Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Disciplines II-Exam #1 > Comprehensive Assessment > Flashcards

Comprehensive Assessment Flashcards

1
Q

Define Functional Capacity

A

Person’s ability to perform tasks that are required for living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two key divisions of functional capacity?

A
  1. Basic Activities of Daily Living (ADL’s)

2. Instrumental Activities of Daily Living (IADL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What Katz Index of Independence in ADL score would indicate a highly independent elder?

A

Score of 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What Katz Index of Independence in ADL score would indicate a very dependent elder?

A

Score of 0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

List the 5 Instrumental Activities of Daily Living (IADL)

A
  1. Housework
  2. Preparing meals
  3. Taking medications properly
  4. Managing finances
  5. Using a telephone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What Scale would you use to assess IADL’s?

A

Lawton Instrumental Activities of Daily Living Scale (9 Q’s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 4 components of the comprehensive geriatric assessment?

A
  1. Functional Capacity
  2. Physical Health: Pharmacy
  3. Cognition/Mental health
  4. Socio-Environmental
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What 5 topics does the physical health component cover?

A
  1. Nutrition
  2. Vision/Hearing
  3. Balance and Fall prevention
  4. Fecal and Urinary incontinence
  5. Polypharmacy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What vitamins/minerals are elderly deficient in?

A
  1. Vitamin A, C, D
  2. B12
  3. Calcium
  4. Zinc
  5. Iron
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does Nutritional Health Checklist of 0-2 mean? Recommendation?

A

Good nutrition

Re-check nutrition score in 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does Nutritional Health Checklist of 3-5 mean? Recommendation?

A

Moderate nutritional risk
Re-check nutrition score in 3 months
See what you can do to improve eating habits and lifestyle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does Nutritional Health Checklist of 6+ mean? Recommendation?

A

High Nutritional Risk

Bring checklist to physician or dietician for help to improve nutritional status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What increased risks is low vision associated with?

A
  1. Falls
  2. Cognitive decline
  3. Depression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Who should have a vision assessment?

A
  1. Falls
  2. Cognitive Declines
  3. Functional impairment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are common causes of vision impairment?

A
  1. Presbyopia
  2. Glaucoma
  3. Diabetic Retinopathy
  4. Cataracts
  5. Age-Related Macular Degeneration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the 3rd MC ailment in elderly?

A

Hearing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

At what age do we screen for hearing loss?

A

65+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What tests do we use to test for hearing loss?

A
  1. Surveys
  2. Whispered voice test
  3. Audiometry
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is hearing loss associated with?

A
  1. Cognitive decline
  2. Functional impairment
  3. Depression
  4. Social Isolation
  5. Poor self-esteem
  6. Increased hospitalizations
20
Q

What Hearing Handicap Inventory score is considered a No Handicap/No Referral

A

0-8= 13% probability of hearing impairment

21
Q

What Hearing Handicap Inventory score is considered a mild-to-moderate handicap/referral?

A

10-24= 50% probability of hearing impairment

22
Q

What Hearing Handicap Inventory score is considered a severe handicap/referral?

A

25-40= 84% probability of hearing impairment

23
Q

When should you refer your patient to a otolaryngologist?

A

If they fail the screening test

24
Q

What is the TOC in hearing loss?

A

Hearing Aids

25
Q

What are the complications of urinary incontinence?

A
  1. UTI’s
  2. Sepsis
  3. Decubitus ulcers
  4. Renal Failure
  5. Increased mortality
26
Q

What is the key deciding factor in urinary incontinence?

A

Nursing home placement

27
Q

What is the leading cause of hospitalizations and injury-related death in 75+?

A

FALLS

28
Q

What is a Normal Time for the Get up and Go test (Tinetti Balance & Gait Evaluation)

A

7-10 seconds

29
Q

What is a Fairly Mobile time for the Get up and Go test

A

10-19 seconds

30
Q

What is a Variable Mobile time for the Get up and Go test

A

20-29 seconds

31
Q

What is a Functionally Dependent in Balance and. Mobility time for the Get up and Go test

A

30 seconds or more

32
Q

How can older persons reduce their fall risk?

A
  1. Exercise
  2. Home Hazard Assessment
  3. Remove Psychotrophic meds
33
Q

What is the USPSTF osteoporosis screening recommendation in women?

A

Screen women 65+ with DEXA of femoral neck

34
Q

Osteoporosis T-score

A

-2.5 or lower

35
Q

Osteopenia T-score

A

-1 to -2.5

36
Q

What percentage of hospital admission in older people is secondary to drug ADE’s?

A

30%

37
Q

How do older adults present with depression?

A

Atypical Presentation:

  1. Somatic complaints
  2. Cognitive/functional problems
  3. Sleep disturbances
  4. Fatigue
38
Q

What screening can you use to easily identify pt’s @ risk for depression?

A

Two Q screening

  1. Bothered by feeling down, depressed, or hopeless?
  2. Little interest or pleasure in doing things
39
Q

If the patients has a positive screen to both Q’s, what should you follow-up with?

A

7 additional Q’s to complete Patient Health Questionnaire (PHQ-9)

40
Q

PHQ-9 Score for Minimal Depression

A

1-4

41
Q

PHQ-9 Score for Mild Depression

A

5-9

42
Q

PHQ-9 Score for Moderate Depression

A

10-14

43
Q

PHQ-9 Score for Moderately Severe Depression

A

15-19

44
Q

PHQ-9 Score for Severe Depression

A

20-27

45
Q

What is a quick initial screening you can use to assess for dementia?

A

Mini-Cognitive Assessment Instrument: 3 Q’s

  1. Repeat 3 unrelated words
  2. Draw clock
  3. Repeat 3 words from step 1

*One point for each item that is recalled correctly

46
Q

What is the most widely used assessment for dementia?

A

Mini Mental Status Exam: 7-10 Q’s

Clinical Disciplines II-Exam #1 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions