home safety assessment Flashcards
1
Q
Define geriatric rehabilitation
A
- intervention (typically multi-disciplinary) designed to assist the older adult experiencing physical and or mental issues in the return of optimal completion of physical, psychological and social skills necessary to:
- -> increase their level of independence
- -> live in the most satisfying environment
- -> maintain social engagement and involvement
2
Q
OVERALL GOAL
A
- geriatric rehab FOCUSES on the ATTAINMENT OF MAXIMAL, not necessarily “normal”, functional abilities
3
Q
What are the consequences of disability
A
- increased rate of mortality
- Decreased life span
- increased risk of acquiring chornic conditions
- increased risk of institutionalization
- increased use of the health care system
- frailty - medically complexity
4
Q
Principle of geriatric rehab
A
- Variability of elderly = age is NOT a performance predictor
- Actiity is the cornerstone of rehabilitation
- -> decreased activity = decreased function
- -> acute immobilization vs. chronic immobilization
- optimal health is related to optimal functioning
5
Q
BEDREST
A
- B = bladder/bowel issue, bedsores
- E = emotional distress
- D = deconditioning, demineralization
- R = ROM loss
- E = Energy depletion
- S = sensory deprivation
- T = trouble
6
Q
what is the purpose of functional assessment tools
A
- determine current functioning level
- determine need for intervention
- determine discharge/placement
- components include ADLs, IADLs, Mobility
7
Q
role of physician, PA or self referral
A
- Dx/px
- rehabilitaiton setting
- anticipated goals
- identification of team members
8
Q
Role of Therapist
A
- examination = history and physical performance assessment
- evaluation
- dx/px
- plan of care = frequency/duration, goals, interventions
- discharge planning/discharge
9
Q
role of communication
A
- formal or informal team conferences
- reasons for good communication
- -> facilitates collaborative efforts
- -> monitoring of progress or lack of progress
- -> reimbursements
- POOR COMMUNICATION –> POOR OUTCOMES
10
Q
Health literacy
A
- degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
11
Q
LGBT aging and health issues
A
- 20% do NOT disclose their sexual orientation to their physician
- 50% have a disability
- 13% have been denied health care or received inferior care
- 33% have NO DURABLE power of attorney for health care
12
Q
Mental distress in older adulst
A
- 25% of individuals have some form of mental health issues not associated with normal aging (depression, bipolar, etc)
13
Q
geriatric rehab environments
A
A. Inpatient: acute care, rehabilitation unit, skilled nursing unit B. Home Health C. Outpatient D. Long Term Care Facility E. Work Environment
14
Q
Describe Universal design principles
A
- equitable use
- flexibility in use
- simple and intuitive
- perceptible info
- tolerance for error
- low physical effort
- size and space for approach and use
15
Q
Purpose of home assessment and adaptation
A
- identification of barriers within the home that have the potential to lead to injury and or decrease function
- PURPOSE
- -> prevention of injury
- -> increase function
- -> facilitate return to home environment
