Impairments | COPE | COPE criterion | Clinical examinationa |
---|---|---|---|
Nutrition | Mini nutritional assessment (MNA-SF®) | ‘Malnourished’ (MNA score of <8) | Muscle bulk. Diet history. History of health conditions related to undernutrition. Current weight and history of weight loss. Oral and dental health. |
Mobility | 10 m walking test | Complete the walking test in > 15 s, and/or <7 chair stands in 30 s, or could not participate in the tasks because of severely restricted mobility. | Neurological examination, including power in major muscle groups. ADL difficulties. |
Chair-stand test | EASY-Care checklist: Can you move yourself from bed to chair? Can you get around indoors? Can you manage stairs? Can you walk outside? | ||
Vision | Snellen ‘tumbling E’ visual acuity chart | Visual acuity <6/18 in one or both eyes, or CHW impression of visual impairment for those not able to complete test | Counting fingers, hand motion, light perception. |
EASY-Care checklist: Can you see (with glasses if worn?) | |||
Hearing | Whisper voice test | Failed whisper voice test at 2Â ft | Weber and Rinne tests. Vestibular function. |
EASY-Care checklist: Can you hear (with hearing aid if worn)? | |||
Continence | Single item from informant CSI-D ‘Does she have difficulty using the toilet? Does she wet of soil herself?’ | Coded | EASY-Care checklist: Do you have accidents with your bladder? Do you have accidents with your bowels? |
0. No problems | |||
1. Occasionally wets bed | |||
2. Frequently wets bed | |||
3. Double incontinence | |||
Cognition | Brief Community Screening Instrument for Dementia (CSI-D) | Combined score of <5 | CNS Higher Functions; mental status examination; family history, medical history (underlying mental health conditions), addictions. |
EASY-Care checklist: Do you have any concerns about memory loss or forgetfulness? Do you feel lonely? Have you suffered from any recent loss or bereavement? | |||
In the past month… | |||
Have you had any trouble sleeping? Have you had bodily pain? Have you often been bothered by feeling down, depressed or hopeless? Have you often been bothered by having little interest or pleasure in doing things? | |||
Mood | Eight item Geriatric Depression Scale (GDS-8) | GDS score of > =3, or (for those not able to respond), informant report of depressed mood (NPI-Q q.4) |  |
Behaviour | 12 item Neuropsychiatric Inventory (NPI-Q) | One or more behavioural or psychological symptoms causing caregiver at least some distress |