Table 3: Components of the evaluation program for elderly people at risk of functional decline | ||
Dimension | Evaluation method | Interventions |
Medications | > 3/day Compliance problems Interactions | Multidisciplinary assessment of the medication profile and recommendations to the physician |
Cognitive functions | 3MS* < 80/10054,55 | Assessment at the memory clinic |
Depression | Geriatric Depression Scale56 > 14 | Geriatric psychiatric assessment and treatment |
Balance or risk of falling | Tinetti's Gait and Balance Test < 27/4057 | Balance and gait rehabilitation program |
Orthostatic hypotension | Difference in systolic BP > 20 mm Hg | Assessment and treatment by the family physician |
Environmental risks | Inventory of risks | Occupational therapy assessment of the home and corrections |
Social support | SMAF (handicap score > 0)27 | Social assessment and intervention |
Nutrition | Payette's Malnutrition Risk Questionnaire > 5/1658 | Dietary assessment and intervention |
Arterial hypertension | BP > 160/120 mm Hg (2 measures taken lying down) | Assessment and treatment by the family physician |
Vision | Visual acuity and fields | Ophthalmologic assessment and treatment |
Hearing | Hearing Handicap Inventory for the Elderly59 | Audiologic assessment and treatment |
Incontinence | SMAF27 | Urodynamic assessment and intervention |
*Modified Mini-Mental State.
Blood pressure. Functional Autonomy Measurement System. |