Functional decline in old age

 

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 SMAF‡27 Urodynamic assessment and intervention
*Modified Mini-Mental State.
†Blood pressure.
‡Functional Autonomy Measurement System.

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| CMAJ October 15, 1997 (vol 157, no 8) / JAMC le 15 octobre 1997 (vol 157, no 8) |

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