Functional assessment & ADLs Flashcards

1
Q

Functional assessment-

A
  • Measures performance of skills to handle life
  • ADLs- fxn safely at home
  • IADLs- fxn safely in community
  • Med, psych
  • Social
  • Financial
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2
Q

FA Screening

A
  • Vison/ hearing
  • Mobility
  • Oral health, nutrition
  • Elimination
  • Cog fxn
  • ADL/ IADL
  • Home, social envt
  • Meds
  • Chronic pain
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3
Q

Overcome communication barriers

A
  • Well lit
  • Speak slow
  • Introduce self
  • Address by last name
  • Face at eye level
  • Minimize interruptions
  • Open ended questions
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4
Q

Physical fxn

A
  • ADL & IADL by Hx

- Mobility- Get up and go, reach, Romberg, shoulder & hand fxn

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5
Q

Cognition

A
  • Mini mental state exam

- Mini-cog (clock & recall)

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6
Q

ADLs

A

Historical, open ended Q’s:

  • Bathing & grooming
  • Ambulation
  • Transfer
  • Toileting
  • Eating
  • Dressing
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7
Q

IADLs

A

Historical, open ended Q’s:

  • Writing, reading
  • Cooking, cleaning
  • Shopping
  • Laundry, telephone,
  • Meds & money
  • Transportation
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8
Q

Dressing- Independent

A

Doesn’t require shoe tying but can handle zippers, fasteners

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9
Q

Ambulation- Independent

A

Walking with cane and walker considered independent

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10
Q

Transfer- Independent

A
  • In and out of bed and chair. Must have both
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11
Q

Cognitive screening

A
  • MMSE

- Geriatric depression scale

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12
Q

Nutrition

A

4 As:

  • Appearance- nourished
  • Appetite- good?
  • Access- funds and store
  • Ability- make meals
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13
Q

Elimination/ Incontinence

A

DRIP

  • Delirium, depression, dementia
  • Retention, restricted mobility
  • Infection, inflammation, impaction
  • Pharmacy, polyuria
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