AGING 15 C. As the client has improved the relationship with his/her children, he/she has enjoyed increased support from them. 6. Serious Medical Condition (6) A. The client presented with serious medical problems related to his/her advanced age that are having a negative impact on d aily living. B. The client has pursued treatment for his/her medical condition. C. The client has refused treatment for his/her medical condition. D. The client has not sought treatment for his/her medical condition because of a lack of insurance and fi nancial resources. E. The client's serious medical condition is now under treatment and is showing signs of improvement. 7. Medication Side Effects (7) A. The client displayed specific physical deficits due to long-term use of psychotropic medications ( e. g., tardive dyskinesia). B. The client displayed tremors, grimaces, twitches, and involuntary vocal tics due to the long-term use of psychotropic medications. C. The client expressed concern about continued use of psychotropic medications due to the lo ng-term physical deficits he/she has experienced. D. Medication adjustment has assisted in reducing the effects of the long-term use of psychotropic medications. 8. Spiritual Confusion (8) A. The client reported concerns about spiritual confusion due to uncertainty about the meaning or purpose in life and fears surrounding mortality issues. B. The client's severe and persistent mental illness issues have confounded his/her attempts to find meaning or purpose in life. C. The client has sought out spirit ual guidance to help resolve concerns about mortality issues and the meaning and purpose of his/her life. D. The client reported that he/she has become more at peace due to involvement in spiritual activities. 9. Decreased ADLs/IADLs (9) A. The client h as displayed a decreased ability to perform activities of daily living (ADLs) (e. g., personal hygiene needs, caring for home, meal preparation) due to his/her advanced age. B. The client reported that he/she has had to decrease his/her independent activit ies of daily living (IADLs); (e. g., grocery shopping, other activities within the community) due to his/her age-related infirmities. C. As treatment has progressed, the client has identified ways to modify his/her performance of ADLs/IADLs and is now perf orming these more regularly. D. The client has received support for his/her performance of ADLs/IADLs and is performing these more regularly. 