Romel,
I will include a checklist from the ACP about the annual wellness visit, and with this check off list advanced directives is included.
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I have my nurse do the actual up and go test. She times the amount of time it takes the patient to walk 10 feet from a sitted position, turn around and resume the sitting position. So this is part of the review for functional ability.
The depression and cognitive issues are screened for in my annual wellness questionnaire and if abnormal will f/u on. Also if the timed up and go test is prolonged, I have a handout regarding fall risk that is printed up and discussed.