Geriatrics

Comprehensive geriatric assessment (CGA) and frailty evaluation

Polypharmacy risk: Patient on 9 medications. Review for drug-drug interactions and deprescribing opportunities.

Patient: Sushila Mehta, 82F

UHID: UH-2026-0788

Reason for CGA: Recurrent falls + memory decline x 6 months

Living arrangement: Lives with daughter, ground floor, no steps

Barthel Index (0–100): 55 — Moderate dependence

Katz ADL Score: 3/6

IADL Score (0–8): 2/8

Clinical Frailty Scale: 5 — Mildly frail

Timed Up & Go (sec): 18 s (↑ fall risk if > 12s)

Gait speed: 0.7 m/s (slow)

MMSE Score: 22/30 — Mild cognitive impairment

MoCA Score: 18/30 — Suspected MCI

GDS-15 (depression): 7/15 — Suggests depression

Delirium screen: No acute delirium

Falls Risk

High — TUG 18s + recurrent falls

Nutritional Status (MNA-SF)

Plan