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Myriam Edwards MD Geriatrician, Assistant Professor, and Geriatric Medicine Fellowship Program Director Hurley Medical Center / Michigan State University.

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Presentation on theme: "Myriam Edwards MD Geriatrician, Assistant Professor, and Geriatric Medicine Fellowship Program Director Hurley Medical Center / Michigan State University."— Presentation transcript:

1 Myriam Edwards MD Geriatrician, Assistant Professor, and Geriatric Medicine Fellowship Program Director Hurley Medical Center / Michigan State University Lakshmi Gowda MD Geriatric Medicine Fellow Hurley Medical Center / Michigan State University

2 Geriatric Education Center of Michigan activities are supported by a grant from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Public Health Service Act, Title VII, Section 753(a). This module was developed by Mark Ensberg, MD Geriatric Education Center Michigan State University

3 Cognitive Physical Psychological Social Support Environment

4 Is it Medical? Or Functional? Goals of Care  Maintain Function  Rehabilitation (improve function)  Support (expected decline) Monitor Effectiveness of Interventions Measure of Outcome

5 Monitor Interventions Review of Medication List Drug Side Effects

6 Medical Status Functional Status

7 Compression Fracture Atrial fibrillation Polypharmacy

8 Increased Confusion Unsteadiness & Falls Nausea or Constipation Depression or Anxiety

9 Cognitive Delirium Dementia Education Physical ADL Gait Balance Psychosocial / Spiritual Anxiety Depression Personality Support Burden Instrumental Activities of Daily Living:

10 Home Independence Activity & Mobility Spirituality Family & Friends

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