TY - CHAP M1 - Book, Section TI - Consideration of Function & Functional Decline A1 - Hardy, Susan E. A2 - Williams, Brie A. A2 - Chang, Anna A2 - Ahalt, Cyrus A2 - Chen, Helen A2 - Conant, Rebecca A2 - Landefeld, C. Seth A2 - Ritchie, Christine A2 - Yukawa, Michi PY - 2014 T2 - Current Diagnosis & Treatment: Geriatrics, 2e AB - Maintenance of function is a main goal of geriatric care and is an important element of successful aging. Like other geriatric syndromes, functional decline is multifactorial; medical, psychological, social, and environmental factors can all contribute to impaired functional status. The revised World Health Organization’s International Classification of Functioning, Disability and Health (ICF) provides a framework for the evaluation of function and the prevention and treatment of functional decline that emphasizes the interrelation of contributing factors. The ICF classifies abnormalities in organ system structure or physiologic function as impairments. These impairments lead to difficulties with individual activities, and the limitations and barriers associated with those difficulties lead, in turn, to reduced participation in society. Environmental factors (eg, ramps and grab-bars) and personal factors (eg, education or social support) that do nothing to address underlying impairment can nonetheless influence the effect of impairments on activities and social participation. For example, a woman with severe benign essential tremor (impairment) may have difficulty eating (activity) and therefore not go out to lunch with friends (participation). Interventions to improve function in older adults can address not only the underlying impairments, but also the relevant personal and environmental factors. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1100065188 ER -