Health Promotion and Assessment Flashcards
functional consequences
- age related changes
- functional consequences
- positive and negative functional consequences
age related changes
inevitable, progressive and irreversible changes that happen to everyone
- physical degenerative
- psychological and spiritual potential for growth
risk factors
conditions that increase vulnerability
- diseases
- environment
- lifestyle
- support systems (lack of)
- psychological circumstances
- adverse medication effects
- attitudes based on lack of knowledge
how do older adults stay well?
- prevention and screening programs
- risk-reduction interventions
- environmental modifications
- health education
community + role of the nurse
- health promotion
- respite services
- adult day centers
RON: - education
- referrals
home care +role of nurse
- goal is rehabilitation
- meal prep, personal care, errands, light housekeeping
RON: - education
- referrals
- assessment
- care planning
- hands-on care
nursing home +RON
- needs 24hr assistance with ADLs
RON: - education
- referrals
- assessment
- care planning
- hands-on care
- continuous on-site responsibility
- coordinates with interprofessionals
types of assessment
- physical assessment
- functional assessment
- mental status assessment
- comprehensive geriatric assessment (physician)
- environmental and safety assessment
- other assessments
physical assessment
obtain health history before starting assessment
head to toe (observational)
vital signs
functional assessment
refers to the measurement of a persons ability to fulfill responsibilities and preform self-care tasks
- ADLs
- IADLs (shopping…)
level of assistance needed
- independent, simi, dependent
sensory function
- vision, hearing
cognitive function
- baseline mental status
common functional assessment tool
KATZ
48/6
- nursing assessment tool
- covers 6 functional areas
- done within 48hrs of admission
mental status assessment
confusion assessment method (CAM)
mini-mental state examination (MMSE)
geriatric depression scale (GDS)
comprehensive geriatric assessment
minimum data set (MDS)
- long-term care specific
environmental and safety risk
fall risk assessment
Braden Scale
health assessment in older adult
- why are they so complicated??
- It is common to have more than one chronic and acute issue
- Manifestation of illness or adverse medication effects tend to be obscure, less predictable.
- For every change, there may be multiple possible causes.
- Treatment often directed at symptoms not source of problem.
- Cognitive impairments affect accurate reporting.
- Myths may lead older adults or support people to falsely attribute treatable conditions to “normal aging”
