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Loss of function in the frail elderly. A method for determining the underlying causes
Postgraduate Medicine
|September 15, 1987
Summary
Elderly functional decline in mobility, nutrition, continence, and cognition can be addressed by physicians. Identifying specific deficits and clinical clues aids in diagnosing underlying causes and creating effective treatment plans for independent living.
Area of Science:
- Geriatrics
- Internal Medicine
- Public Health
Background:
- Independent living for the elderly is threatened by functional impairments.
- Common issues include mobility problems, falls, inadequate nutrition, incontinence, and cognitive decline.
Purpose of the Study:
- To outline potential underlying diseases and conditions causing geriatric functional deficits.
- To guide physicians in efficiently diagnosing and treating these issues.
Main Methods:
- Review of common functional problems in the elderly.
- Categorization of underlying causes for each functional deficit.
- Emphasis on clinical assessment and detailed questioning.
Main Results:
- Identified five key functional problems: ambulation/transfer failure, falls, inadequate intake, incontinence, and intellectual impairment.
- Provided a framework linking specific deficits to potential underlying medical conditions.
Conclusions:
- Physicians can expedite diagnosis and treatment planning by focusing on functional deficits and clinical clues.
- Addressing these functional problems is crucial for maintaining independent living in older adults.
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