Phyllis Brostoff a highly respected and esteemed care manager of Stonewall Associates, who contributed to my chapter Care Planning and Geriatric Assessment, in Handbook of Geriatric Care Management, devised the 4 Cs of writing a geriatric assessment that are invaluable in checking your document.
C- The first is clarity—make sure your facts are presented clearly. In Mrs. geriatric assessment, you would not say, “Mrs. Typhoon looked depressed.” You would state, “When visiting Mrs. Typhoon on November 1, 2002, Mrs. Typhoon stated to the GCM that she was feeling depressed.”
C The second C is cohesiveness. This means organization. For example, don’t put information about the client’s depression in the Home Management section of your geriatric assessment. Mrs. Typhoon feeling depressed does not go in the Home Safety section. Do not commingle sections. Write a tight outline, follow it, and make your written assessment cohesive.
C The third C is completeness. You have conducted multiple assessments, but have you filled in every line like a good detective? Have you answered every question fully? With Mrs. Typhoon, did you answer the question of why she was having falls? The answers were many: having no care providers, having to walk down a flight of steps to the laundry, having no portable phone, having a teapot that could not turn itself off, not attending the Carmel Foundation where she had supervision, and so forth.
C The fourth C is coherence. Your geriatric assessment must lead to logical conclusions. In the beginning of Mrs. Typhoon’s geriatric assessment, her daughter Ms. Tornado wanted you to find out why her mother had multiple falls, and what level of care her mother belonged in. You need to offer a solution to these beginning problems in your conclusion section—why is Mrs. Typhoon falling, and where should she live?
Learn more about creating a care plan, doing multiple assessments and writing a geriatric assessment in my free webinar ‘ Writing a Winning Geriatric Assessment ” January 25 . Sign-up . Get 1.5 CEU’s from NACCUM.