Corrections – To: “A Troubled Teen: Matters of Confidentiality” in July 1999, issue, p 300

Corrections – To: “A Troubled Teen: Matters of Confidentiality” in July 1999, issue, p 300 – To: “The Geriatric Patient: A Systematic Approach to Maintaining Health” in February 15, 2000 issue, p 1089

The byline for the “Curbside Consultation” piece titled “A Troubled Teen: Matters of Confidentiality” (July 1999, page 300) was incorrect. The authors should have been listed in the following manner: Subhash C. Bhatia, M.D., Chief, Mental Health and Behavioral Science Department, Veterans Affairs Medical Center, Omaha, Nebraska, and Shashi K. Bhatia, M.D., Associate Professor and Director of Child and Adolescent Psychiatry Residency Training, Division of Child and Adolescent Psychiatry, Creighton University-University of Nebraska, Omaha, Nebraska.

The article entitled “The Geriatric Patient: A Systematic Approach to Maintaining Health” (February 15, 2000, page 1089) contained errors in Table 5. The corrected table is reprinted on page 1520.

TABLE 5

Ten-Minute Screen for Geriatric Conditions

Problem Screening measure

Vision Ask this question: “Because of your eyesight, do

you have trouble driving a car, watching

television, reading or doing any of your daily

activities?”

If the patient answers “yes,” test each eye with

the Snellen eye chart while the patient wears

corrective lenses (if applicable).

Hearing Use an audioscope set at 40 dB. Test the

patient’s hearing using 1,000 and 2,000 Hz.

Leg mobility Time the patient after giving these directions:

“Rise from the chair. Then walk 20 feet briskly,

turn, walk back to the chair and sit down.”

Urinary Ask this question: “In the past year, have you

incontinence ever lost your urine and gotten wet?”

If the patient answers “yes,” ask this question:

“Have you lost urine on at least 6 separate

days?”

Nutrition and Ask this question: “Have you lost 10 pounds over

weight loss the past 6 months without trying to do so?”

If the patient answers “yes,” weigh the patient.

Memory Three-item recall

Depression Ask this question: “Do you often feel sad or

depressed?”

Physical Ask the patient these six questions:

disability “Are you able to do strenuous activities, like

fast walking or bicycling?”

“Are you able to do heavy work around the

house, like washing windows, walls or floors?”

“Are you able to go shopping for groceries or

clothes?”

“Are you able to get to places that are out of

walking distance?”

“Are you able to bathe–sponge bath, tub bath

or shower?”

“Are you able to dress, like put on a shirt, button

and zip your clothes, or put on your shoes?”

Problem Positive screen

Vision “Yes” to question and inability to read

at greater than 20/40 on the Snellen

eye chart

Hearing Inability to hear 1,000 or 2,000 Hz in

both ears or inability to hear

frequencies in either ear

Leg mobility Unable to complete task in 15

seconds

Urinary “Yes” to both questions

incontinence

Nutrition and “Yes” to the question or a weight of

weight loss less than 45.5 kg (100 lb)

Memory Unable to remember all three items

after 1 minute

Depression “Yes” to the question

Physical “No” to any of the questions

disability

Adapted with permission from Moore A, Siu AL. Screening for common

problems in ambulatory elderly: clinical confirmation of a screen

instrument. Am J Med 1996;100:438-43. Copyright 1996, with

permission from Excerpta Medica Inc.

COPYRIGHT 2000 American Academy of Family Physicians

COPYRIGHT 2000 Gale Group