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Components of a Geriatric Assessment: Functional Areas - Aging Wisely

In previous posts, we have covered The Benefits of a Geriatric Care Management Assessment and The Nutritional Components of an Elder Assessment.

A major area of any geriatric assessment is a review of the client’s functional status. A functional assessment reviews the client’s abilities to perform daily tasks. These can generally be divided in to ADLs (Activities of Daily Living, such as bathing, dressing, grooming/hygiene, eating and transferring/mobility) and IADLs (Instrumental Activities of Daily Living, such as cooking, household maintenance, driving, using a telephone, shopping, financial management). The assessment also reviews cognitive status and any potential limitations there, which may affect functioning, safety and awareness.

The care manager reviews current daily routines, abilities and challenges with:

* eating
* dressing
* bathing
* hygiene/grooming
* toileting/continence
* mobility & fall risk
* household cleaning & maintenance
* meal preparation
* laundry
* pet care
* transportation

In looking at these various areas, the assessor reviews the person’s:

* cognition (memory, insight, judgment, problem solving)
* psychological well-being(mood, emotions)
* social supports
* sensory systems(hearing, vision)
* physical skills (strength, movement, mobility)
* use of adaptive equipment/environmental safety

The assessment provides an excellent picture of current status, gaps/concerns as well as recommendations to ensure continued safety. By conducting a face-to-face assessment in the home environment, the care manager observes the client’s abilities within the real-life environment. Gathering information from the client, family, and providers as well as careful, expert observation enables the care manager to form a complete picture. The assessment may be conducted over a few visits during different times of day or situations for gathering accurate data.

The findings of the functional assessment result in recommendations for immediately improving quality of life and safety, as well as considerations for the future and issues to anticipate as chronic conditions impact abilities and function. The geriatric care manager may recommend community services, home care assistance, home modifications, technology for aging in place, physical or occupational therapy and other specialty services. The care manager makes specific, easy-to-follow recommendations so that the client and family has a detailed road map for accessing good help, and the care manager can also assist in implementing recommendations if desired.

CONTACT US TODAY for more information or to schedule your geriatric care management assessment. We provide elder assessments in the Tampa, Florida area (Clearwater, St. Petersburg, Pinellas, Pasco and Hillsborough counties) as well as eldercare consultations for families throughout the U.S.

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