10: Assessment Flashcards
What are components of the PE for functional assessment (3)?
- Mobility
- Sensory
- Dentition and swallowing
The Short Portable Mental Status Questionnaire asks practical questions, but is not as sensitive as the FMMS. How many errors signifies cognitive impairment?
3
The _____ scale combines functional assessment with cognitive assessment.
Blessed Dementia Scale
T/F Ill-fitting dentures can cause weight loss.
True
Lymphocytes are depressed in malnutrition. What are levels for mild, moderate, and severe?
Mild malnutrition = 1200-1500
Moderate = 800-1200
Severe = <800
Albumin is normal at 4-6. What indicates malnutrition or severe malnutrition?
Malnutrition = <3.5 Severe = <2.5
What is a normal score on the Folstein Mini-Mental Status?
Dementia?
Depression with cognitive impairment?
Depression?
Normal = 27.6
Depression = 25
Depression with Cognitive Impairement = 17
Dementia = 9.7
The _____ is used more in primary care and helps determine if someone is presenting with mild cognitive impairment or dementia.
Clock-Drawing Test. Score only if symbols for clock numbers are present. Score only if 1 or more hands is present.
The _____ screens for deficits in specific areas of cognitive functioning.
Folstein Mini-Mental Status (FMMS)
Why might hypersensitivity reactions occur in elderly (2)?
- Candida
2. Mumps
T/F Medicare often provides home-based services.
False. MedicAID often provides home-based services.
Arm circumference measures muscle mass as a measure of protein stores. Norms are _____ for males and _____ for females.
Males = 29.3 cm Females = 28.5 cm
What are predictive items for nursing home placement (3)?
- Bowel/bladder incontinence
- Incoherent speech
- Inability to bathe/groom oneself
The Blessed Dementia Scale is based on behavioral symptoms of dementia. The higher the score, the greater the functional impact of dementia. Scores over _____ may reflect need for nursing home placement.
30
T/F The Geriatric Depression Scale is a tool that can be used in primary care to assess for overall affect and has 30 questions with yes/no answers.
True. Not perceived as threatening to the patient.