications to review
Cognition
Screen positive on
validated cognitive
screen
• Assess decision-making capacity and ability to consent for
treatment
• Identification of health care proxy and involve proxy in
decision-making for treatment including signing consent forms
with patient
• Delirium risk counseling for patient and family
• Medication review – minimize medications with higher risk
of delirium
• Consider further work up with geriatrician or cognitive
specialist
Depression
GDS >5 • Consider referral for psychotherapy/psychiatry
• Consider cognitive-behavioral-therapy
• Social work involvement
• Consider pharmacologic therapy
Nutrition
Weight loss >10% • Nutrition counseling
• Referral to nutritionist/dietician
• Assess need for extra support for meal preparation and
institute support interventions if necessary (e.g., caregiver,
Meals-on-Wheels)
