clinical geriatric tests Flashcards
tinetti balance score
2 parts: gait and balance scores 0(high fall risk) to 28 (low fall risk) 19 is high fall risk area- walker/cane 19-24- at risk for fall (risk assessment of falls)
GDS
test depression
0-9 normal
10-19 mild depression
20-30 severe depression
zarit burden score
caregiver burden
hospice
dfsad
pallative
dfads
mmse
mini mental state exam
MOCA test
montreal cognitive assessment- cognitive abilities
table a
cognitive processing speed
table b
executive functioning- memory reasoning and problem solving
PHQ-9
1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe dep
tinetti gait score
12 points max
tinetti balance score
16 points max
IADLS
lower score = independent
0-8
ADL
lower score= independent
0-6
name 6 ADL categories
toileting, feeding, dressing, grooming, ambulation, bathing
name 8 IADL categories
telephone, shopping, food preproation, housekeeping (any ass get 1 pt), laundry, transportation, resp of own meds, ability to handle fiances (ok day-day)
vit d
1000-2000 IU
calcium
1200mg daily
vitamin b12
methylmalonate
Ad clinical findings
Memory loss , disorientation , aphasia, apraxia , complex visual dysfunction, executive dysfunction , poor problem solving , impaired abstract thought , anosognosia
Ad non- cognitive findings
Personality change , depression , anxiety , delusions , hallucinations, agitation , sleep disturbance
Mild dementia
Impaired memory excused or covered
Insidious loss of I ADL
Preserved ADL
Subtle personality changes
Socially normal
Moderate ad
Obvious memory impairment Overt IADL Basic ADL failing Prominent behavioral difficulties Social skills variable Needs supervision
Severe ad
Memory fragments Not recognize familiar people Needs help ADL Fewer troublesome behaviors - rare Reduced mobility
