Flashcards in 10: Assessment Deck (23):
What are components of the PE for functional assessment (3)?
3. Dentition and swallowing
The Short Portable Mental Status Questionnaire asks practical questions, but is not as sensitive as the FMMS. How many errors signifies cognitive impairment?
The _____ scale combines functional assessment with cognitive assessment.
Blessed Dementia Scale
T/F Ill-fitting dentures can cause weight loss.
Lymphocytes are depressed in malnutrition. What are levels for mild, moderate, and severe?
Mild malnutrition = 1200-1500
Moderate = 800-1200
Severe = <800
Albumin is normal at 4-6. What indicates malnutrition or severe malnutrition?
Malnutrition = <3.5
Severe = <2.5
What is a normal score on the Folstein Mini-Mental Status?
Depression with cognitive impairment?
Normal = 27.6
Depression = 25
Depression with Cognitive Impairement = 17
Dementia = 9.7
The _____ is used more in primary care and helps determine if someone is presenting with mild cognitive impairment or dementia.
Clock-Drawing Test. Score only if symbols for clock numbers are present. Score only if 1 or more hands is present.
The _____ screens for deficits in specific areas of cognitive functioning.
Folstein Mini-Mental Status (FMMS)
Why might hypersensitivity reactions occur in elderly (2)?
T/F Medicare often provides home-based services.
False. MedicAID often provides home-based services.
Arm circumference measures muscle mass as a measure of protein stores. Norms are _____ for males and _____ for females.
Males = 29.3 cm
Females = 28.5 cm
What are predictive items for nursing home placement (3)?
1. Bowel/bladder incontinence
2. Incoherent speech
3. Inability to bathe/groom oneself
The Blessed Dementia Scale is based on behavioral symptoms of dementia. The higher the score, the greater the functional impact of dementia. Scores over _____ may reflect need for nursing home placement.
T/F The Geriatric Depression Scale is a tool that can be used in primary care to assess for overall affect and has 30 questions with yes/no answers.
True. Not perceived as threatening to the patient.
What is the least sensitive method for evaluation of nutritional status in the elderly?
Physical exam. Focus on skin, mucous membranes, and hair.
The FMMS doesn't distinguish between _____ and _____.
Delirium and dementia
_____ is an indicator of acute malnutrition.
T/F Skinfold thickness values of less than 75% or greater than 150% of the norm are indicative of malnutrition or obesity.
False. Less than 50% or greater than 150%.
What are normal levels of serum transferrin?
T/F Even though the FMMS screens for depression, depression can affect the results.
_____ provides reimbursement for skilled nursing, physical therapy, speech therapy, and home health aides.
Medicare Title 18 of the Social Security Act