A functional assessment is the most appropriate type of evaluation of well older patients. A basic component of the functional assessment is:
A. Activities of Daily Living (ADL) score
B. Instrumental Activities of Daily Living (IADL) score
C. 10-minute Screener for Geriatric Conditions
D. All of the above
ANS: D
For the well elderly, the 10-Minute Screener for Geriatric Conditions is a useful tool for general practice (Bluestein & Rutledge 2006). This brief screening tool (Table 20.2) addresses vision, hearing, leg mobility, urinary incontinence, nutrition and weight loss, memory, depression, and physical disability. Using a combination of subjective and objective measures, the 10-Minute Screener covers all the basic ADL and IADL functions in a manner that fits well within the outpatient examination. A positive screen requires further evaluation, in some cases by a specialist or a geriatric specialist.
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