Functional Assessment Janice E. Knoefel, MD, MPH Professor of Medicine & Neurology University of New Mexico
|
|
- Lisa Webb
- 5 years ago
- Views:
Transcription
1 Janice E. Knoefel, MD, MPH Professor of Medicine & Neurology University of New Mexico Retired - Geriatrics/Extended Care New Mexico Veterans Affairs Healthcare System Albuquerque, NM
2 Disclosure Statement: Dr. Knoefel has nothing to disclose
3 Learning Objectives: 1. Understand the principles of Comprehensive Geriatric Assessment 2. Develop strategies to adapt CGA for individual clinical practices
4 The model, borrowed from traditional rehabilitation by the geriatric community, has developed into the principle of comprehensive geriatric assessment (CGA) Rehabilitation wishes to identify and treat patients who benefit from rehabilitation; the clinician wishes to identify elderly at risk for functional decline and treat appropriately.
5 Developed in the late 1940s in the United Kingdom as a way to identify seniors in need of services Adapted in the 1970s by US as a way to screen frail seniors who appeared to require nursing home care because of physical or cognitive decline. Many undiagnosed illnesses, 15% mortality at 6 months Initially an inpatient model, now outpatient care
6 Traditional Rehabilitation Disease -> impairment -> disability -> handicap Example: Degenerative joint disease (DJD) -> pain -> gait disturbance -> unable to access 2nd-floor apartment Interventions: Disease-specific (nonsteroidal anti-inflammatory drugs [NSAIDs], total knee replacement [TKR]) -> impairment management (pain control) -> disability compensation (cane) ->environmental modification (move to 1st-floor apartment)
7 Clinicians often back into the issue: Patient is failing, family is complaining, something is changing. Why is patient not the same as last year, 2 years ago??undiagnosed new illness?chronic condition worsening?deconditioning,?drug effects,?dementia
8 : Goals Identify limitations of patient ability to function in daily life. Develop strategies/interventions to improve function. In other words: What cannot be done, why cannot it, what can be done to fix the limitation (patient-based intervention) or change task (environmental remediation)
9 Dimensions of assessment: Medical, including drug use Functional Physical Cognitive Sensory Psychologic Social
10 Core team members: Physician/healthcare professional Nurse/nurse practitioner/home care nurse Social worker Makeup of core team members dependent on setting, specific goals of assessment team
11 Ad hoc team members: Dietitian Pharmacist Rehabilitation therapist(s) Psychologist Dentist Spiritual counselor Audiologist
12 Consultative versus primary care practice Settings: Outpatient clinic Inpatient unit Home and community Long-term care facility
13 Components of assessment: Targeting patients likely to benefit Performing the evaluation, making recommendations Implementing recommendations Monitoring outcomes
14 : Targeting Frail Elders Prevalence of disability increases with age and some have recommended using age as one criteria (ie, all individuals older than 75 years). Investigational criteria use a number of factors: Age, comorbidity, known functional deficits, psychologic and social factors (depression, social isolation), use of health care services
15 : Targeting Frail Elders Researchers have proposed using hospitalizations or ER visits as a proxy for a high-risk population. Post hoc analysis showed that predictive factors were: Number of medical diagnoses Number of drugs Loss of 2 or more intermediate activities of daily living (IADLs)
16 : Targeting Frail Elders My criteria: New drug compliance issues Cancellation or no-show for appointments Family members start calling office Family members start to accompany patient to office Unexplained weight loss Change in appearance or behavior
17 : Targeting New Elders New Medicare approved Welcome to Medicare examination - meant as a screening and preventive examination. This is a one-time comprehensive medical review and physical examination in the first 6 months that patient has Part B Medicare coverage. Good way to get baseline on patients newly eligible for Medicare, however, few meet the frail elderly designation.
18 : Outcomes Decreased NH admissions Decreased drug use Major and minor new diagnoses Decreased annual medical cost of care Decreased mortality rate, no loss of quality of life (QOL) Increased independent function Increased patient/family satisfaction
19 Medical assessment: Current condition Medical and surgical history Drugs: Prescriptions, herbal supplements, and over-the-counter (OTC) drugs Allergies Habits: Tobacco, alcohol, diet, exercise Health maintenance: Immunizations; dental, eye and hearing examinations; Fecal Occult Blood; mammogram; Pap test; breast examination Family history
20 Social assessment: Marital status, family members Educational and occupational history Housing status Financial concerns, income status Hobbies and activities Sexual history Religious preferences
21 Functional status: Activities of daily living (ADL) Bathing Dressing Personal grooming Eating Transfers Toileting Continence Ambulation
22 Functional status: IADL Shopping Meal preparation Taking drugs Housekeeping Laundry Transportation Telephone use/communication Managing personal finances
23 Functional status review counts as review of systems (ROS) Supplement for additional ROS as needed Advance directives Driving: Still driving? Any accidents? Change of driving habits? Gotten lost, lost the car?
24 Physical examination: Need to include some measure of visual and auditory acuity Cognitive examination: Mini-Mental State Examination (MMSE) Psychiatric examination: Geriatric Depression Scale Performance examination: Get-up-and-go test Neurologic examination: Other measures of balance and gait
25 Coding: Use evaluation and management (E/M) codes, aim for level 5 History: Chief report, history of present illness Medical and surgical history Drug review Family and social history ROS need to review 10+ systems Examination: Multisystem examination needs to look at 8 of the 12 areas
26 Decision-making needs to be high complex: 8 or more diagnoses Review management of all diagnoses, but do not need to change if in agreement. Diagnoses include constipation, pain, hearing loss, skin dx, dry eyes, etc. Counseling can upgrade 1 level: Include time in minutes and subject of discussion
27 Delegate data collection Minimize data recording time Keep information needed for decisionmaking readily available Delegate plan execution
28 Strategies for Saving Time Previsit questionnaire: Medical history: o Current drugs o Drug allergies o Surgical and medical diagnosis and procedures o Social history o Health maintenance and preventive services Home safety checklist Advance directives
29 Strategies for Saving Time Specific questions on: Vision Hearing Dentition Falls Urinary incontinence Nutrition Depression symptoms Functional status
30 Strategies for Saving Time Minimize data recording time: Dictation Templates Word processing programs Computerized medical records
31 Strategies for Saving Time Keep information needed for decisionmaking readily available: Pocket guides PDA programs Useful books and charts Computer retrieval system
32 Strategies for Saving Time Delegate plan execution: Network of health professionals Health educators Patient education handouts
33 Assessing Care of the Vulnerable Elderly Assessing Care of the Vulnerable Elders (ACOVE) ove/index.htm Can find: Office forms Physician education Patient education More information and reprints
4/26/2012. Laura Grooms, MD Assistant Professor Geriatric Medicine Department of Family and Geriatric Medicine University of Louisville April 20, 2012
Laura Grooms, MD Assistant Professor Geriatric Medicine Department of Family and Geriatric Medicine University of Louisville April 20, 2012 Laura Grooms, MD Assistant Professor Geriatric Medicine Department
More information9/8/2017 OBJECTIVES:
OBJECTIVES: To help caregivers indentify geriatric conditions by performing a simplified geriatric assessment to better manage these conditions and prevent or delay their complications. Discuss Geriatric
More informationEvaluating Functional Status in Hospitalized Geriatric Patients. UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series
Evaluating Functional Status in Hospitalized Geriatric Patients UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series Case 88 y.o. woman was admitted for a fall onto her hip. She is having trouble
More informationThe Annual Wellness Visit for Medicare Beneficiaries/PCP and Care Transitions
The Annual Wellness Visit for Medicare Beneficiaries/PCP and Care Transitions Optimizing Benefit for Patient and Physician Annette Carron, DO, CMD, FACOI, FAAHPM Geriatrics and Palliative Care Henry Ford
More informationPRE-VISIT QUESTIONNAIRE FOR NEW PATIENTS
UF Health Senior Care PO Box 100383 Gainesville, FL 32608 352-265-0615 Fax 352-294-5803 PRE-VISIT QUESTIONNAIRE FOR NEW PATIENTS Please complete this questionnaire at home and bring it with you to the
More informationDementia and Fall Geriatric Interprofessional Training. Wael Hamade, MD, FAAFP
Dementia and Fall Geriatric Interprofessional Training Wael Hamade, MD, FAAFP Prevalence of Dementia Age range 65-74 5% % affected 75-84 15-25% 85 and older 36-50% 5.4 Million American have AD Dementia
More informationWelcome to the Centre for Aging and Wellness at Florida Hospital!
133 Benmore Dr. Winter Park, FL 32789 PH: 407-599-6060 FAX: 407-646-7747 Welcome to the Centre for Aging and Wellness at Florida Hospital! We are pleased you have chosen us as part of your health care
More informationClinical Toolbox for Geriatric Care 2004 Society of Hospital Medicine 1 of 7
PHYSICAL SELF-MAINTENANCE SCALE (ACTIVITIES OF DAILY LIVING, OR ADLs) In each category, circle the item that most closely describes the person's highest level of functioning and record the score assigned
More informationOutcomes in GEM models of geriatric care: How do we measure success? Disclosure. Objectives. Geriatric Grand Rounds
Geriatric Grand Rounds Tuesday, October 7, 2008 12:00 noon Dr. Bill Black Auditorium Glenrose Rehabilitation Hospital Outcomes in GEM models of geriatric care: How do we measure success? In keeping with
More informationUnderstanding Dementia &
Understanding Dementia & Care Options for Those Suffering with the Disease Paige Landry BSN Hospice Care Consultant SouthernCare New Beacon Hospice Objectives Understand Dementia Understand Common Problems
More informationStrategies To Maintain Independence In The Elderly
Strategies To Maintain Independence In The Elderly Laura Seriguchi, RN Guardian Medical Monitoring, Inc. And in the end, it s not the years in your life that count, it s the life in your years. ABRAHAM
More informationGERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 5 - CAREGIVING
GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 5 - CAREGIVING Table of Contents Introduction... 2 Purpose... 2 Serving Senior Medicare-Medicaid Enrollees... 2 How to Use This Tool... 2 5 Caregiving... 3
More informationPatient Sticky Label. A Resource Guide for Stroke Survivors and their Caregivers
A Resource Guide for Stroke Survivors and their Caregivers Patient Sticky Label An initiative of the Stroke Services Improvement (SSI) team in collaboration with all public hospitals in Singapore. Learning
More informationFrailty and falls assessment and intervention tool
Frailty and falls assessment and intervention tool Contents Frailty and falls 4 Social circumstances 5 Mental health 6 Environment 7 Nutrition 8 Dizziness or blackout 9 Medications 10 Mobility and balance
More informationUNTHSC TCOM Geriatric Competencies Curriculum Mapping Document
INSTRUCTIONS: Place a "B" (Basic), "I" (Intermediate), or "A" (Advanced) in the box next to the Geriatric Competency to indicate the Geraitaric Competency being taught, the corresponding Method of Subject
More informationHealthy Body, Healthy Mind
Volume 3 Spring 2016 The Firelands S.P.O.T. Inside this issue: 2 Speech Therapy Corner REPORT 3 Physical Therapy Corner Your quarterly guide to new information, insights, and events from Speech, Physical,
More informationMultidisciplinary Geriatric Assessment of the Older Adult
Geriatrics-Competent Care Webinar Series Multidisciplinary Geriatric Assessment of the Older Adult August 28, 2014 Multidisciplinary Geriatric Assessment of the Older Adult Conducting an evaluation of
More informationUniversity of Michigan Health System Internal Medicine Residency. Geriatrics: Ambulatory Rotation Curriculum
Version date: 8/2010 University of Michigan Health System Internal Medicine Residency : Ambulatory Rotation Curriculum Subspecialty Education Coordinators: Jocelyn Wiggins, MD and Alan Denigz, MD Subspecialty
More informationClinical HEDIS Medicare Stars Quick Reference Guide
Clinical HEDIS Medicare Stars Quick Reference Guide MEASURE Adult BMI Assessment (ABA) Breast Cancer Screening (BCS) SPECIFICATIONS The percentage of members 18 74 years of age who had an outpatient visit
More informationPsychosocial Problems In Reproductive Health Of Elders
Psychosocial Problems In Reproductive Health Of Elders Dr. Sonia Oveisi Maternity and Child Health Assistant Professor of Qazvin University of Medical Science 6/2/2014 1 Goals 1. Definition 2. Epidemiology
More informationThe Chinese University of Hong Kong The Nethersole School of Nursing. CADENZA Training Programme
The Chinese University of Hong Kong The Nethersole School of Nursing CTP 004 Evidence-based Practice for Dementia Care Web-based Course Module II for Professional Social and Health Care Workers. 1 Chapter
More informationPLEASE FILL OUT & RETURN
PLEASE FILL OUT & RETURN MEDICATION THERAPY MANAGEMENT (MTM) PROGRAM CONSENT and AUTHORIZATION for RELEASE of INFORMATION I agree to participate in the Medication Therapy Management (MTM) Program. I will
More informationFrailty in Older Adults
Frailty in Older Adults John Puxty puxtyj@providencecare Geriatrics 20/20: Bringing Current Issues into Perspective Session Overview Definition of Frailty Strategies for identifying frail older adults
More informationQuality ID #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care
Quality ID #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Process DESCRIPTION:
More informationMultifactorial risk assessments and evidence-based interventions to address falls in primary care. Objectives. Importance
Multifactorial risk assessments and evidence-based interventions to address falls in primary care Sarah Ross, DO, MS Assistant Professor Internal Medicine, Geriatrics Nicoleta Bugnariu, PT, PhD Associate
More informationUCLA Alzheimer s and Dementia Care Program. 200 UCLA Medical Plaza, Suite 365A Los Angeles, CA
UNIVERSITY OF CALIFORNIA, LOS ANGELES UCLA BERKELEY DAVIS IRVINE LOS ANGELES MERCED RIVERSIDE SAN DIEGO SAN FRANCISCO SANTA BARBARA SANTA CRUZ Alzheimer s and Dementia Care Program 200 UCLA Medical Plaza,
More informationDESCRIPTION: Percentage of patients with dementia for whom an assessment of functional status was performed at least once in the last 12 months
Quality ID #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care Meaningful Measure Area: Prevention, Treatment, and Management of Mental Health 2019 COLLECTION
More informationDementia and Primary Care. A Structured Team Approach UNE/MGEC Conference June 2014
Dementia and Primary Care A Structured Team Approach UNE/MGEC Conference June 2014 First Proviso I have no actual or potential conflict of interest in relation to this program or presentation. Second Proviso
More informationMedicare Annual Wellness Visit Questionnaire
Medicare Annual Wellness Visit Questionnaire Answering these questions will help you and your health care provider develop a personalized prevention plan to help you stay healthy and plan for future health
More informationComprehensive Geriatric Assessment (CGA) Alison A. Moore, MD, MPH UC San Diego Division of Geriatrics and Gerontology
Comprehensive Geriatric Assessment (CGA) Alison A. Moore, MD, MPH UC San Diego Division of Geriatrics and Gerontology What will be covered 5 Ms of Geriatrics Components of CGA Case-based example with screening
More informationElliot Senior Specialty Services. in Greater Manchester. 138 Webster Street Manchester NH
Elliot Senior Specialty Services in Greater Manchester 138 Webster Street Manchester NH 03104 603-663-7000 Dedicated to helping seniors achieve their maximum quality of life ELLIOT SENIOR SPECIALTY SERVICES
More informationWelcome. to Elliot Senior Health Center
H e l p i n g O u r S e n i o r s L i v e B e t t e r Welcome to Elliot Senior Health Center Our Philosophy The medical needs of senior citizens require comprehensive and specialized treatment in order
More informationPaying for Dementia Care. Mary Ann Forciea MD Clinical Professor of Medicine Division of Geriatric Medicine University of Pennsylvania Health System
Paying for Dementia Care Mary Ann Forciea MD Clinical Professor of Medicine Division of Geriatric Medicine University of Pennsylvania Health System Audience: Possible concerns about dementia care in my
More informationEvolutions in Geriatric Fracture Care Preparing for the Silver Tsunami
Evolutions in Geriatric Fracture Care Preparing for the Silver Tsunami James Holstine, DO Medical Director for the Joint Replacement Center, Geriatric Fracture Center, Orthopedic Surgeon PeaceHealth Whatcom
More informationComprehensive Assessment of the Frail Older Patient
Comprehensive Assessment of the Frail Older Patient Executive Summary Comprehensive geriatric assessment (CGA) is a multidimensional and usually interdisciplinary diagnostic process designed to determine
More informationPreventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over
Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage
More informationPatient Name/DOB DATE OF VISIT LVFPA MEDICARE WELLNESS QUESTIONNAIRE
LVFPA MEDICARE WELLNESS QUESTIONNAIRE Welcome to Medicare Visit/IPPE Annual Wellness Visit LIST OF PROVIDERS: Please provide a list of any other physicians or providers you see VACCINATIONS: Please list
More informationHealth Clinical Practice Guidelines:
Clinical Practice Guidelines Singapore Med J 2010; 51(6) : 518 CME Article Health Promotion Board-Ministry of Health Clinical Practice Guidelines: Functional Screening for Older Adults in the Community
More informationCenter for Optimal Aging
Center for Optimal Aging Center for Optimal Aging Program Summary The Center for Optimal Aging is an outpatient program offered exclusively at Providence Little Company of Mary Medical Center San Pedro.
More informationThe Challenges of Managing the Older Persons
IAG Presidential Oration The Challenges of Managing the Older Persons G.S. Shanthi Professor & Head, Department of Geriatric Medicine, Madras Medical College, Chennai Globally, due to shifting demographics,
More informationOBJECTIVES: 3/13/2017 HISTORY OF HEALTH CARE FOR THE AGED
OBJECTIVES: Describe the history of care for the aged Describe the current status of health care use by older Americans Discuss current status of the HC workforce Discuss the key principles of health care
More informationRecommended Geropsychiatric Competency Enhancements for Gerontological Nurse Practitioners
Recommended Geropsychiatric Competency Enhancements for Gerontological Nurse Practitioners These recommended competency enhancement statements draw attention to the special needs of older adults with mental
More informationResident Assessment Best Practices M E G A N M. G R A E S E R, D N P, G N P - BC P H Y S I C I A N H O U S E C A L L S, L L C
Resident Assessment Best Practices M E G A N M. G R A E S E R, D N P, G N P - BC P H Y S I C I A N H O U S E C A L L S, L L C Who are you assessing? Elders that needing to make a transition in their care
More informationAging: Tools for Assessment
Aging: Tools for Assessment Eugenia L. Siegler, MD Mason Adams Professor of Geriatric Medicine Weill Cornell Medicine New York, New York San Antonio, Texas: August 21 to 23, 2017 Learning Objectives After
More information2016 Rochester Regional Health PPO Medical Plan Summary
Out of Annual Deductible Annual Deductible includes co-pays, coinsurance. The amounts are combined across all s. None Single Two-Person EE + Children Family $1,800 $3,600 $5,400 $5,400 Annual Out of Pocket
More informationWhat is Occupational Therapy? Introduction to Occupational Therapy. World Federation of Occupational Therapists 2012
World Federation of Occupational Therapists 2012 Introduction to Occupational Therapy Suki HUI Occupational Therapist I Statement on Occupational Therapy Occupational therapy is a client-centred health
More informationChapter 25: Interactions of Dialysis Teams With Geriatricians
Chapter 25: Interactions of Dialysis Teams With Geriatricians Nicole Stankus* and Kellie Campbell *Section of Nephrology, University of Chicago, Chicago, Illinois; and Section of Geriatrics, University
More informationThe Role of Physiatry in the Care of Adults and Children with Hydrocephalus
The Role of Physiatry in the Care of Adults and Children with Hydrocephalus Scott E. Brown, MD Chairman Department of Physical Medicine and Rehabilitation Sinai Hospital of Baltimore Who Are We? PHYSICAL
More information*GERIATRIC FELLOWSHIP COMPETENCY CHECKLIST EDUCATIONAL GOALS:
*GERIATRIC FELLOWSHIP COMPETENCY CHECKLIST EDUCATIONAL GOALS: The goal of geriatric fellowship training is to prepare fellows for competency in the following core areas: Check and record date completed
More informationBiological theory for the construct of intrinsic capacity to be used in clinical settings Matteo Cesari, MD, PhD
Biological theory for the construct of intrinsic capacity to be used in clinical settings Matteo Cesari, MD, PhD World Health Organization Geneva (Switzerland) December 1, 2016 World Health Organization.
More informationPerfect Endings. Home Alone. Senior Estimate. Staying Alive. Medication Madness
Senior Estimate Home Alone Staying Alive Perfect Endings Medication Madness 10 10 10 10 10 20 20 20 20 20 30 30 30 30 30 40 40 40 40 40 50 50 50 50 50 Senior Estimate - 10 Patients who have multiple interacting
More informationADDRESSING THE MENTAL HEALTH NEEDS OF OLDER ADULTS IN AGE-FRIENDLY COMMUNITIES A Guide for Planners
Geriatric Mental Health Alliance Of New York ADDRESSING THE MENTAL HEALTH NEEDS OF OLDER ADULTS IN AGE-FRIENDLY COMMUNITIES A Guide for Planners By Kimberly A. Williams Michael B. Friedman January 2010
More informationService Provider Department Phone Number
Service Provider Department Phone Number A Activities of Daily Living Occupational Therapy Rehabilitation Services 734-593-5620 Adaptive Equipment - home Occupational Therapy Rehabilitation Services 734-593-5620
More informationNational Stroke Association s Guide to Choosing Stroke. Rehabilitation Services
National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills
More informationTransitions Guidelines: Chronic Illness Management. Revised 2016
Transitions Guidelines: Chronic Illness Management Revised 2016 1 Table of Contents Introduction Transitions Program Pillars General Principles Regarding Admission Cancer Cirrhosis Congestive Heart Failure
More informationThe Center for Success in Aging Memory Health Questionnaire
The Center for Success in Aging Memory Health Questionnaire (Please provide the following patient information as accurately and completely as possible. Thank you.) Today s Date: / / Patient Name: Male
More informationMyths of Aging: What s Real?
Optimizing Aging Collaborative Myths of Aging: What s Real? Anna H. Chodos, MD Assistant Professor, Division of Geriatrics, UCSF Lynda Mackin, PhD, AG PCNP-BC, CCNS Health Science Clinical Professor, School
More informationGuidelines for Management and Prevention of Delirium In Geriatric Trauma Patients
Guidelines for Management and Prevention of Delirium In Geriatric Trauma Patients Objectives: Provide a guideline for recognizing and managing delirium in geriatric trauma patients. Provide a template
More informationFrailty, Sarcopenia and Outcomes after Emergency Surgery Admissions Across Wessex
Frailty, Sarcopenia and Outcomes after Emergency Surgery Admissions Across Wessex Wessex Surgical Trainee Research Collaborative Malcolm A West MD MRCS PhD NIHR Clinical Lecturer in Surgery ST6 Colorectal
More informationCOUNTRY REPORT OF VIET NAM AT THE 12 TH ASEAN & JAPAN HIGH LEVEL OFFICIALS MEETING ON CARING SOCIETIES
COUNTRY REPORT OF VIET NAM AT THE 12 TH ASEAN & JAPAN HIGH LEVEL OFFICIALS MEETING ON CARING SOCIETIES 21-23 OCTOBER 2014 I. AGEING POPULATION IN VIETNAM 1. Vietnam is one of 10 countries with the world
More informationGRACE Team Care A New Model of Integrated Medical and Social Care for Older Persons
GRACE Team Care A New Model of Integrated Medical and Social Care for Older Persons Steven R. Counsell, MD Mary Elizabeth Mitchell Professor and Director, Scientist, IU Center for Aging Research E-mail:
More informationDr. Joyita Banerjee PhD Scholar Dept. of Geriatric Medicine AIIMS, New Delhi, India
IMPORTANCE OF COMPREHENSIVE GERIATRIC ASSESSMENT IN CANCER IN ELDERLY AN INDIAN PERSPECTIVE Dr. Joyita Banerjee PhD Scholar Dept. of Geriatric Medicine AIIMS, New Delhi, India INTRODUCTION - Cancer in
More informationComprehensive Medication History Interview Form
Comprehensive Medication History Interview Form Introduction Introduce self and profession. Explain purpose of session. PharmD Completing Form: Does the patient wish for a family member to be present during
More informationContinence, falls and the frailty syndrome. Anne Foley - BGS Bladders and Bowel Health 2012
Continence, falls and the frailty syndrome Outline Frailty Geriatric syndromes and giants Aetiology What can be done? The future Frailty Frailty Frailty (noun): The state of being weak in health or body
More informationSAFE MEDICATION USE FOR OLDER ADULTS
SAFE MEDICATION USE FOR OLDER ADULTS INFORMATION FOR OLDER ADULTS, FAMILIES, AND CAREGIVERS READ THIS PAMPHLET TO LEARN: Why it is Important to Understand and Know How to Manage your Medications. The Different
More informationThe NYC Elder Abuse Center
The NYC Elder Abuse Center Brooklyn Geriatric Mental Health and Medical Provider Survey You can also complete this survey online: http://www.surveymonkey.com/s/geriatricproviders PLEASE PRINT CLEARLY Preamble
More informationPast Surgical History
Name: DOB: Check All That Apply Past Medical History o Anemia o Aneurysm o Asthma o Bipolar o Bleeding Disorder o Blood Clot o Brain Tumor o Bronchitis o Cancer o Crohn s Disease/Ulcerative Colitis o Depression
More informationPREVENTION AND MANAGEMENT OF FRAILTY. Christopher Patterson John Feightner for the Canadian Initiative on frailty and Aging 2006
PREVENTION AND MANAGEMENT OF FRAILTY Christopher Patterson John Feightner for the Canadian Initiative on frailty and Aging 2006 Prevention & management Avoidance of definition of frailty SER of RCTs addressing
More informationRon Budynas. NAHPe, COS, CDP, SCHM, CGPM, FHS, ALA. Wesley Housing Corporation of Memphis Inc Appling Road, Cordova TN 38016
Ron Budynas NAHPe, COS, CDP, SCHM, CGPM, FHS, ALA Wesley Housing Corporation of Memphis Inc. 1615 Appling Road, Cordova TN 38016 Ron.Budynas@wesleyhousing.com (901)380-4900 Enhanced Service Coordination
More informationThe following are recommendations to help public health better address seniors health.
Public Health Mandate There is only one provincial requirement specifically targeted for seniors. It currently addresses falls in the elderly. Peel Public Health also addresses medication use through a
More informationContemporary Psychiatric-Mental Health Nursing. Descriptive Terms. Healthy Elders. Chapter 28
Contemporary Psychiatric-Mental Health Nursing Chapter 28 Elders Descriptive Terms Young-old (65 to 74) Middle-old (75 to 84) Old-old (85+) Frail old (65+ with chronic limitations) 5% of the over-65 population
More informationUniversity of Michigan Health System Internal Medicine Residency
University of Michigan Health System Internal Medicine Residency Subacute Care Evaluation and Management Curriculum: Geriatric Evaluation and Management Unit, Community Living Center Version date: 8/2010
More informationFrailty and Aging Managing from a Community Perspective. Dr. John Puxty
Frailty and Aging Managing from a Community Perspective Dr. John Puxty puxtyj@providencecare.ca Presenter Disclosure No commercial support received or potential conflicts Learning Objectives The participant
More informationThe Elderly with Tuberculosis
The Elderly with Tuberculosis S de la Vega, MD, MSc (Clin Epi), FPCGM Director, Institute on Aging National Institutes of Health University of the Philippines Manila NSO The population 60 years and above
More informationUnderstanding the Progression of Alzheimer s and Related Dementias And Planning for Future Changes
Town Hall Forum Making a Plan: The Smart Approach to Alzheimer s Care Needs May 25, 2017 Understanding the Progression of Alzheimer s and Related Dementias And Planning for Future Changes Daniel D. Sewell,
More informationFalls and Mobility. Katherine Berg, PhD, PT and Arielle Berger, MD. Presented by: Ontario s Geriatric Steering Committee
Falls and Mobility Katherine Berg, PhD, PT and Arielle Berger, MD Key Learnings Arielle Berger, MD Key Learnings Learn approaches to falls assessment Understand inter-relationship between promoting safe
More informationHospice and Palliative Care: Value-Based Care Near the End of Life
Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017
More informationStroke. Objectives: After you take this class, you will be able to:
Stroke Objectives: After you take this class, you will be able to: 1. Describe the signs of a stroke and how a stroke happens. 2. Discuss stroke risk factors. 3. Detail the care and rehabilitation of a
More informationPresentation Outline. What is meant by the term Psychosocial? Goal and Objectives. Managing Psychosocial Issues in Clinical Geriatrics
Managing Psychosocial Issues in Clinical Geriatrics Ron Adelman, MD Pamela Ansell, MSW Risa Breckman, LCSW Amy Stern, LCSW Weill Cornell Medical College Division of Geriatrics and Gerontology April 17,
More informationHospice and Palliative Care: Value-Based Care Near the End of Life
Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017
More informationCNSW Care Plan Template
CNSW Care Plan Template PROBLEM INTERVENTION OUTCOME Provide information regarding importance of rehabilitative activities Encourage patient to pursue hobbies/activities he/she enjoyed prior to onset of
More informationCORRECTED COPY Department of Veterans Affairs VHA DIRECTIVE Veterans Health Administration Washington, DC December 9, 2010
CORRECTED COPY Department of Veterans Affairs VHA DIRECTIVE 2010-054 Veterans Health Administration Washington, DC 20420 CATASTROPHICALLY DISABLED VETERAN EVALUATION, ENROLLMENT, AND CERTAIN COPAYMENT-EXEMPTIONS
More informationDr Conor Maguire Consultant, NHS Lothian Chair, Lothian Parkinson s Forum
Dr Conor Maguire Consultant, NHS Lothian Chair, Lothian Parkinson s Forum I am a GERIATRICIAN Training: General Medicine Neurological conditions Cognition memory clinics Falls Multi-organ involvement of
More informationGeriatric Medicine Clerkship Orientation. Aval-Na Ree Green (modified by Huai Cheng)
Geriatric Medicine Clerkship Orientation Aval-Na Ree Green (modified by Huai Cheng) Welcome! Goals The geriatric clerkship is designed to prepare medical students to provide evidence-based, competent,
More informationOverview. Case #1 4/20/2012. Neuropsychological assessment of older adults: what, when and why?
Neuropsychological assessment of older adults: what, when and why? Benjamin Mast, Ph.D. Associate Professor & Vice Chair, Psychological & Brain Sciences Associate Clinical Professor, Family & Geriatric
More information24 09:29:46 EDT 2008 QIES
Wed Sep 24 9:29:46 EDT 28 QIES Workbench Record Layout Report For Job: OASIS Dump of Everything for dictionary ( 23927.1 ) Report Name: OASIS Dump of Everything for dictionary Data Type Offset Length DP
More informationDr. W. Dalziel Professor, Geriatric Medicine Ottawa Hospital. November /20/ Safety: Falls/Cooking/Unsafe Behaviour. 2.
How To Decide if an Elderly Person Can Stay at Home: The Interval of Need Concept Dr. W. Dalziel Professor, Geriatric Medicine Ottawa Hospital November 2013 3 Factors 1. Safety: Falls/Cooking/Unsafe Behaviour
More informationH.E.L.P. ing Elder Trauma Patients Avoid Delirium and Functional Decline
H.E.L.P. ing Elder Trauma Patients Avoid Delirium and Functional Decline Montreal ITC 2014 Sept. 26 Joann Creager, CNS Geriatrics, Manager, MUHC Elder Friendly Hospital Presentation Overview 1. Elder patient
More informationPHYSICAL HEALTH ASSESSMENT TOOL
PHYSICAL HEALTH ASSESSMENT TOOL Name: General health and lifestyle Do you have any diagnosed physical health conditions? If yes, give details (include both minor and serious conditions) question If yes,
More informationThank You to Our Sponsors: Evaluations & CE Credits. Featured Speakers. Conflict of Interest & Disclosure Statements 10/18/2016
Thank You to Our Sponsors: University at Albany School of Public Health NYS Department of Health Conflict of Interest & Disclosure Statements The planners and presenters do not have any financial arrangements
More informationFall Risk Factors Fall Prevention is Everyone s Business
Fall Risk Factors Fall Prevention is Everyone s Business Part 2 Prof (Col) Dr RN Basu Adviser, Quality & Academics Medica Superspecilalty Hospital & Executive Director Academy of Hospital Administration
More informationFalls risk for Older People Community setting (FROP-Com) Assessment tool
Falls risk for Older People Community setting (FROP-Com) Assessment tool Developed by: National Ageing Research Institute and Melbourne Extended Care and Rehabilitation Service Format: Assessment tool
More informationMeasure #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care
Measure #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Process DESCRIPTION: Percentage
More informationRECOMMENDED COURSES: Public Health 576 (Introduction To Biostatistics) and Epidemiology 596A (Basic Principles in Epidemiology)
EPIDEMIOLOGY OF AGING (EPI 673) SPRING 2006 INSTRUCTORS: M. Jane, MPH, Ph.D. Research Assistant Professor of Pharmacy Practice, Medicine & Public Health University of Arizona Phone: 520-792-1450 x6692
More informationSpinal Injured patients getting adequate rehabilitation
Starts on day one Requires specially trained staff and team effort Should be done according to the environment in which the patient has to return Major goal of rehabilitation is to reduce disability by
More informationGirling Reviewer Training: Session 1. Therapy Practice in 2011: What the Reviewers Need to Know. May 10, 2011
Girling Reviewer Training: Session 1 Therapy Practice in 2011: What the Reviewers Need to Know May 10, 2011 Presented by: Nancy Buseth RN, PT Senior Rehabilitation Consultant Fazzi Associates, Inc. 243
More informationSCHEDULE OF BENEFITS PLAN H1
SCHEDULE OF BENEFITS PLAN H1 Effective June 1, 2018 This Plan is a High Deductible Health Plan (HDHP), designed to qualify for use with a Health Savings Account (HSA). All charges except charges for preventive
More informationOutpatient Registration Form
Outpatient Registration Form Today s Date: Last Name: First Name: Middle Init. Gender Male / Female Maiden Name: DOB: Marital Status: Race/Ethnicity: Religion: Social Security #: Primary Care Physician:
More informationPain Assessment and Follow-Up for Patients with Dementia
Pain Assessment and Follow-Up for Patients with Dementia Measure Description Percentage of patients with dementia who underwent documented screening * for pain symptoms at every visit and if screening
More informationMEDICARE ANNUAL WELLNESS VISIT
MEDICARE ANNUAL WELLNESS VISIT FAMILY MEDICINE CENTERS OF SOUTH CAROLINA, LLC Springwood Lake Midtown Woodhill Saluda Pointe Lake Murray Name: Ethnic Background: Race: Age: Sex: Marital Status: PLEASE
More information