Functional Status |
Patient-rated Karnofsky Performance Status
(KPS) |
Basic Activities of Daily Living (bADL) |
Instrumental Activities of Daily Living
(iADL) |
Time up and Go (TUG) |
History of fall within the past 12 months |
Use of assistive device |
Social Support |
Four-item Medical Outcomes Study Social
Support Survey |
Social Activity |
Medical Outcomes Study Social Activity
Survey |
Nutritional status |
Weight change within the last 6 months |
Emotional status |
Distress Thermometer |
Geriatrics Depression Scale 4-item
questionnaire |
Cognition |
Mini-Cog test |
|
|
Comorbidity and Polypharmacy |
Comorbidity and number of prescribed
medications, herbals, supplements, vitamins |