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SYSTEMIC LUPUS ERYTHEMATOSUS AS A CAUSE OF FAILURE TO THRIVE IN OLDER PEOPLE

within normal range (MMSE = 26.7 ± 3.2). However, scores on more specific decision-related cognitive tasks (measured via Hopemont and UTD scores) suggested impairment, as did functional scores (measured via EPT). Format of information presentation was related to performance: scores on the element disclosure portion of the UTD exceeded scores on the uninterrupted disclosure portion. There was little fluctuation in scores over the two times of measurement. Although medical decision-making should be carried out, as much as possible, before acute health crises that require hospitalization," the hospital continues to be the site of many critical decisions for patients. Our results suggest that among a relatively unimpaired sample, abilities relevant to decision-making do not improve from admission to discharge. For older adults, the process of making decisions about medical treatments can be enhanced by presenting them with shorter segments of information and obtaining frequent feedback.