Table 3 The geriatric screening for care-10 (GSC-10)

Cognitive impairment

Has your relative/friend’s judgment or memory declined over the past year?

□ No □ Yes □ Not sure

Depression

Have you often felt sad or depressed in the last week?

□ No □ Yes □ Not sure

Delirium (Nu-DESC)

Disorientation

□ No □ Yes □ Not sure

Inappropriate behavior

□ No □ Yes □ Not sure

Inappropriate communication

□ No □ Yes □ Not sure

Illusions/Hallucinations

□ No □ Yes □ Not sure

Psychomotor retardation

□ No □ Yes □ Not sure

Polypharmacy

Are you currently taking five or more medications?

□ No □ Yes □ Not sure

Functional decline

Can you transfer from a bed to a chair/wheelchair?

□ Independent □ Need assistance □ Impossible

Can you walk to a toilet?

□ Independent □ Need assistance □ Impossible

Can you climb up stairs?

□ Independent □ Need assistance □ Impossible

Dysphagia

Have you had difficulty in swallowing liquids or foods in the last 2 weeks?

□ No □ Yes □ Not sure

Malnutrition

Have you lost weight without trying in the last 6 months?

□ No □ Unsure

If yes, how much?

□ Unsure

□ 1–5 kg

□ 6–10 kg

□ 11–15 kg

□ > 15 kg

Have you been eating poorly because of a decreased appetite?

□ No □ Yes □ Not sure

Urinary incontinence

Have you experienced accidental urine leakage in the last month?

□ No □ Yes □ Not sure

Fecal incontinence

Have you experienced accidental bowel leakage in the last month?

□ No □ Yes □ Not sure

Pain

Have you had pain on more than 1 day in the last 2 weeks?

□ No □ Yes □ Not sure