Assessment Parameters
A. Identify risk factors/high risk groups
1. Current alcohol /substance-use disorder (Ref 1)
2. Specific comorbid conditions: dementia, stroke, cancer, arthritis, hip fracture, myocardial infarction, chronic obstructive pulmonary disease, and Parkinson’s disease (Ref 2; 3)
3. Functional disability (especially new functional loss) (Ref 4; 5)
4. Widow/widowers (Ref 6)
5. Caregivers (Ref 7)
6. Social isolation/absence of social support (Ref 8)
7. Diminished perception of light in one's environment (Ref 9)
B. Assess all at-risk groups using a standardized depression screening tool and documentation score. The GDS-SF is recommended because it takes approximately 5 minutes to administer, has been validated and extensively used with medically ill older adults, and includes few somatic items that may be confounded with physical illness.
Assessment ParametersA. Identify risk factors/high risk groups1. Current alcohol /substance-use disorder (Ref 1)2. Specific comorbid conditions: dementia, stroke, cancer, arthritis, hip fracture, myocardial infarction, chronic obstructive pulmonary disease, and Parkinson’s disease (Ref 2; 3)3. Functional disability (especially new functional loss) (Ref 4; 5)4. Widow/widowers (Ref 6)5. Caregivers (Ref 7)6. Social isolation/absence of social support (Ref 8)7. Diminished perception of light in one's environment (Ref 9) B. Assess all at-risk groups using a standardized depression screening tool and documentation score. The GDS-SF is recommended because it takes approximately 5 minutes to administer, has been validated and extensively used with medically ill older adults, and includes few somatic items that may be confounded with physical illness.
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