Table 2.

Geriatric Assessment-Guided Interventions

Geriatric Assessment (GA) Measure	GA-guided Interventions
FUNCTION and FALLS
Instrumental Activities of Daily Living deficit History of falls	-Physical therapy (PT) and/or occupational therapy referrals (OT) to prescribe strength and balance training, assist 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
Geriatric Depression Screen (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)