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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.

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

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