Chapter 7 : Assessment of Health and Functioning Flashcards
What is a functional assessment?
measures the persons ability to fulfil responsibilities and perform self-care tasks
ex: ADL, instrumental ADL like grocery shopping
Which statement best describes the challenge of health assessment of the older adult?
A) Signs of infection with an acute illness are predictable
B) Symptoms of chronic conditions interact with acute conditions ***
C) Health problems are easily detected when they occur
D) Complications of illness are rare in people with cognitive impairment
assessment for the use of assistive devices?
nurses have responsibility to be familiar with all devices and assess for proper use.
devices; walker, shower bars
what s function-focused care?
referred to as RESTORATIVE CARE
focuses on evolution capability in regard to functional and physical activity with interventions
- uses evidence based practice
what is the comprehensive geriatric assessment?
assessing everything so medical, psychosocial, cognitive and functional components. Purpose: to simply improve care and quality of life of older adults.
THIS ASSESSMENT IS NOT THE BEST FOR ASSESSING MOOD
What are the components that the comprehensive geriatric assessment include?
firstly this assessment occurs in the HOME setting.
youre looking at:
- temperature regulations
- safety (risks for falls, proper lighting, and general environment such as rugs)
What are the components that the comprehensive geriatric assessment include?
second assessment: driving (this is an instrumental ADL). Psychosocial implications related to driving cessation.
risks for unsafe driving:
age related changes to vision, musculoskeletal function, and CNS. medical conditions, cognitive impairments and functional limitations.
what should nurses have in mind when assessing for driving risks?
some OA its a sensitive topic because you are taking away their autonomy.
best practice is: getting family involved to gather information (did they have accidents, unable to drive etc…)
why would we assess grief for OA when driving?
grief can cloud their cognitive ability to drive especially in OA who are already experiencing age related changes so awareness will be decreased
how do we keep them driving?
refer to optomologist to see any vision conditions
hearing aid implementations
Nurses who use the Minimum Data Set for assessment in nursing homes understand that utilization of this tool promotes?
A. Improved care in nursing homes ***
B. Nursing competency of the staff
C. Socialization skills of the residents
D. Patient advocacy requirements
What does assessment of ADLs include?
A. driving a car
B. grocery shopping
C. dressing **
D. cooking
What is not a measure in the assessment of the older adult’s ability to drive?
A. Identification of potential risks
B. Potential visual impairments
C. Chronologic age **
D. Neuromuscular function
