Visit 2

Functional Status Assessment

Objectives:

1. Demonstrate interprofessional professionalism in interacting with assigned patient and team.
2. Re-establish and maintain rapport with assigned patient and team.
3. Update V/S and meds; describe changes evident at Visit 2.
4. Review last visit with patient; share the community/education resource information the team has gathered.
5. Identify patient's preventive health actions in line with age/gender-specific USPSTF recommendations found on-line at http://www.uspreventiveservicestaskforce.org/Page/Name/recommendations
6. Discuss safety and fall risks using checklists
7. Assess cognitive status using RGA Rapid Cognitive Screen sub-scale
8. Assess oral health status.
9. Assess and categorize health risk factors/level - available assessments: AHA Heart Attack Risk Assessment (HRA), Driving, Snellen or AMD.
10. As a team, prepare report on Visit 2 and complete reflection prompts in Google Drive.
11. Prepare for Visit 2 Review Session

Activities:

1. Review materials and guide; work with team to prepare for Visit 2.
2. Assemble and prepare to share education resources identified for your patient.
3. Complete Visit 2 with patient.
4. As a team, prepare a patient presentation for the review session.

Guide for Visit 2:

1. Re-establish rapport with team and patient.
2. Update health history with any changes since last visit; update medication list for discontinued and/or new medications.
3. Assess patient vital signs/physical exam noting any changes.
4. Review last visit; share information about the community resource(s) you identified for your patient.
   1. Review and Discuss:
   2. Safety/Falls: Review/discuss Stay Independent and Home Safety Checklists; discuss safety/fall prevention strategies.
5. Assess:
   • Correctable functions: Administer RGA Rapid Cognitive Screen (Use partially completed self-copying form from Visit 1)
   • Balance/mobility: Use Get Up and Go
   • Oral health status: Use OHAT and/or OPE
6. As appropriate/indicated, administer optional screening tools:
   • Rapid Geriatric Assessment (self-copying form)
   • AHA Heart Attack Risk Assessment (online)
   • EAT-10
   • Drivers 55+ Self-Rating Form
   • Hearing Screen
   • Snellen and/or AMD
7. Close the visit with an overview of next visit.