This is a form designed to facilitate a functional and syndrome based assessment for geriatric patients. This form is also useful for the initial
"Welcome to Medicare Physical." The syndromes covered include falls, dementia, depression and urinary incontinence. The functional assessment scales include ADL and
IADL tools.
Purpose
Standardize and improve geriatric care
Emphasize syndrome based geriatric assessment
Ages
Geriatric
Special Features
Syndrome based decision support
Sources of Evidence for Clinical Decision Support
Various sources of information are used but heavy reliance on geriatric review syllabus
Notes
This form was developed for use within The Capital Region Health Care system. We make no claims as to its accuracy or clinical content; therefore,
testing is suggested prior to implementation within the clinical environment. This form or its clinical decision support is not meant to replace clinical judgement.
Verfication of the accuracy of the clinical content and decision support is the sole responsiblity of the user.
*The term "Clinical Kit" is an industry standard amongst Centricity physician office EMR users. It refers to a group of items which can be imported into any
Centricity physician office EMR. The zip file contains the general office visit encounter form. This form has many point of care clinical decison support tools for
preventive health.
Use 'and' or '+' to search for specific terms. Example: 'lung' and 'cancer'. For multiple word searches, enter all keywords. Example 'heart cholesterol'.
