ElderCaring Review©
Section III:  Emotional & Mental Functioning

Physical Care is only part of the ElderCaring Equation. Now let’s look at your parent’s emotional and mental functioning:

Memory

a. Is OK or has occasional forgetfulness
b. Needs a few reminders
c. Can remember long ago events, but forgets things from today or last week
d. Can’t remember recent or long ago events

Emotional Stability (mood swings, depression)

a. has no problem in this area
b. is socially isolated (few friends or has lost friends)
c. often has "the blues", cries easily or is easily provoked to anger
d. becomes verbally abusive or physically aggressive

Cognition (logic and thinking abilities) - circle as many as you feel apply

a. is OK
b. is aware of people and places, but not time
c. is not aware of place or time
d. does not recognize some family members or close friends
e. cannot account for time or spends time in purposeless activity
f. has difficulty expressing self verbally or understanding/following instructions
g. sleep disturbance (sleeps more or less than before)
h. loss of interest in previously enjoyed activities
i. behavior or emotional response is inappropriate or exaggerated for situation
j. difficulty comprehending events or activities (misses the point of simple jokes or plays on words)
k. has difficulty handling new or unfamiliar situations
l. refuses to leave home

Executive Functions (abstract thought and decision making)

a. is capable of making all of own decisions
b. loss of interest in activities over time
c. lack of insight that anything is wrong
d. can make decisions, but is unable to follow through with action
e. has difficulty with more complex tasks
f. cannot sequence tasks to complete a project
g. makes excuses for not doing activities of past
h. neglects personal hygiene
i. makes inappropriate decisions
j. "packrat" behavior (hoarding or collecting even inappropriate items)
k. becomes argumentative or defensive when inappropriate choices are questioned by others
l. if cannot remember an event, will make things up to cover up
m. cannot perform simple arithmetic
n. has difficulty with ANY changes in routine

The items are arranged in order of severity. Everyone forgets things from time to time or has a blue mood, but mood swings and profound memory changes are not a part of normal aging. The more items circled the greater the level of impairment. Combining this with memory or emotional problems creates very real concerns regarding your parent’s abilities to provide for his/her own care without help.

Many older adults have a chronic medical condition of one sort or another. Looking at the whole person can give valuable insight into how well your parent is able to manage his/her physical health.

 

Click here to move on to Section IV, Well Being & Safety

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