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