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A simple procedure for general screening for functional disability in elderly patients.

M S Lachs¹, A R Feinstein, L M Cooney

¹Yale University School of Medicine, New Haven, Connecticut.

Annals of Internal Medicine

|May 1, 1990

Summary

This study presents a brief screening method for assessing elderly patients' functional status in primary care. It focuses on key areas often overlooked in routine check-ups, improving geriatric care.

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Area of Science:

Geriatric Medicine
Primary Care
Functional Status Assessment

Background:

Elderly patients often have undiagnosed functional deficits.
Conventional physical examinations may miss common issues in older adults.

Purpose of the Study:

To introduce a concise screening approach for geriatric functional status in routine office practice.
To identify commonly dysfunctional but often unappreciated targets in elderly patients.

Main Methods:

Focus on selected tests for vision, hearing, mobility, continence, cognition, and activities of daily living.
Utilizes brief questions and observable tasks for efficient assessment.
Integrates into primary care by potentially replacing less productive procedures.

Main Results:

The proposed method allows for effective screening of functional status.
It minimizes administration time, making it suitable for routine practice.

Conclusions:

A simple, targeted screening approach can be effectively implemented by general internists.
Successful integration requires practice adjustments and appropriate compensation for internists.