Monitoring Care of the Older Adult Functional Assessment of the Older Adult II
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Transcript of Monitoring Care of the Older Adult Functional Assessment of the Older Adult II
MONITORING CARE OF THE OLDER ADULTFUNCTIONAL ASSESSMENT OF THE OLDER ADULT II
Myriam Edwards MD Geriatrician, Assistant Professor, andGeriatric Medicine Fellowship Program Director
Hurley Medical Center / Michigan State University
Lakshmi Gowda MD Geriatric Medicine Fellow
Hurley Medical Center / Michigan State University
Geriatric Education Center of Michigan
Geriatric Education Center of Michigan activities are supported by a grant from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Public Health Service Act, Title VII, Section 753(a).
This module was developed byMark Ensberg, MDGeriatric Education CenterMichigan State University
FUNCTIONAL ASSESSMENT Cognitive Physical Psychological Social Support Environment
Is it Medical? Or Functional? Goals of Care
Maintain FunctionRehabilitation (improve function)Support (expected decline)
Monitor Effectiveness of Interventions Measure of Outcome
FUNCTIONAL ASSESSMENT (REVIEW)
FUNCTIONAL ASSESSMENT
Monitor Interventions Review of Medication List Drug Side Effects
MONITORING MEDICAL INTERVENTION:BALANCE MEDICAL RX AND FUNCTION
Medical Status
Functional Status
EXAMPLES: MONITORING
Compression Fracture Atrial fibrillation Polypharmacy
MANAGING POLYPHARMACY
Increased Confusion
Unsteadiness & Falls
Nausea or Constipation
Depression or Anxiety
Cognitive• Delirium• Dementia• Education
Physical• ADL• Gait• Balance
Psychosocial/ Spiritual• Anxiety• Depression• Personality• Support
Burden
ENVIRONMENT
Instrumental Activities of Daily Living:
QUALITY OF LIFE
Home Independence Activity & Mobility
SpiritualityFamily & Friends