112 Chapter 5 Table 4 Pre-post effects of the geriatric education program on EPs’ medical practice. Pre (n=50) Post (n=50) p-value History-taking Fall risk, n (%) 13 (26) 7 (14) 0.21 Cognitive status, n (%) 7 (14) 5 (10) 0.76 Delirium, n (%) 1 (2) 0 (0) 1.01 Mood, n (%) 1 (2) 1 (2) 1.00 Behavior (e.g., passive, aggressive, nervous), n (%) 2 (4) 2 (4) 1.00 Nutritional status, n (%) 4 (8) 4 (8) 1.00 Incontinence (urinary or fecal), n (%) 6 (12) 4 (8) 0.74 Social circumstances*, n (%) 16 (32) 27 (54) 0.04 Sensory capacity‡, n (%) 1 (2) 6 (12) 0.11 Basic ADL†, n (%) 6 (12) 14 (28) 0.07 IADL§, n (%) 3 (6) 9 (18) 0.12 Performed diagnostics Use of laboratory tests, n (%) 29 (58) 36 (72) 0.21 Use of urinary tests, n (%) 10 (20) 12 (24) 0.81 Use of ECG, n (%) 26 (52) 30 (60) 0.55 Use of X-rays, n (%) 41 (82) 43 (86) 0.79 Consultation requests Consultation from any type of medical specialist, n (%) 41 (82) 37 (74) 0.47 >1 medical specialists in consultation, n (%) 17 (34) 11 (22) 0.25 Consultation from geriatrician, n (%) 13 (26) 12 (24) 0.82 Problem definition of CGA Medical assessment, n (%) 50 (100) 50 (100) 1.00 Psychological assessment, n (%) 2 (4) 2 (4) 1.00 Assessment of functioning, n (%) 4 (8) 1 (2) 0.36 Social assessment, n (%) 4 (8) 2 (4) 0.68 ADL=Activities of Daily Living; IADL=Instrumental Activities of Daily Living; ECG=electrocardiogram. * Information on patient’s living condition, household and (in)formal support received at the home or in the community. ‡ Vision, hearing, smell, taste, peripheral sensation. † Basic self-care tasks: i.e., eating, washing, dressing, functional mobility, toilet hygiene, grooming. §Tasks that people need to manage in order to live at home and be fully independent: i.e., moving within the community, preparing meals, managing money, doing groceries.
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