Lakshmi Gowda MD
Geriatric Medicine Fellow
Hurley Medical Center /
Michigan State University
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
Think about an older person you have
admired. Reflect on the good (or bad) times
you’ve had with that person.
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What was important to that older person?
•
What did that older person value?
Family &
Friends
Spirituality
Activity &
Mobility
Independence
Home
Mild Cognitive Impairment
Delirium (acute confusion)
Dementia (chronic confusion)
Education
Gait and Balance
Activities of Daily Living
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•
•
•
•
•
Feeding
Continence
Transferring
Toileting
Dressing
Bathing
Shopping
Transportation
Finances
Housework
Medication
Meal
Preparation
Telephone
Instrumental Activities
of Daily Living:
Cognitive
• Delirium
• Dementia
• Education
Psychosocial
/ Spiritual
• Anxiety
• Depression
• Personality
• Support
Burden
Physical
• ADL
• Gait
• Balance
Psychological
• Depression
• Anxiety
• Personality
Social
• Social Support
• Caregiver Burden
Spiritual
Environment
Cognitive
Physical
Psychological
Social
Support
Functional assessment looks at fit in environment
Altered presentation
of illness
Is it
medical?
Or
functional
?
Sensitive
indicator
of disease
Goals of
care
Consistent approach
Information for making decisions
Common language
Mechanism for re-evaluation
Monitor outcomes
Instrumental Activities
of Daily Living:
Cognitive
• Delirium
• Dementia
• Education
Psychosocial
/ Spiritual
• Anxiety
• Depression
• Personality
• Support
Burden
Physical
• ADL
• Gait
• Balance
Home
Family &
Friends
Independence
Activity &
Mobility
Spirituality