Geriatric Functional Assessment Flashcards
What does a plan of care outline?
steps needed to achieve the best possible quality of life for the patient
What are the 9 components to the geriatric assessment?
Medical Cognitive Pyschological Functional Social Economic Environmental Preventitive medicine Advance directives
Activities of daily living (ADL)?
Bathing, Continence, Dressing, Feeding, Tolieting, Transferring/ mobility
Katz index of ADL?
(same as ADL list) out of 3, total possible 18 points
Instrumental ADL’s?
Use the telephone, gets to places out of walking distance, goes shopping for groceries, prepares own meals, does own housework, does own handyman work, does own laundry, takes own meds, manages own money
Lawton IADL scale?
(same as instrumental ADL list) out of 3 points, total 27 points
Screening exams for cognitive function?
Mini-cog, SLUMS test, Folstein Mini/Mental Status Exam, Clock test
Mini-cog?
Clock drawing test (CDT), uncued 3 item recall test
3 min long, uninfluenced by level of education or language variations
Mini-cog Scoring?
1 point for each recalled word after the CDT
0: positive screen for dementia
1/2 w/ abnormal CDT: pos dementia
1/2 w/ normal CDT: neg screen for dementia
3: neg screen
SLUMS?
St. Louis University Mental Status Examination
Alt test for MMSE, greater diagnostic value of early ALzheimer’s disease than the MMSE
A score below a 19 on the MMSE is indicative of what?
Impaired, not dementia
Clock Completion test scoring?
1 pt for Quadrant 1, 1 pt for Quad 2, 1 pt for Quad 3, 4 pts for Quad 4
Good screening test for balance?
Rhomberg test
Vision test?
Rosenbaum Vision card
physical exam of the eye
- cornea, lens, retina
Evaluate hearing?
Hearing screen, whisper test, audiometric testing
