Ch 31-Geriatrics (ADLs Flashcards
Geriatric assessment
Physical examination
Mental status
Functional status
Social and economic status
Pain
Physical environment -safety
Functional ability
Ability to perform activities
Driving, using phone, bathing, toileting
Functional status
Actual performance of activities and tasks
Motivation, sensory capacity (vision and hearing), degree of assistance to accomplish tasks, cognition
Importance of assessment of function
Baseline for continuing comparison
Predict prognosis
Provide objective measures on efficacy of treatments
Functional assessment 3 domains
Activities of daily living (ADLs)
Instrumental activities of daily living (IADLs)
Mobility
Functional assessment approaches
Ask individuals about abilities (self-reports)
Observing ability to perform tasks
Katz Index of ADLs
Based on physical disability
Measures physical function is older adults and chronically ill
Bathing, dressing, toileting, transferring bed to chair, continence, feeding
0-6 Scale of independence
FIM
Telephone
In-person
Proxy version
*more sensitive to change BUT takes formal training and is time consuming
RDS-2
Completed by fam member or professional caregiver
Measures what person can ACTUALLY do vs what they could possibly do
IADL
Shopping, cooking, housekeeping, laundry, managing finances, taking meds, using transportation
Some IADL instruments: yard work and leisure activities (reading, hobbies)
Lawton instrumental activities of daily living
0-1 scoring
Measures performance rather than ability
Useful in acute hospital setting for discharge planning and ongoing outpatient settings
Use of telephone, shopping, cooking, housekeeping, laundry, transportation, self-medication, management of finances
Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire-IADL (OARS-IADL)
Assesses 5 areas of personal function
Social, economic, mental health, physical health, self care capacity
Administered as self-report or trained observer
Direct Assessment of Functional Abilities (DAFA)
10 item observational instrument
Adults with dementia
Requires person to demonstrate tasks of money management, shopping, hobbies, cooking, awareness, reading, and transportation
Direct observation
Advanced activities of daily living (AADLs)
Self-care, mobility, work, hobbies and activities, socialization
Occupational therapists perform assessment
Get Up and Go Test
Functional mobility
Person rises from chair, walks 10 feet, turns, walks back to chair and sits down
Tested: balance, transferring from sitting to standing, pace and stability, ability to turn without staggering, sitting back down
Useful for fall risk
