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Primary > Health Assessment/ Functional Assessment > Flashcards

Health Assessment/ Functional Assessment Flashcards

1
Q

Functional Assessment

  1. Includes review and evaluation of:
    a. Social and economic resources
    b. Physical and mental health
    c. _____ status
A

Cognitive

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2
Q

Functional Assessment
2. Changes in an elder’s ability to function in everyday activities are often related to changes in health and may result ill changes in a patient’s living status such as making the decision for a form of ____ ____.

A

assisted living

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3
Q
  1. *___ ____ ___ ___ ____: Complex measures of functional status; losing ability in these activities may announce a major decline in overall health
A

Advanced Activities of Daily Living (AADLs)

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4
Q
  1. *Advanced Activities of Daily Living (AADLs):
    a. Working
    b. Volunteering
    c. ___ ____
    d. Recreational activities
    e. Connection with peers and community
A

Social activities

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5
Q 
4. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; "SHAFT"
A \_\_\_\_\_\_ (managing financial matters)
A

Accounting

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6
Q
  1. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
    S ______
A

Shopping

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7
Q 
4. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; "SHAFT"
H \_\_\_\_\_\_\_ (coo king, laundry, vacuuming, etc.) and 
    health maintenance activities (medical appointments, 
    medications, etc.)
A

Housekeeping

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8
Q
  1. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
    F _____ _____
A

Food preparation

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9
Q
  1. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
    T ____ _____ _____ ____
A

Transportation and telephone use/skills

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10
Q

a. Elders with functional decline generally lose the ability to do their _____ prior to losing ADL function.

A

IADLs

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11
Q
  1. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
    D ______
A

Dressing

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12
Q
  1. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
    E _______
A

Eating (self-feeding)

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13
Q
  1. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
    A _______
A

Ambulating

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14
Q
  1. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
    T ____ ____ ____
A

Transferring and toileting

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15
Q
  1. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
    H ______
A

Hygiene

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16
Q
  1. Examples of functional assessment tools: •
    i) Katz ADL Scale
    ii) ______ _____•
    iii) Kenny Self-Care Scale •
    iv) IADL Scale •
    v) Timed Manual Performance •
    vi) Performance Test of ADL
    vii) Framingham Disability Scale •
    viii) Lawton Scale
A

Barthel Index

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17
Q

Environmental Assessment

  1. This assessment must be conducted addressing the personal competence and physical ______ of the individual.
A

limitations

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18
Q

Environmental Assessment

  1. Some conditions influencing the safety of the elderly include:
    a. _____: Good sources of _____ enhance mood and behavior while assisting to maintain the orientation of the individual; night _____ are useful in facilitating orientation during the night; fluorescent lighting may cause eyestrain and glare
A

Lighting

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19
Q

Environmental Assessment

  1. Some conditions influencing the safety of the elderly include:
    b. Temperature: Normal lower body temperature and decreased amounts of natural insulation make elderly more sensitive to lower temperatures; recommended room temperature for elderly adults = ___ degrees; room temperatures less than 70 degrees may cause hypothermia in the elderly
A

75

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20
Q

Environmental Assessment

  1. Some conditions influencing the safety of the elderly include:
    c. Colors: ____ colors (e.g., red, orange,•and yellows)
A

Warm

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21
Q

Environmental Assessment

  1. Some conditions influencing the safety of the elderly include:
    c. ____tones (e.g., blues and greens) may have a relaxing effect
A

cool

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22
Q

Environmental Assessment

  1. Some conditions influencing the safety of the elderly include:
    d. ____ ____: Scattered and area rugs provide an ideal source for falls and should not be used; bold floor designs can cause dizziness and confusion during ambulation; a single solid color is preferable; non-glare surface is essential; floor treatments that provide a non-slip surfaceare particularly useful
A

Floor Coverings

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23
Q

Environmental Assessment
e. _____: Furnishings should be appealing, functional, and comfortable; elders with cognitive impairments should have simple environments

A

Furniture

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24
Q

Environmental Assessment
2. Some conditions influencing the safety of the elderly include:
f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to following:
•i) ______: Keep bathroom lit at all times

A

Lighting

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25
Q

Environmental Assessment
2. Some conditions influencing the safety of the elderly include:
f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to following:
•ii) ___ _____: Do not use throw rugs, keep
appliances off the floor, correct leaks to avoid
creating slippery floors•

A

Floor surfaces

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26
Q

Environmental Assessment
2. Some conditions influencing the safety of the elderly include:
f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to following:
iii) ______: Lever-shaped handles are easier to use than
round ones; color coding faucets handles makes
differentiation of hot and cold easier

A

Faucets

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27
Q

Environmental Assessment
2. Some conditions influencing the safety of the elderly include:
f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to the following:
iv) ____ ___ ____ ___: Nonslip surfaces are essential, grab bars on the wall are a necessary source of
support

A

Tubs and shower stalls

28
Q

Environmental Assessment
2. Some conditions influencing the safety of the elderly include:
f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to the following:
v) _____: Grab bars or support frames aid in the difficult
task of sitting down and rising from the toilet seat

A

Toilets

29
Q

Environmental Assessment
2. Some conditions influencing the safety of the elderly include:
g. Medication, Chemicals, and Toxins
• i) Clearly label ______ and set up a workable system
for taking •

A

medications

30
Q

Environmental Assessment

  1. Some conditions influencing the safety of the elderly include:
    g. Medication, Chemicals, and Toxins
    ii) Review storage of ____ supplies and other toxins
A

cleaning

31
Q

Environmental Assessment

  1. Some conditions influencing the safety of the elderly include:
    g. Medication, Chemicals, and Toxins
    iii) Clear labels for ____ appearing products
A

similar

32
Q

Nutritional Concerns and Risk Assessment

1. Does the patient rake a _______ daily to meet recommended daily allowances of vitamins and other nutrients?

A

multivitamin

33
Q

Nutritional Concerns and Risk Assessment

  1. Protein
    a. Recommended need: At least ___ g/kg/day
A

0.8

34
Q

Nutritional Concerns and Risk Assessment

  1. Protein
    b. Albumin below ___% indicates protein malnutrition
A

3.5

35
Q

Nutritional Concerns and Risk Assessment

  1. Protein
    c. Low protein intake ____ healing
A

retards

36
Q

Nutritional Concerns and Risk Assessment

  1. Calcium intake needs to be individualized
    a. Calcium absorption decreases with _____?
A

age

37
Q

Nutritional Concerns and Risk Assessment

  1. Calcium intake needs to be individualized
    b. Is the patient _____ intolerant?
A

lactose

38
Q 
Nutritional Concerns and Risk Assessment
3. Calcium intake needs to be individualized
c. Diseases to consider.
•   i) Certain cancers
•   ii) \_\_\_\_\_\_\_\_\_\_\_\_
•   iii) Hyperparathyroidism
A

Nephrolithiasis

39
Q

Nutritional Concerns and Risk Assessment

  1. Body Mass Index (BMI)
    a. Underweight:
A

< 18.5

40
Q

Nutritional Concerns and Risk Assessment

  1. Body Mass Index (BMI)
    b. Normal weight:. ___ to ____
A

18.5 to 24.9

41
Q

Nutritional Concerns and Risk Assessment

  1. Body Mass Index (BMI)
    c. Overweight: _____ -___%
A

25-29.9%

42
Q

Nutritional Concerns and Risk Assessment

  1. Body Mass Index (BMI)
    d. Obese: ____%
A

> __30%

43
Q

Nutritional Concerns and Risk Assessment

  1. Medications that may increase appetite:
    a. _________
    b. Tranquilizers
    c. Beta adrenergic agents
    d. Narcoleptics
    e. Hormones
    f. Steroids
A

Antidepressants

44
Q
  1. Nutritional Risk Assessment
    a. History
    • i) Involuntary weight loss
    • ii) Change in _______
    •Iii) Change in size of clothing
A

appetite

45
Q
  1. Nutritional Concerns and Risk Assessment
    a. History
    i) Involuntary ___ ____
    ii) Change in appetite
    iii) Change in size of clothing
A

weight loss

46
Q
  1. Nutritional Concerns and Risk Assessment
    b. Indicators of Nutritional Risk
    • i) Weight loss
    a) ___ pounds in 1 month
A

5

47
Q
  1. Nutritional Concerns and Risk Assessment
    b. Indicators of Nutritional Risk
    • i) Weight loss
    b) ___% of body weight in 1 month
A

5

48
Q
  1. Nutritional Concerns and Risk Assessment
    b. Indicators of Nutritional Risk
    • i) Weight loss
    c) ___% of body weight in 3 months
A

7.5

49
Q
  1. Nutritional Concerns and Risk Assessment
    b. Indicators of Nutritional Risk
    • i) Weight loss
    d) ____% of body weight in 6 months
A

10

50
Q
  1. Nutritional Concerns and Risk Assessment

c. Change in function, health or _____ status

A

mental

51
Q

Nutritional Concerns and Risk Assessment
7. Key laboratory indices

a. Albumin Normal: ___ to ___ g/dL

A

3.5 to 5

52
Q

Nutritional Concerns and Risk Assessment
7. Key laboratory indices

b. Prealbumin Normal: ___ to ___ mg/dL

A

16 to 35

53
Q

Nutritional Concerns and Risk Assessment
7. Key laboratory indices

c. Transferrin Normal: > ____mg/dL

A

200

54
Q

Nutritional Concerns and Risk Assessment
7. Key laboratory indices

d. Total lymphocyte count

Normal: ____ to ____ cells/mm3

A

1,200 to 1,800

55
Q

Health Assessment

Sexuality
1. The ____ about people over a certain age not engaging in sexual relations is a myth and interferes with comprehensive health assessments and treatment.

A

myth

56
Q

Health Assessment

  1. There is a general decline in sexual libido as one gets older.
    a. However, the amount of sexual activity is personal
    and some people may have little to ___ ___ in
    sexual activity.
A

no decline

57
Q

Health Assessment

  1. There is a general decline in sexual libido as one gets older.
    b. Male _____ dysfunction is the prime reason for
    reducing or discontinuing sexual activity.
A

sexual

58
Q

Health Assessment

  1. There is a general decline in sexual libido as one gets older.
    c. Living arrangements may ______ with privacy
    required for sexual relations
A

interfere

59
Q
  1. Be aware of situations lending to lack of respect for the patient’s sexuality.
    a. _____ to fasten clothing
A

Forgetting

60
Q
  1. Be aware of situations lending to lack of respect for the patient’s sexuality.
    b. Denying same gender attendants for ______
A

bathing

61
Q
  1. Be aware of situations lending to lack of respect for the patient’s sexuality.
    c. Discussing ______ issues and other medical
    conditionsin front of patient’s peers
A

incontinence

62
Q

Sexuality

4. Review patient’s ___-____ of sexual relations

A

self-view

63
Q

Sexuality

  1. Medications may interfere with ______
    a. Pharmacotherapy for hypertension
A

libido

64
Q

Sexuality
6. Certain medical diagnoses or conditions may interfere
with libido such as ______ _____ or treatments
such as mastectomy and prostatectomy

A

myocardial infarction

65
Q

Sexuality
7. Review and screen for sexually transmitted
diseases/infections.
a. Review options for _______ of sexually transmitted
diseases/infections.

A

prevention

66
Q

Sexuality
8. Review of sexual libido enhancement options such as
________ inhibitors [e.g., sildenafil (Viagra),
vardenafil (Levitra), tadalafil (Cialis), Avanafil (Stendra)],
testosterone replacement, and lubrication options

A

phosphodiesteras

Primary (44 decks)

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