-apraxia; without work; inability to make skilled movements with accuracy -aphasia; without speech; -agnosia; without knowledge, inability to interpret sensations correctly although the sense organs and nerves are functioning normally Common co-morbidities -DM, HTN, COPD, obstructive sleep apnea GDS scoring: geriatric depression scale 0-4 = normal 5-8 = mild 8-11 = moderate 12-15= severe cognitive screening SLUMS < 21/30 suggestive of dementia MMSE < 25/30 suggestive of dementia GDS > 5 suggestive of depression