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Geriatric Assessment Tools

Comprehensive geriatric assessment tools including Katz ADL for functional status, Morse Fall Scale for fall risk, Clinical Frailty Scale, CAM for delirium screening, Get Up and Go test, and MoCA for cognitive screening.

This category currently includes 96 tools, including Katz ADL, Morse Fall Scale, and Clinical Frailty Scale.

These resources are built for clinicians, trainees, and medically informed patients who need fast bedside calculations. Use the results as decision support and pair them with full clinical context and local guidelines.

All Geriatrics Tools (96)

Katz ADL

Assess independence in six basic activities of daily living with the Katz ADL Index. Scores range from 0 (dependent) to 6 (fully independent).

Morse Fall Scale

Assess inpatient fall risk with the Morse Fall Scale. Scores categorize patients as low, moderate, or high risk to guide fall-prevention protocols.

Clinical Frailty Scale

Assess frailty using the Rockwood Clinical Frailty Scale (CFS 1–9): Very Fit to Terminally Ill. Used for hospice eligibility, prognostication, ICU triage, surgical risk stratification, and goals-of-care discussions.

CAM Delirium Screen

Screen for delirium using the CAM (Confusion Assessment Method). Gold standard with ~94% sensitivity and ~89% specificity. Requires acute onset + inattention, plus disorganized thinking or altered consciousness.

Timed Up and Go

Assess mobility and fall risk with the Timed Up and Go (TUG) test. TUG >12 seconds indicates high fall risk. Times the performance of standing, walking 3 meters, turning, and returning to seated.

Barthel Index

Assess independence in core activities of daily living with the Barthel Index (0-100), commonly used in rehabilitation and geriatric care.

Norton Scale

Estimate pressure injury risk with the Norton Scale using physical condition, mental state, activity, mobility, and incontinence.

Braden Scale

Estimate pressure injury risk using the Braden Scale (6-23) across sensory perception, moisture, activity, mobility, nutrition, and friction/shear.

SARC-F

Screen for probable sarcopenia risk using SARC-F (0-10) across strength, walking, chair rise, stair climbing, and falls.

Mini-Cog

Screen for possible cognitive impairment using delayed 3-word recall plus clock drawing (score 0-5).

Waterlow Score

Estimate pressure ulcer risk using the Waterlow framework with risk domains such as skin status, mobility, continence, nutrition, and age.

MNA-SF

Screen malnutrition risk in older adults with the MNA-SF 6-item tool (score 0-14).

Lawton IADL

Assess independence in higher-level daily tasks using the Lawton IADL scale (score 0-8).

FRAIL Scale

Screen frailty using the 5-item FRAIL scale (Fatigue, Resistance, Ambulation, Illnesses, Loss of weight).

PRISMA-7

Screen frailty with the 7-item PRISMA-7 questionnaire (score 0-7; >=3 suggests frailty risk).

SPPB Score

Estimate lower-extremity functional performance with SPPB total score (0-12) from balance, gait speed, and chair stands.

Edmonton Frailty Scale

Screen multidomain frailty using the Edmonton Frailty Scale (EFS), a 0-17 style structured assessment.

VES-13

Screen vulnerability in adults aged 65+ with VES-13; scores >=3 indicate elevated risk of functional decline.

Fried Frailty

Classify robust, pre-frail, and frail states using the 5-criterion Fried frailty phenotype.

ISAR Score

Rapid emergency/acute-care screening for older-adult risk using the 6-item ISAR tool (score 0-6).

HFRS

Classify hospital frailty risk category from HFRS value (<5 low, 5-15 intermediate, >15 high).

DEAR Score

Screen older surgical/inpatient adults for postoperative delirium risk using the DEAR 4-item score.

Electronic Frailty Index

Classify eFI values into fit, mild, moderate, or severe frailty categories using common thresholds.

Groningen Frailty Indicator

Screen multidomain frailty with the 15-item GFI; scores >=4 are commonly considered frailty-positive.

Tilburg Frailty Indicator

Screen multidomain frailty with the 15-item TFI across physical, psychological, and social domains.

SARC-CalF

Enhance SARC-F screening by incorporating calf-circumference risk points to improve sarcopenia detection.

Frailty Index-40

Calculate deficit-accumulation frailty index from 40 predefined deficits (score 0 to 1).

G8 Score

Screen older adults for vulnerability using the G8 tool (score 0-17), often used in geriatric oncology.

4m Walking Speed

Calculate usual gait speed over 4 meters (m/s), a key functional vital sign in older adults.

5x Sit-to-Stand

Assess lower-extremity functional strength and mobility by timing 5 repeated chair stands.

MNA Full

Calculate full MNA score (0-30) to classify normal nutrition, risk of malnutrition, or malnutrition in older adults.

Short FES-I

Assess concern about falling with the 7-item Short FES-I score (7-28).

SLUMS Score

Classify SLUMS cognitive-screen totals (0-30) to support triage for fuller neurocognitive evaluation.

Downton Fall Risk

Estimate inpatient/older-adult fall risk using the Downton index (score 0-11; >=3 commonly high risk).

PAINAD Scale

Assess observational pain behaviors in advanced dementia using the 5-item PAINAD scale (0-10).

Abbey Pain Scale

Screen pain in people with severe dementia using the 6-domain Abbey Pain Scale (0-18).

CSDD

Estimate depressive symptom burden in dementia using the Cornell Scale for Depression in Dementia (0-38).

FAST Dementia

Classify functional dementia progression using FAST stages 1 through 7f.

BIMS Score

Screen cognitive status with the 15-point Brief Interview for Mental Status (BIMS) used in long-term and post-acute care.

DoloPlus-2

Assess observational pain burden in cognitively impaired older adults with the DoloPlus-2 (0-30).

PAIC-15

Assess pain behaviors in cognitively impaired older adults using the 15-item PAIC-15 observational scale (0-45).

CDR Global

Classify dementia severity with the Clinical Dementia Rating global stage (0, 0.5, 1, 2, 3).

Reisberg GDS

Stage overall cognitive decline with the 7-level Global Deterioration Scale (GDS) from no decline to very severe dementia.

IQCODE-16

Estimate informant-reported cognitive decline using the short 16-item IQCODE mean score.

AD8 Screen

Screen for cognitive impairment using the 8-item AD8 informant interview (score 0-8).

6CIT

Rapid cognitive screening with the Six-Item Cognitive Impairment Test (6CIT), weighted score range 0-28.

MIS

Screen memory impairment with the brief delayed free- and cued-recall Memory Impairment Screen (0-8).

4AT

Rapid delirium screening tool scored 0-12; scores of 4 or more suggest possible delirium.

Pfeffer FAQ

Assess instrumental daily-function impairment with the 10-item Pfeffer FAQ (0-30).

SBT

Brief weighted orientation-memory-concentration cognitive screen scored 0-28.

ECog-12

Informant-rated everyday cognition decline scale summarized by mean score across 12 items.

AMTS-10

10-item bedside cognitive screen for rapid cognitive impairment triage in older adults.

SPMSQ

Pfeiffer cognitive screen interpreted by error count (0-10) for older-adult cognitive impairment triage.

Clock Drawing Test

Rapid bedside cognitive screen assessing visuospatial and executive function through a structured clock drawing task.

Nu-DESC

A brief 5-item nursing delirium screen (0-10) commonly using >=2 as a positive threshold.

MDAS

A 10-domain delirium severity scale (0-30) commonly using cutoff around >=13 for delirium signal.

GPCOG

Primary-care cognitive screen using a 9-point patient section with optional informant follow-up.

Rapid Cognitive Screen

Brief 10-point cognitive screen used to triage likely normal cognition, MCI signal, or dementia-range impairment.

Kihon Checklist

A 25-item multidomain frailty-risk questionnaire used to identify older adults at risk of functional decline.

FRAIL-NH

A nursing-home focused frailty measure summarizing dependency, mobility, nutrition, and functional vulnerability.

SOF Frailty Index

A 3-item frailty phenotype screen classifying robust, prefrail, or frail status.

SNAQ

A 4-item appetite screen (4-20) used to identify older adults at risk for short-term weight loss.

Tinetti POMA

A structured gait-and-balance assessment (0-28) used to estimate fall risk in older adults.

Berg Balance Scale

A 14-task balance assessment scored 0-56 to quantify postural control and fall-risk signal.

Functional Reach Test

A quick standing balance test measuring maximal forward reach distance to estimate fall-risk signal.

30s Chair Stand

Counts sit-to-stand repetitions completed in 30 seconds to assess lower-body functional strength.

DOSS

A nursing observation-based delirium screen scored 0-13, with >=3 commonly treated as positive.

UB-2 Delirium

A 2-item ultra-brief delirium screen where any failed item suggests possible delirium.

ACB Score

Summed anticholinergic medication burden score used to estimate cognitive and functional adverse-effect risk.

STRATIFY

A 5-item inpatient fall-risk tool (0-5) with >=2 commonly used as high-risk threshold.

Hendrich II

An inpatient fall-risk score with common high-risk threshold at 5 or more points.

Single-Leg Stance

A quick static-balance test using unsupported one-leg standing time to estimate fall-risk signal.

JHFRAT

A point-based inpatient fall-risk assessment with low/moderate/high risk bands.

NEECHAM Scale

A nurse-observed 0-30 confusion scale for early detection of cognitive fluctuation and delirium signal.

RUDAS

A 30-point cognitive screen designed for culturally and linguistically diverse populations.

Mini-ACE

A brief 30-point cognitive screen used to detect mild cognitive impairment and dementia signal.

bCAM

A rapid positive/negative delirium screen adapted from CAM logic for acute-care workflows.

DRS-R98

A structured delirium severity instrument with higher scores reflecting greater symptom burden.

GNRI

A nutrition-related risk index used in older adults to stratify adverse-outcome risk.

CONUT

A lab-based nutrition screening score (0-12) combining albumin, cholesterol, and lymphocyte components.

Zarit-12

A brief caregiver-burden questionnaire used to quantify strain in dementia and chronic-care contexts.

CSI

A 13-item yes/no caregiver-strain screen where >=7 often indicates clinically significant strain.

GDS-5

A 5-item late-life depression screen with higher scores indicating greater depressive symptom signal.

NRI

A nutrition-risk index where lower scores indicate increasing malnutrition-associated risk.

MST Score

A brief malnutrition screen (0-5) based on unintentional weight loss and appetite reduction.

NRS-2002

A guideline-based hospital nutrition risk score where >=3 suggests need for nutrition support.

EAT-10

A 10-item dysphagia symptom screen (0-40) where >=3 commonly indicates swallowing-risk signal.

Elderly Mobility Scale

A bedside mobility function score (0-20) used to estimate dependence and rehabilitation needs.

DTS

An ultra-brief positive/negative delirium triage screen used before fuller confirmatory assessment.

AWOL Score

A point-based delirium risk model used to estimate incident delirium risk in hospitalized adults.

CAM-S

A delirium severity scale derived from CAM features, used for symptom burden tracking over time.

IQCODE-26

A 26-item informant-based cognitive decline screen summarized as a 1.0-5.0 mean score.

QDRS

A brief informant-rated cognitive-functional staging scale used to estimate dementia severity burden.

Blessed Scale

A caregiver-observed cognitive-functional impairment scale used for dementia severity estimation.

NPI-Q

A brief caregiver/informant questionnaire for behavioral and psychological symptoms in dementia, reporting severity and caregiver distress totals.

ADCS-ADL

An informant-based functional scale used to quantify daily living ability in patients with Alzheimer disease and related cognitive disorders.

Frequently Asked Questions