Module 2 - Geriatric Assessment Flashcards
Name 3 common barriers to care:
- Sensory deficits
- Cognitive impairment
- passivity
Describe the geriatric specific assessment:
A geriatric specific physical exam has an increased focus on the systems that affect functional ability. Although, many of the components remain the same as those for a younger individual, the geriatric specific physical exam includes a more in-depth musculoskeletal and neurologic assessment.
What is functional status?
It is the ability to perform tasks required for living. Two key divisions of it are: ADL’s and IADL’s.
“Functional status should be the driving portion of your overall assessment because it is a window to disease progression and quality of life”(Harlow and Lyons, 2014)
What are ADL’s?
Activities of daily living - self-care activities that a person performs on a daily basis i.e. eating, dressing, bathing, bowel and bladder function.
What are IADLS?
Instrumental activities of daily living - activities that are needed to live independently i.e. managing finances, doing housework, and shopping. IADL are required to maintain the household but do not need to be done everyday.
What is a Patient Centered Medical Home (PCMH)?
The Patient Centered Medical Home is a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it, in a manner they can understand
List 5 attributes of PCMH:
The Agency for Health Care Research and Quality lists five functions and attributes:
- Comprehensive Care - A team of care providers is wholly accountable for a patient’s physical and mental health care needs, including prevention and wellness, acute care, and chronic care.
- Patient-Centered - A partnership among practitioners, patients, and their families ensures that decisions respect patients’ wants, needs, and preferences, and that patients have the education and support they need to make decisions and participate in their own care.
- Coordinated Care - Care is organized across all elements of the broader health care system, including specialty care, hospitals, home health care, community services and supports.
- Accessible Services - Patients are able to access services with shorter waiting times, “after hours” care, 24/7 electronic or telephone access, and strong communication through health IT innovations.
- Quality and safety - Clinicians and staff enhance quality improvement to ensure that patients and families make informed decisions about their health.
Describe a functional assessment:
Functional assessment allows the primary provider to assess a patient’s abilities to perform daily tasks in his or her own environment. This assessment is completed at two levels—ADLs and IADLs
The functional assessment may be completed through a combination of methods including self-report, family member input, or performance measurement.
Define cultural competency:
Conventional cultural competency training implies that one can master a body of knowledge to become culturally competent - but this leads to oversimplification and stereotyping, objectification of the patient, and failure to develop valuable, generalizable skills.
Define Advanced cultural competency:
it involves learning and applying Attitudes, Skills, and Knowledge (ASK) that will allow the clinician to function empathically and therapeutically. Attitude is the key to developing the skills which enable you to gain knowledge of the individual patient and his or her cultural contexts.
What does ASK stand for?
Attitude, skills, knowledge. They are the key elements of advanced cultural competency.
What is meant by personhood?
The meaning and intent of personhood can very between cultures, countries, regions, and populations. Primarily in the USA we have defined full personhood as independence and cognitive achievement. But this view can lead to excess disability and suffering. It devalues the elderly, the disabled, and even young people.
