Health Assessment/ Functional Assessment Flashcards
Functional Assessment
- Includes review and evaluation of:
a. Social and economic resources
b. Physical and mental health
c. _____ status
Cognitive
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 ____ ____.
assisted living
- *___ ____ ___ ___ ____: Complex measures of functional status; losing ability in these activities may announce a major decline in overall health
Advanced Activities of Daily Living (AADLs)
- *Advanced Activities of Daily Living (AADLs):
a. Working
b. Volunteering
c. ___ ____
d. Recreational activities
e. Connection with peers and community
Social activities
4. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; "SHAFT" A \_\_\_\_\_\_ (managing financial matters)
Accounting
- *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
S ______
Shopping
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.)Housekeeping
- *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
F _____ _____
Food preparation
- *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
T ____ _____ _____ ____
Transportation and telephone use/skills
a. Elders with functional decline generally lose the ability to do their _____ prior to losing ADL function.
IADLs
- *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
D ______
Dressing
- *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
E _______
Eating (self-feeding)
- *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
A _______
Ambulating
- *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
T ____ ____ ____
Transferring and toileting
- *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
H ______
Hygiene
- 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
Barthel Index
Environmental Assessment
- This assessment must be conducted addressing the personal competence and physical ______ of the individual.
limitations
Environmental Assessment
- 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
Lighting
Environmental Assessment
- 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
75
Environmental Assessment
- Some conditions influencing the safety of the elderly include:
c. Colors: ____ colors (e.g., red, orange,and yellows)
Warm
Environmental Assessment
- Some conditions influencing the safety of the elderly include:
c. ____tones (e.g., blues and greens) may have a relaxing effect
cool
Environmental Assessment
- 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
Floor Coverings
Environmental Assessment
e. _____: Furnishings should be appealing, functional, and comfortable; elders with cognitive impairments should have simple environments
Furniture
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
Lighting
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
Floor surfaces
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
Faucets
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
Tubs and shower stalls
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
Toilets
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
medications
Environmental Assessment
- Some conditions influencing the safety of the elderly include:
g. Medication, Chemicals, and Toxins
ii) Review storage of ____ supplies and other toxins
cleaning
Environmental Assessment
- Some conditions influencing the safety of the elderly include:
g. Medication, Chemicals, and Toxins
iii) Clear labels for ____ appearing products
similar
Nutritional Concerns and Risk Assessment
1. Does the patient rake a _______ daily to meet recommended daily allowances of vitamins and other nutrients?
multivitamin
Nutritional Concerns and Risk Assessment
- Protein
a. Recommended need: At least ___ g/kg/day
0.8
Nutritional Concerns and Risk Assessment
- Protein
b. Albumin below ___% indicates protein malnutrition
3.5
Nutritional Concerns and Risk Assessment
- Protein
c. Low protein intake ____ healing
retards
Nutritional Concerns and Risk Assessment
- Calcium intake needs to be individualized
a. Calcium absorption decreases with _____?
age
Nutritional Concerns and Risk Assessment
- Calcium intake needs to be individualized
b. Is the patient _____ intolerant?
lactose
Nutritional Concerns and Risk Assessment 3. Calcium intake needs to be individualized c. Diseases to consider. i) Certain cancers ii) \_\_\_\_\_\_\_\_\_\_\_\_ iii) Hyperparathyroidism
Nephrolithiasis
Nutritional Concerns and Risk Assessment
- Body Mass Index (BMI)
a. Underweight:
< 18.5
Nutritional Concerns and Risk Assessment
- Body Mass Index (BMI)
b. Normal weight:. ___ to ____
18.5 to 24.9
Nutritional Concerns and Risk Assessment
- Body Mass Index (BMI)
c. Overweight: _____ -___%
25-29.9%
Nutritional Concerns and Risk Assessment
- Body Mass Index (BMI)
d. Obese: ____%
> __30%
Nutritional Concerns and Risk Assessment
- Medications that may increase appetite:
a. _________
b. Tranquilizers
c. Beta adrenergic agents
d. Narcoleptics
e. Hormones
f. Steroids
Antidepressants
- Nutritional Risk Assessment
a. History
i) Involuntary weight loss
ii) Change in _______
Iii) Change in size of clothing
appetite
- Nutritional Concerns and Risk Assessment
a. History
i) Involuntary ___ ____
ii) Change in appetite
iii) Change in size of clothing
weight loss
- Nutritional Concerns and Risk Assessment
b. Indicators of Nutritional Risk
i) Weight loss
a) ___ pounds in 1 month
5
- Nutritional Concerns and Risk Assessment
b. Indicators of Nutritional Risk
i) Weight loss
b) ___% of body weight in 1 month
5
- Nutritional Concerns and Risk Assessment
b. Indicators of Nutritional Risk
i) Weight loss
c) ___% of body weight in 3 months
7.5
- Nutritional Concerns and Risk Assessment
b. Indicators of Nutritional Risk
i) Weight loss
d) ____% of body weight in 6 months
10
- Nutritional Concerns and Risk Assessment
c. Change in function, health or _____ status
mental
Nutritional Concerns and Risk Assessment
7. Key laboratory indices
a. Albumin Normal: ___ to ___ g/dL
3.5 to 5
Nutritional Concerns and Risk Assessment
7. Key laboratory indices
b. Prealbumin Normal: ___ to ___ mg/dL
16 to 35
Nutritional Concerns and Risk Assessment
7. Key laboratory indices
c. Transferrin Normal: > ____mg/dL
200
Nutritional Concerns and Risk Assessment
7. Key laboratory indices
d. Total lymphocyte count
Normal: ____ to ____ cells/mm3
1,200 to 1,800
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.
myth
Health Assessment
- 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.
no decline
Health Assessment
- 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.
sexual
Health Assessment
- There is a general decline in sexual libido as one gets older.
c. Living arrangements may ______ with privacy
required for sexual relations
interfere
- Be aware of situations lending to lack of respect for the patient’s sexuality.
a. _____ to fasten clothing
Forgetting
- Be aware of situations lending to lack of respect for the patient’s sexuality.
b. Denying same gender attendants for ______
bathing
- 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
incontinence
Sexuality
4. Review patient’s ___-____ of sexual relations
self-view
Sexuality
- Medications may interfere with ______
a. Pharmacotherapy for hypertension
libido
Sexuality
6. Certain medical diagnoses or conditions may interfere
with libido such as ______ _____ or treatments
such as mastectomy and prostatectomy
myocardial infarction
Sexuality
7. Review and screen for sexually transmitted
diseases/infections.
a. Review options for _______ of sexually transmitted
diseases/infections.
prevention
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
phosphodiesteras
