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.

• Disorganized thinking OR Altered level of consciousness Screening for depression is discussed below (“Screening for depression”). To diagnose dementia, a thorough history and physical examination assist in the diagnosis of dementia and the cause of dementia. Substantial evidence exists, however, that several rapid screening tests – some

  Disorganized