COMPREHENSIVE GERIATRIC ASSESSMENT. MODERN CHALLENGES. PART 2

Sakevych V. D., Trybrat T. A., Boryak V. P., Kozakevich O. B., Liakhovska N. V.

LITERATURE REVIEWS

Scentific article

Abstract. The outbreak of the coronavirus epidemic was, without exaggeration, yet another challenge for humanity on a global basis. On the one hand, it is about the ability to quickly and effectively determine the nature of the causative agent of another disaster and to develop appropriate methods and pharmaceuticals for treatment. The most acute demographic problem is the growing aging of the Ukrainian population. The world is constantly aging. Population aging causes a number of important economic, medical and social problems: a decrease in the cohort of the working population (15-64 years), a decrease in birth rates and an increase in death rates, an increased need for treatment and medical care for lonely elderly people, and soon. Comprehensive geriatric assessment (CGA) is a method of examination that includes determining the physical, functional, psycho-emotional, and social status of an elderly person, followed by the development of an action plan to improve the quality of life. Most of the problems related to the diagnosis, treatment and rehabilitation of the elderly have to be solved by general practitioners, who must have general clinical training and the ability to deal with related, interdisciplinary issues. For this purpose, specialscales are used to diagnose depression and dementia, of which the Geriatric Depression Scale (GDS-15) is the most widely used. The Mini-Cogte stand a short MMSE (Mini-Mental State Examination) scale are often used to diagnose dementia. For screening of mental abilities, it is recommended to use the Montreal scale of cognitive assessment (MoCA, Montreal Cognitive Assessment). Currently, increasing attention to gerontological issues in the context of awareness of the status of the elderly as a special social problem. Thus, the new challenges of restructuring various aspects of the lives of elderly people in the context of the COVID-19 pandemic require more systematic, comprehensive geriatric assessment to prevent likely consequences and provide medical and social care.

complex geriatric assessment, functional, psychoemotional, social status, COVID-19.

1. Ob”yedinennyye Natsii. Analiticheskaya zapiska: vliyaniye covid-19 na pozhilykh lyudey [Internet]. 2020. Dostupno: https://www.un.org/ sites/un2. un.org/files/old_persons_russian.pdf.
2. Centre for Mathematical Modelling of Infectious Diseases. Global, regional, and national estimates of the population at increased risk of severe COVID-19 due to underlying health conditions in 2020: a modelling study [Internet]. London: CMMID; 2020 [updated 2020 April 13; cited 2020 June 16]. Available from: https://cmmid.github.io/topics/covid19/Global_risk_factors.html.
3.  Centers for Disease Control and Prevention. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) – United States, February 12 – March 16, 2020 [Internet]. CDC: MMWR; 2020. Available from: https: //www.cdc.gov/mmwr/volumes/69/wr/ mm6912e2.htm?s_cid=mm6912e2_w.
4. OCHA. Global Humanitarian Response Plan COVID-19 [Internet]. Geneva: OCHA; 2020. Available from: https://www.unocha.org/sites/ unocha/files/ Global-Humanitarian-Response-Plan-COVID-19.pdf.
5. Sakevych VD, Trybrat TA, Lyakhovsʹka NV, Sakevych VI, Redchytsʹ IV. Osnovy kompleksnoyi heriatrychnoyi otsinky. Homeorez yak predyktor funktsionalʹnoho status. Visnyk problem biolohiyi i medytsyny. 2019;4(2):41-47. [in Ukrainian].
6. Ammosova YeYe. Kompleksnaya geriatricheskaya otsenka v usloviyakh doma-internata. Rossiyskiy semeynyy vrach. 2018;22(2):25-29. [in Russian].
7. Volkov VP. redaktor. Aktual’nyye problem gerontologii i geriatriya: monografiya. Novosibirsk: Izd. «Sybak»; 2015. 138 s. [in Russian].
8. Turusheva AV, Frolova YeV, Degriz ZHM. Evolyutsiya teorii starcheskoy asteniyey. Vestnik Severo-Zapadnogo gosudarstvennogo meditsinskogo universiteta. 2017;9(1):117-124. [in Russian].
9. Yarygin VN, Melent’yev AS, redaktory. Rukovodstvo po gerontology I igeriatrii: Klinicheskaya geriatriya. Moskva: GEOTAR-Media; 2010. 896 s. [in Russian].
10. Melokhin AI. Algoritm kompleksnoy geriatricheskoy otsenki sostoyaniya zdorov’ya v pozhilogo i starcheskogo vozraste. Klinicheskaya i meditsinskaya psikhologiya: issledovaniya, obucheniye, praktika. 2016;3(13):1. [in Russian].
11. Kulichenko LL, Ivakhnenko IV. Kharakteristika somaticheskoy patologii u lyudey pozhilogo i starcheskogo vozrasta. Volgogradskiy nauchno-meditsinskiy zhurnal. 2012;1:88-89. [in Russian].
12. Sakevych VD, Trybrat TA, Sakevych VY, Serazhym SN, Subota EN. Metabolichnyy syndrom ta fenomen insulinorezystentnosti. Heryatrychni aspekty problemy.Visnyk problem biolohiyi i medytsyny. 2019;2.2(148):53-57. [in Ukrainian].
13. Kaydashev IP, Borzykh OA. Osnovy herontolohiyi. Chastyna 1 ta 2. Navchalʹnyy posibnyk dlya studentiv stomatolohichnykh fakulʹtetiv. Poltava; 2011. 167 s. [in Ukrainian].
14. Medychna sprava. Yak zastosovuvaty Mizhnarodnu klasyfikatsiyu funktsionuvannya, obmezhennya zhyttyediyalʹnosti ta zdorovʺya u reabilitatsiyi [Internet]. 2017. Dostupno: https://www.medsprava.com.ua/article/673-qqq-17-m6-01-06-2017-yak-zastosovuvati-mjnarodnu-klasifkatsyu-funktsonuvannya-obmejennya. [in Ukrainian].
15. Kadykova AS, Manvelova LS. Testyishkaly v nevrologii: rukovodstvo dly avrachey. M.: MEDprecs-inform; 2015. 224 s. [in Russian].
16. Belova AN. Shkaly, testy i oprosniki v reabilitatsii bol’nykh. Moskva: Antidor; 2002. 440 s. [in Russian].
17. Kojima G. Prevalence of Frailty in nursing homes: a systematic review and metaanalysis. J Am Med Dir Assoc. 2015;16:940-945.
18. Iseli R, Nguyen V, Reijnierse E, Sharmin S, Lim W, Maier А. Orthostatic hypotension and cognition in older adults: A systematic review and meta-analysis. Exp Gerontol. 2019;120:40-49. doi: 10.1016/j.exger.2019.02.017.
19. Press Y, Biderman A, Peleg R, Tandeter H, Dwolatzky T, Schluter PJ. Benefits of active participation of family physicians in geriatric consultations. Geriatr Gerontol Int. 2012;12(4):725-732.
20. Schluter PJ, Arnold EP, Jamieson HA. Falls and hip fractures associated with urinary incontinence among older men and women with complex needs: a national population study. Neurourol Urodyn. 2018;37(4):1336-1343.
21. Vaughan L, Corbin AL, Goveas JS. Depression and frailty in later life: a systematic revier. Clin Interv Aging. 2015;10:1947-58.
22. Isakov RI. Obgruntuvannya, zmist I efektyvnistʹ systemy personifikovanoy I psykhodiahnostyky I reabilitatsiyi zhinok z psykhosotsialʹnoyu dezadaptatsiyeyu ta depresyvnymy rozladamy. Medychna psykholohiya. 2020;1.2(15):33-49 23. [in Ukrainian].
23. Normatyvno-dyrektyvni dokumenty MOZ Ukrayiny [Internet]. Nakaz MOZ Ukrayiny № 1003 «Pro zatverdzhennya ta vprovadzhennya medyko-tekhnolohichnykh dokumentiv zi standartyzatsiyi medychnoyi dopomohy pry depresiyi». 2014 Hrud 25. Dostupno: https://zakononline.com.ua/documents /show/595___595. [in Ukrainian].
24. Herasymchuk AA, Palekha YUI, Shyyan OM. Sotsiolohiya. Kyyiv: Vyd-vo Yevropeysʹkoho universytetu; 2004. 246 s. [in Ukrainian].
25. Savina MV. Osobystisni osoblyvosti podruzhzhiv u sim’yakh iz porushennyam yzdorov’ya ta adyktyvnoyu povedinkoyu zhinok. Medychna psykholohiya. 2016;11(3):8-13. [in Ukrainian].

«Bulletin of problems biology and medicine» Issue 2 (160), 2021 year, 48-51 pages, index UDK 616-053.9:616-07/-08

10.29254/2077-4214-2021-2-160-48-51