GERIATRIC FUNCTIONAL ASSESSMENT

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GERIATRIC FUNCTIONALASSESSMENTAn educational exercise with a Standardized Patient Instructor emphasizing functionalstatus ASSESSMENT and communication skills relevant to the care of older patients. Division of GERIATRIC MedicineDepartment of Internal Medicine2003Students:Please review this material carefully prior to the exercise and bring yourTools for GERIATRIC Care pocket TO THE 3RD FLOOR LOBBY OFTAUBMAN MEDICAL LIBRARY (LRC)TABLE OF CONTENTSIntroduction 1Goals and Intended Learning Outcomes 2Guidelines for Standardized Patient Interview 3Instructional materials:Assessing Patients FUNCTIONAL Status 4Screening for Cognitive impairment 5Screening for Depression 7Evaluating Patients with Gait Instability or Falls 9Communicating with Older Patients11Assessment tools: FUNCTIONAL impairment ADLs, IADLs13Gait instability/risk for fallsTimed Up and Go Test13Cognitive ImpairmentMini-Cog14Major Depressive Illness2-question Screener14Reference List15Tools for GERIATRIC Care pocket card attached1INTRODUCTIONAll physicians who care for adults are caring for an increasingly large number ofolder patients.

The prevalence of clinically significant cognitive impairment is roughly 3% among persons 65 years of age or older, and doubles in prevalence every 5 years reaching 40-50% among persons 90 years of age or older. Most patients with dementia do not complain of memory loss or even volunteer symptoms of cognitive impairment unless specifically ...

  Memory, Impairment