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On-Line Risk Assessment

This risk assessment can be used to identify situations where elders may be at risk for deteriorating quality of life or a crisis incident. Answer the questions about yourself or a loved one. The results can be a indication that changes in caregiving arrangements may be necessary.

Press "Process" after you answer all the questions and the system will analyze the responses and present a risk evaluation.


(This assessment is based on our care managers' experience and is not a reliable indication that certain risks are not present.)

How often has the elder fallen in the last six months?

None
Once
Several
Frequently

How often has the elder been to the emergency room in the last six months?

None
Once
Several
Frequently

Has the elder experienced the loss of a loved one in the last year?

No
 
Yes
.

How often in the last six months has the elder felt "down" or exhibited signs of depression or melancholy?

None
Rarely
Sometimes
Frequently

Does the elder need assistance bathing or dressing?

No
Sometimes
Often
Always

Does the elder have trouble paying their monthly bills?

No
Sometimes
Ofen
Always

For an elder living at home, does the elder prepare their own meals?

N/A
Often
Sometimes
Never

How often does the elder miss taking prescribed medication?

N/A
Never
Sometimes
Often

How often do family members visit with the elder?

Lives with
Frequently
Sometimes
Never

How often do situations arise where a family member is unable to assist the elder?

Never
Rarely
Sometimes
Frequently

How often has a family member lost time from work in the past six months to deal with an elder's crisis?

Never
Once
Several
Frequently

How much family "free" time is used to take care of an elder's needs?

None
Little
Some
Most

Do you suspect that an elder has misused medications or possibly has a drinking problem?

No
Possibly
Yes
 
 

 

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Tel: (831) 643-2457
Fax: (831) 643-2094

2600 Garden Road, Suite 207
Monterey, CA 93940


Elder Focus is the GCM Partner for Eldersearch.com in the Monterey Bay Area

Member, National Association of Professional Geriatric Care Managers
Member,
National Association of Professional Geriatric Care Managers