Although all psychiatric assessments need to consider impact on functioning to help establish psychiatric diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria, the functional assessment of older adults as part of a comprehensive geriatric psychiatric assessment is more comprehensive. Older adults have higher risks for multimorbidities that can impact functioning. It is helpful to use standardized functional assessment tools. Moreover, social circumstances that become more common as people age may make it more challenging to assess social and occupational functioning especially for widowed or retired older adults. Beyond the bedside functional assessment, additional referrals to neuropsychology, speech, occupational therapy, physical therapy, audiology, or nutritional services can provide additional information to objectively assess an older adult patient’s functioning.
KeywordsActivities of daily living Instrumental activities of daily living Functional assessment Disability Frailty
- 3.Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49:M85–94. https://doi-org.ezproxy.library.wisc.edu/10.1093/geronj/49.2.M85.CrossRefPubMedGoogle Scholar
- 8.Pomidor A, editor. Clinician’s guide to assessing and counseling older drivers. 3rd ed. New York: The American Geriatrics Society; 2015. https://geriatricscareonline.org/ProductAbstract/clinicians-guide-to-assessing-and-counseling-older-drivers-3rd-edition/B022. Accessed 4 Sept 2017.Google Scholar