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Integrated community CGA — DGM MCQ

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HardCGA and discharge planningIntegrated community CGADGM

An 85-year-old woman has repeated falls, weight loss, loneliness and poor medication adherence after her husband died. She has no acute hospital need, but her GP is concerned that separate referrals will fragment care. What is the most appropriate referral?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: ACommunity geriatrician or integrated frailty service

An integrated frailty or community geriatric service can coordinate CGA across medical, functional, social and psychological domains. Emergency admission for social reasons is not ideal when there is no acute need. Bereavement may need support, but it is part of a broader frailty picture.

Reference: BGS Fit for Frailty; RCP DGM syllabus