Table 1.

Geriatric Assessment domains, scoring tools and management interventions

	Assessment Tool	Scoring Cutoff	Targeted GA Management Recommendations
Physical Function
	ADL/IADL Fall History SPPB	ADL/IADL impairment + history of falls SPPB <9	Consider PT and/or OT referral Provide Handouts (Fall precautions, Energy conservation, exercise) Home Safety Evaluation Vitamin D Screen with repletion Consider initial dose reduction Medication review – minimize high risk medications Personal Emergency Response System if Alone Visiting Nurse Services and Home Health Aid Referral
Nutrition
	Weight loss <5% in past 6 months	Current weight and weight 6 months ago	Handout (nutritional counseling) Nutrition referral Consider Meals-On-Wheels
Social Support
	Older Adults and Resources and Services Questionnaire (OARS) Medical Social Support Survey	Any answer “none of the time” or “a little of the time	Visiting Nurse Services and Home Health Aid Referral Ride Assistance Programs Social Work Involvement Consider Meals-On-Wheels
Cognition
	Blessed Orientation Memory Concentration Test (BOMC) Mini-Cog	BOMC >10 Mini-Cog abnormal	Identification of health care proxy Co-sign for consents Delirium risk handout Pillbox Medication review – minimize high risk medications Social work involvement Consider initial dose reduction
Polypharmacy
	Medication review	>5 medications Any high risk medications	Pillbox Minimize high risk medications
Comorbidity
	OARS Comorbidity survey	Self-report of Diabetes Mellitus, Kidney disease	Consider initial dose reduction Diabetes history – potentially avoid neurotoxic agents Kidney disease history – avoid nephrotoxic agents
Psychological
	Geriatric Depression Screen (GDS)	GDS score >5	Consider pharmacologic therapy Consider referral for psychotherapy/psychiatry Social work involvement Support group information Consider referral to chaplain/spiritual counseling