Function and Sensory Flashcards
sub-acute care
- reimbursed by Medicare
- short stay, for skilled care
- need certification for need to continue skilled care
chronic care
- private pay or medicaid
- for elderly requiring help with ADLs
minimum data set (MDS)
- a comprehensive multidisciplinary assessment done in the skilled nursing facility
- used to validate need for long-term care, provide data for reimbursement, maintain ongoing assessment of clinical problems, assess/alter plan of care
what tool is used for spiritual assessment?
FICA spiritual history tool
two tools for assessing ADLs
Katz ADL index, Barthel index
component of Katz ADL index (6)
bathing, dressing, toileting, transferring, continence, feeding
two tools for assessing IADLs
Lawton IADL scale, Direct Assessment of Functional Abilities (DAFA)
explain the timed get-up-and-go test
- measure of capability
- 15 seconds to rise from chair, stand still, walk ten feet, turn around, walk to chair, and sit down
- > 30 seconds = high risk for falls
arcus senilis
- corneal calcium deposits - doesn’t affect vision
- an age-related change
myopia
nearsightedness - distant objects don’t come into focus
hyperopia
farsightedness - distant objects seen clearly, but close ones don’t come into focus
astigmatism
blurred or distorted vision
presbyopia
age-related change where lens of eye loses flexibility - difficulty focusing on close objects
glaucoma
increased IOP leads to optic nerve damage and peripheral vision loss
primary open angle glaucoma patho
- outflow disturbance - decreased aqueous outflow and increased IOP; not a complete blockage
- slow optic degeneration
primary open angle glaucoma symptoms (4)
- tunnel vision (loss of peripheral vision)
- mild eye discomfort
- bumping into things
- IOP > 21 mmHg
acute closed angle glaucoma patho
- sudden buildup of IOP - complete blockage of filtering angle
- emergency
acute closed angle glaucoma symptoms (6)
- halos, rainbows
- eye pain
- nausea/vomiting
- ocular redness
- blurred/cloudy vision
- IOP > 30 mmHg
how do you assess IOP?
tonometry
- normal is 10-21 mmHg
two ways that meds treat open angle glaucoma
- decreases aqueous humor production
- decreases IOP by increasing aqueous humor outflow
open angle glaucoma meds that decrease aqueous humor production (4)
- beta adrenergic blockers (Betoptic, Timoptic)
- alpha adrenergic receptor agonists (Alphagan)
- cholinergic agents (Pilocarpine)
- carbonic anhydrase inhibitors (Diamox, Trusopt)
(BACC)
open angle glaucoma meds that decrease IOP by increasing aqueous humor outflow (1)
prostaglandin agonists (Xalatan)
cataracts
progressive opacity or clouding of lens
cataracts symptoms (6)
- blurry vision
- glare
- halos
- double vision
- difficulty sensing contrasting colors
- poor night vision
