lect 4: ch 7 Flashcards
what are the types of assessments included for older adults?
1) physical
2) functional
3) cognition
4) mood
5) balance
what are hindering factors to collecting information for health history?
1) visual and auditory acuity
2) manual dexterity
3) language and health fluency
4) adequacy of translated materials
5) availability of trained interpreter
6) cognitive ability and reading level
what are the data needed for a health history?
1) demographic info
2) past medical Hx
3) current medications/ dietary supplements
4) functional status
5) social Hx
what does social Hx include?
people who will support the patient physically, provide transportation, and are involved in decisions regarding health
living arrangements
resources
which part of social Hx is usually incomplete?
advanced directives
what is the beginning of the assessment of the older adult?
health Hx
what is the end of the assessment?
review of systems (or person’s report of symptoms)
which type of person can speak or make decisions for the older adult with permission?
healthcare proxy or surrogate
what are the instruments used for a physical assessment?
FANCAPES and SPICES
FANCAPES
Fluid
Aeration
Nutrition
Communication
Activity
Pain
Elimination
Social skills
what is the most important part of the lung that needs to be auscultated?
lateral aspects of lower lobes
which two systems are assessed simultaneously?
cardiovascular and pulmonary
what does “activity” assess?
safe ambulation
why are elimination problems more common with older adults who live in institutional systems?
they are dependent on others for assistance to address incontinence
SPICES
Sleep disorders
Problems with eating
Incontinence
Confusion
Evidence of falls
Skin breakdown
tools for functional assessment
1) Katz
2) Lawton
Katz Index
measures ability to perform ADLs on a scale of 0-1
Lawton IADL Scale
determines level of function on a scale of 0-8