Health History Additions for the older person

Question 1

This highlights the requirement of accurately assessing frail and older persons, stresses the significance of a thorough assessment of their primary complaints, and identifies pertinent questions or signals to elicit a response from clients when addressing a symptom or problem.

Answer 1

HEALTH HISTORY ADDITIONS FOR A FRAIL OLDER-ADULT CLIENT

Question 2

should be considered for longer visits or scheduling multiple exams.

Answer 2

Stamina

Question 3

_______ _______ like hearing loss can cause communication challenges.

Answer 3

Sensory changes

Question 4

________ ________ can affect health history accuracy, so understanding these tendencies is crucial.

Answer 4

Patients’ behavior

Question 5

All of this are the considerations needed to obtain the health history of Older adults EXCEPT:
○ Encourage patients to come to the visit with a list of concerns.
○ Ensure that the room has good lighting, a comfortable temperature, and minimal distractions and noises.
○ Sit at eye level, facing the patient.
○ Speak in a fast, understandable way.
○ Explain the reason for the interview and an
overview of what to expect during the entire
encounter.
○ Try not to interrupt as the patient is discussing
his or her concerns.

Answer 5

○ Speak in a fast, understandable way.
it should be:
○ Speak CLEARLY.

Question 6

what are the reasons why elders seek for care?

Answer 6

• Older individuals often dismiss symptoms
• have a traditional view of their health statue

Question 7

This includes general health, accidents, injuries, serious illnesses, hospitalizations, operations, last examinations, obstetric history (for females), current medications, immunization.

Answer 7

Past Health History

Question 8

encompasses various aspects such as past roles, volunteer activities, community involvement, and retirement.

Answer 8

Occupation

Question 9

is a self image reputation. An
individual’s feeling about his/herself.

Answer 9

Self-esteem

Question 10

the importance of a regular sleep pattern, including feeling rested, having sufficient energy for daily activities, needing naps, experiencing night awakenings, napping all afternoon without a routine, and whether insomnia worsens with lack of a daily schedule.

Answer 10

Sleep and Rest

Question 11

identifying food preferences, meal patterns, food preparation methods, chewing or swallowing difficulties, and the evolution of elimination patterns.

Answer 11

Nutrition/Elimination

Question 12

Support Systems

Answer 12

Interpersonal Relationships/Resources

Question 13

includes the number of floors, state of house repair, financial stability, and adequate exits for fire, heating, and utilities. Additionally, consider the duration of living in the current home.

Answer 13

Home safety

Question 14

includes owning an automobile, having a recent driver’s exam, considering income for maintenance, using public transport, or receiving community drives.

Answer 14

Transportation

Question 15

categorized into areas with various environmental hazards, including personal safety, loss of possessions, noise and pollution, access to family and friends, and the presence of grocery stores, drug stores, laundry, churches, temples, mosques, and healthcare facilities.

Answer 15

Neighborhood

Question 16

present weight, and what the person would like to weigh.

Answer 16

General

Question 17

can experience changes in sensation, rashes, dryness or itchiness, bathing routines, use of moisturizers, and a history of foot or lower leg ulcers.

Answer 17

Skin, hair, and nails

Question 18

the use of bifocal glasses, its adjustment to far vision, changes in vision particularly at night, discrepancies in fields of vision (clouds moving across), eye irritation, and tearing.

Answer 18

Eyes and vision

Question 19

Hearing issues can lead to increased sensitivity to background noise, hearing loss, or discomfort or confusion due to impaired hearing.

Answer 19

Ears and hearing

Question 20

occurrence of pain in the head or neck region together with characteristic and frequency.

Answer 20

Head and neck

Question 21

Denture usage, cleaning methods, choking and dysphagia, eating limitations due to teeth or dentures issues, and teeth or gum sensitivity to hot, cold, or sweets are all important aspects to consider.

Answer 21

Mouth and Throat

Question 22

Changes in ability to smell or taste.

Answer 22

Nose

Question 23

relationship between sleep and lung health, including symptoms such as pain with breathing, hyperventilation, anorexia, fatigue, recurrent cough, hemoptysis, weight loss, and health changes, and the importance of vaccination for pneumococcal and influenza.

Answer 23

Thorax and lungs

Question 24

may experience lightheadedness or dizziness upon rising, leg discomfort characterized by cramping, aching, fatigue, or weakness in the calf, and bleeding problems.

Answer 24

Cardiovascular System

Question 25

The patient’s clothing and color changes at feet or ankles should be assessed to determine if they are wearing constrictive clothing or rolling stockings at the knees.

Answer 25

Peripheral Vascular System

Question 26

Heartburn, indigestion, chest pains, hiccups, esophagus belching, flatus, digestive issues, vomiting, abdominal pain, and bowel elimination problems like diarrhea or constipation are common symptoms.

Answer 26

Gastrointestinal

Question 27

can experience loss of urinary control, urinary retention, incomplete emptying, straining, and changes in force of the stream. Men may need to stand closer to the toilet if a weakened stream occurs, while women may experience incontinence (the loss of bladder control) during coughing, laughing, or sneezing.

Answer 27

Urinary System

Question 28

involves satisfaction with sexual function, complaints about erectile function, vaginal itching or discomfort, discharges, and dyspareunia.

Answer 28

Sexual Health

Question 29

difficulty in waking up, muscle soreness, body weakness, joint stiffness and pain, gait changes, and the need for assistive devices.

Answer 29

Musculoskeletal System

Question 30

involves assessing the feeling of nearly stumbling or falling, determining the time of the fall, and activities prior to it.

Answer 30

Fall Assessment

Question 31

This includes changes in concentration, memory issues, disorientation, anger, and frustrations, as well as coping mechanisms for daily activities and daily living.

Answer 31

Neurologic System