Transcription of 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 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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