Overview

This skill bundles STOPP/START v3 for medication appropriateness, the 4AT delirium screen, and the Mini-Cog cognitive screen. It guides input collection, interpretation, and safe decision-making in geriatric care.

How This Skill Works

It provides structured guidance for three geriatric assessments (STOPP/START v3, 4AT, and Mini-Cog) with clear input prompts and interpretation notes. It supports a stepwise workflow, validates eligibility criteria, and surfaces safety caveats and next steps.

When to Use It

• When assessing medication appropriateness in older adults using STOPP/START v3
• When screening for delirium in acutely ill or hospitalized older patients using 4AT
• When performing a brief cognitive screen with the Mini-Cog
• When reconciling medications during intake or discharge to identify omissions or risks
• When you need structured, guideline-driven guidance with safety caveats and clinical judgment

Quick Start

1. Step 1: Confirm clinical context and intended tool
2. Step 2: Collect required inputs and findings
3. Step 3: Validate inclusion/exclusion criteria, apply the tool, and interpret results

Best Practices

• Confirm clinical context and the intended tool before starting
• Collect all required inputs in advance using the tool prompts
• Apply STOPP/START v3, 4AT, and Mini-Cog per official prompts and scoring
• Interpret results with clinical judgment and local policies
• Document findings clearly and outline safety caveats and next steps

Example Use Cases

• Reviewing polypharmacy in a 78-year-old to identify potentially inappropriate meds with STOPP/START v3
• Using 4AT delirium screening in an elderly post-operative patient
• Administering Mini-Cog to establish baseline cognition before treatment decisions
• Incorporating geriatrics-tools into a primary care med reconciliation workflow
• Interpreting results with safety caveats and planning next steps in care

Frequently Asked Questions