Corrections



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Am Fam Physician. 2000 Oct 1;62(7):1519-1520.

The article entitled “The Geriatric Patient: A Systematic Approach to Maintaining Health” (February 15, 2000, page 1089) contained errors in Table 5. The corrected table is reprinted here.

TABLE 5

Ten-Minute Screen for Geriatric Conditions

Problem Screening measure Positive screen

Vision

Ask this question: “Because of your eyesight, do you have trouble driving a car, watching television, reading or doing any of your daily activities?” If the patient answers “yes,” test each eye with the Snellen eye chart while the patient wears corrective lenses (if applicable).

“Yes” to question and inability to read at greater than 20/40 on the Snellen eye chart

Hearing

Use an audioscope set at 40 dB. Test the patient's hearing using 1,000 and 2,000 Hz.

Inability to hear 1,000 or 2,000 Hz in both ears or inability to hear frequencies in either ear

Leg mobility

Time the patient after giving these directions: “Rise from the chair. Then walk 20 feet briskly, turn, walk back to the chair and sit down.”

Unable to complete task in 15 seconds.

Urinary incontinence

Ask this question: “In the past year, have you ever lost your urine and gotten wet?” If the patient answers “yes,” ask this question: “Have you lost urine on at least 6 separate days?”

“Yes” to both questions

Nutrition and weight loss

Ask this question: “Have you lost 10 pounds over the past 6 months without trying to do so?” If the patient answers “yes,” weigh the patient.

“Yes” to the question or a weight of less than 45.5 kg (100 lb)

Memory

Three-item recall

Unable to remember all three items after 1 minute

Depression

Ask this question: “Do you often feel sad or depressed?”

“Yes” to the question

Physical disability

Ask the patient these six questions: “Are you able to do strenuous activities, like fast walking or bicycling?” “Are you able to do heavy work around the house, like washing windows, walls or floors?” “Are you able to go shopping for groceries or clothes?” “Are you able to get to places that are out of walking distance?” “Are you able to bathe—sponge bath, tub bath or shower?” “Are you able to dress, like put on a shirt, button and zip your clothes, or put on your shoes?”

“No” to any of the questions


Adapted with permission from Moore A, Siu AL. Screening for common problems in ambulatory elderly: clinical confirmation of a screen instrument. Am J Med 1996;100:438–43. Copyright 1996, with permission from Excerpta Medica Inc.

TABLE 5   Ten-Minute Screen for Geriatric Conditions

View Table

TABLE 5

Ten-Minute Screen for Geriatric Conditions

Problem Screening measure Positive screen

Vision

Ask this question: “Because of your eyesight, do you have trouble driving a car, watching television, reading or doing any of your daily activities?” If the patient answers “yes,” test each eye with the Snellen eye chart while the patient wears corrective lenses (if applicable).

“Yes” to question and inability to read at greater than 20/40 on the Snellen eye chart

Hearing

Use an audioscope set at 40 dB. Test the patient's hearing using 1,000 and 2,000 Hz.

Inability to hear 1,000 or 2,000 Hz in both ears or inability to hear frequencies in either ear

Leg mobility

Time the patient after giving these directions: “Rise from the chair. Then walk 20 feet briskly, turn, walk back to the chair and sit down.”

Unable to complete task in 15 seconds.

Urinary incontinence

Ask this question: “In the past year, have you ever lost your urine and gotten wet?” If the patient answers “yes,” ask this question: “Have you lost urine on at least 6 separate days?”

“Yes” to both questions

Nutrition and weight loss

Ask this question: “Have you lost 10 pounds over the past 6 months without trying to do so?” If the patient answers “yes,” weigh the patient.

“Yes” to the question or a weight of less than 45.5 kg (100 lb)

Memory

Three-item recall

Unable to remember all three items after 1 minute

Depression

Ask this question: “Do you often feel sad or depressed?”

“Yes” to the question

Physical disability

Ask the patient these six questions: “Are you able to do strenuous activities, like fast walking or bicycling?” “Are you able to do heavy work around the house, like washing windows, walls or floors?” “Are you able to go shopping for groceries or clothes?” “Are you able to get to places that are out of walking distance?” “Are you able to bathe—sponge bath, tub bath or shower?” “Are you able to dress, like put on a shirt, button and zip your clothes, or put on your shoes?”

“No” to any of the questions


Adapted with permission from Moore A, Siu AL. Screening for common problems in ambulatory elderly: clinical confirmation of a screen instrument. Am J Med 1996;100:438–43. Copyright 1996, with permission from Excerpta Medica Inc.



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