Transcription of GERIATRIC FUNCTIONAL ASSESSMENT
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GERIATRIC FUNCTIONAL ASSESSMENT
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 Medicine2003 Students: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 CONTENTSI ntroduction 1 Goals and Intended Learning Outcomes 2 Guidelines for Standardized Patient Interview 3 Instructional materials:Assessing Patients FUNCTIONAL Status 4 Screening for Cognitive impairment 5 Screening for Depression 7 Evaluating Patients with Gait Instability or Falls 9 Communicating with Older Patients11 ASSESSMENT tools: FUNCTIONAL impairment ADLs, IADLs13 Gait instability/risk for fallsTimed Up and Go Test13 Cognitive ImpairmentMini-Cog14 Major Depressive Illness2-question Screener14 Reference List15 Tools for GERIATRIC Care pocket card attached1 INTRODUCTIONAll 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 ...
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