Common functional problems

Jonathan Ripp, Elizabeth Jones, Meng Zhang

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


In this chapter, we will discuss three common functional problems in the homebound elderly: falls, incontinence, and unintentional weight loss. All three are associated with increased morbidity and mortality and decreased function and independence. The risk factors and etiologies for these problems are often more diverse and complex in the homebound elderly than in younger patients, with psychiatric and socioeconomic factors playing an important part. Evaluation for these problems should focus on prevention and investigation of reversible causes. While some pharmacological treatment options exist, the optimal management of these problems requires a multidisciplinary approach and should always reflect the patient’s preference and goals of care.

Original languageEnglish
Title of host publicationGeriatric Home-Based Medical Care
Subtitle of host publicationPrinciples and Practice
PublisherSpringer International Publishing
Number of pages22
ISBN (Electronic)9783319233659
ISBN (Print)9783319233642
StatePublished - 1 Jan 2015


  • Falls
  • Home-based medical care
  • Unintentional weight loss
  • Urinary incontinence


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