Older Adult Assessment (Final)

Question 1

Older Adult Stats

Answer 1

the US has a large and expanding population of older adults
by 2040, over 20% of population
economic costs of aging associated with personal care continue to increase

Question 2

Definitions of Aging

Answer 2

65+
young old (65-74)
middle old (75-84)
old old (85+)

Question 3

Multidimensional

Answer 3

not only physical exam but mental status, functional status, social and economic status, pain, examination of physical environment for safety

Question 4

Functional status

Answer 4

persons ability to perform self care

NOT STATIC; older folks may move continuously through varying stages of independence and disability

Question 5

Functional Assessment

Answer 5

basis for care planning
systemic manner; observation and self report

includes physical, ADLs, iADLs, physical mobility

Question 6

Katz Index

Answer 6

uses dichotomous scoring for each category
independent/dependant
advantage vs limitations

Question 7

iADLs

Answer 7

functional abilities for independent community living
may have cultural and gender biases in older cohorts

Question 8

Lawton iADLs

Answer 8

to determine most suitable living situation for older adult
pre req for independent living
self report instrument

Question 9

Advanced Activities of Daily Living (AADLs)

Answer 9

activities older adults perform as family member, member of society and community including occupational and recreational activities

instruments include self care, mobility, work (either paid or volunteer), socialization

Question 10

Times Up and Go Test (TUG)

Answer 10

1. TUG alone: from sitting in chair, stand up, walk 3 m, turn around, walk back and sit down
2. TUG cognitive: complete task while counting backwards from a randomly selected # between 20-100
3. TUG manual: complete task while carrying full cup of water

cutoff levels for TUG alone is 13.5 s+, 90%

Question 11

Domains of Cognition in mental status assessments

Answer 11

attention
memory
orientation
language
visuospatial skills
higher cognitive functions

Question 12

Altered Cognition generally attributed to..

Answer 12

dementia
delirium
depression

Question 13

Cognitive assessments

Answer 13

mini mental status exam (MMSE)
Montreal Cognitive Assessment (MoCA) more sensitive

Question 14

Informal Support (social domain)

Answer 14

includes family and close friends, usually free
tasks like shopping, bathing, feeding and paying bills

Question 15

Formal Support (social domain)

Answer 15

social welfare and other social services and health care delivery agencies such as home health care

Question 16

Caregiver Assessment

Answer 16

caregiving is linked to both satisfaction and stress
older persons need for institutionalization often better predicted from assessment of caregiver than from severity of pt illness

Question 17

Caregiver Burden

Answer 17

perceived strain by person who cares for older adult, etc.

linked to caregivers ability to cope and handle stress, level of care may exceed caregiver ability

signs of burnout: multiple somatic complaints, increased stress and anxiety, social isolation, depression, weight loss (CAN LEAD TO OLDER ADULT ABUSE)

Question 18

Environmental Assessments

Answer 18

physical
falls (20% result in serious injury)
older adult drivers
sleep
spiritual assessment
special considerations

Question 19

Altered Cognition Assessment

Answer 19

involve caregiver in assessment dialogue
split assessments into smaller categories to get better understanding of how pt is understanding Q’s