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Monitoring Care of the Older Adult Functional Assessment of the Older Adult II

Monitoring Care of the Older Adult Functional Assessment of the Older Adult II. Myriam Edwards MD Geriatrician, Assistant Professor, and Geriatric Medicine Fellowship Program Director Hurley Medical Center / Michigan State University. Lakshmi Gowda MD Geriatric Medicine Fellow

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Monitoring Care of the Older Adult Functional Assessment of the Older Adult II

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  1. 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

  2. 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 by Mark Ensberg, MD Geriatric Education Center Michigan State University

  3. Functional Assessment • Cognitive • Physical • Psychological • Social Support • Environment

  4. Functional Assessment (Review) Is it Medical? Or Functional? • Goals of Care • Maintain Function • Rehabilitation (improve function) • Support (expected decline) • Monitor Effectiveness of Interventions • Measure of Outcome

  5. Functional Assessment • Monitor Interventions • Review of Medication List • Drug Side Effects

  6. Monitoring Medical Intervention:Balance Medical Rx and Function

  7. Examples: Monitoring • Compression Fracture • Atrial fibrillation • Polypharmacy

  8. Managing Polypharmacy • Increased Confusion • Unsteadiness & Falls • Nausea or Constipation • Depression or Anxiety

  9. Instrumental Activities of Daily Living: ENVIRONMENT

  10. Quality of Life

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