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Clinical Disciplines II-Exam #1 > Comprehensive Assessment > Flashcards

Comprehensive Assessment Flashcards

1
Q

Define Functional Capacity

A

Person’s ability to perform tasks that are required for living

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2
Q

What are the two key divisions of functional capacity?

A
  1. Basic Activities of Daily Living (ADL’s)

2. Instrumental Activities of Daily Living (IADL)

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3
Q

What Katz Index of Independence in ADL score would indicate a highly independent elder?

A

Score of 6

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4
Q

What Katz Index of Independence in ADL score would indicate a very dependent elder?

A

Score of 0

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5
Q

List the 5 Instrumental Activities of Daily Living (IADL)

A
  1. Housework
  2. Preparing meals
  3. Taking medications properly
  4. Managing finances
  5. Using a telephone
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6
Q

What Scale would you use to assess IADL’s?

A

Lawton Instrumental Activities of Daily Living Scale (9 Q’s)

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7
Q

What are the 4 components of the comprehensive geriatric assessment?

A
  1. Functional Capacity
  2. Physical Health: Pharmacy
  3. Cognition/Mental health
  4. Socio-Environmental
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8
Q

What 5 topics does the physical health component cover?

A
  1. Nutrition
  2. Vision/Hearing
  3. Balance and Fall prevention
  4. Fecal and Urinary incontinence
  5. Polypharmacy
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9
Q

What vitamins/minerals are elderly deficient in?

A
  1. Vitamin A, C, D
  2. B12
  3. Calcium
  4. Zinc
  5. Iron
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10
Q

What does Nutritional Health Checklist of 0-2 mean? Recommendation?

A

Good nutrition

Re-check nutrition score in 6 months

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11
Q

What does Nutritional Health Checklist of 3-5 mean? Recommendation?

A

Moderate nutritional risk
Re-check nutrition score in 3 months
See what you can do to improve eating habits and lifestyle

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12
Q

What does Nutritional Health Checklist of 6+ mean? Recommendation?

A

High Nutritional Risk

Bring checklist to physician or dietician for help to improve nutritional status

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13
Q

What increased risks is low vision associated with?

A
  1. Falls
  2. Cognitive decline
  3. Depression
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14
Q

Who should have a vision assessment?

A
  1. Falls
  2. Cognitive Declines
  3. Functional impairment
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15
Q

What are common causes of vision impairment?

A
  1. Presbyopia
  2. Glaucoma
  3. Diabetic Retinopathy
  4. Cataracts
  5. Age-Related Macular Degeneration
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16
Q

What is the 3rd MC ailment in elderly?

A

Hearing

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17
Q

At what age do we screen for hearing loss?

A

65+

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18
Q

What tests do we use to test for hearing loss?

A
  1. Surveys
  2. Whispered voice test
  3. Audiometry
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19
Q

What is hearing loss associated with?

A
  1. Cognitive decline
  2. Functional impairment
  3. Depression
  4. Social Isolation
  5. Poor self-esteem
  6. Increased hospitalizations
20
Q

What Hearing Handicap Inventory score is considered a No Handicap/No Referral

A

0-8= 13% probability of hearing impairment

21
Q

What Hearing Handicap Inventory score is considered a mild-to-moderate handicap/referral?

A

10-24= 50% probability of hearing impairment

22
Q

What Hearing Handicap Inventory score is considered a severe handicap/referral?

A

25-40= 84% probability of hearing impairment

23
Q

When should you refer your patient to a otolaryngologist?

A

If they fail the screening test

24
Q

What is the TOC in hearing loss?

A

Hearing Aids

25
What are the complications of urinary incontinence?
1. UTI's 2. Sepsis 3. Decubitus ulcers 4. Renal Failure 5. Increased mortality
26
What is the key deciding factor in urinary incontinence?
Nursing home placement
27
What is the leading cause of hospitalizations and injury-related death in 75+?
FALLS
28
What is a Normal Time for the Get up and Go test (Tinetti Balance & Gait Evaluation)
7-10 seconds
29
What is a Fairly Mobile time for the Get up and Go test
10-19 seconds
30
What is a Variable Mobile time for the Get up and Go test
20-29 seconds
31
What is a Functionally Dependent in Balance and. Mobility time for the Get up and Go test
30 seconds or more
32
How can older persons reduce their fall risk?
1. Exercise 2. Home Hazard Assessment 3. Remove Psychotrophic meds
33
What is the USPSTF osteoporosis screening recommendation in women?
Screen women 65+ with DEXA of femoral neck
34
Osteoporosis T-score
-2.5 or lower
35
Osteopenia T-score
-1 to -2.5
36
What percentage of hospital admission in older people is secondary to drug ADE's?
30%
37
How do older adults present with depression?
Atypical Presentation: 1. Somatic complaints 2. Cognitive/functional problems 3. Sleep disturbances 4. Fatigue
38
What screening can you use to easily identify pt's @ risk for depression?
Two Q screening 1. Bothered by feeling down, depressed, or hopeless? 2. Little interest or pleasure in doing things
39
If the patients has a positive screen to both Q's, what should you follow-up with?
7 additional Q's to complete Patient Health Questionnaire (PHQ-9)
40
PHQ-9 Score for Minimal Depression
1-4
41
PHQ-9 Score for Mild Depression
5-9
42
PHQ-9 Score for Moderate Depression
10-14
43
PHQ-9 Score for Moderately Severe Depression
15-19
44
PHQ-9 Score for Severe Depression
20-27
45
What is a quick initial screening you can use to assess for dementia?
Mini-Cognitive Assessment Instrument: 3 Q's 1. Repeat 3 unrelated words 2. Draw clock 3. Repeat 3 words from step 1 *One point for each item that is recalled correctly
46
What is the most widely used assessment for dementia?
Mini Mental Status Exam: 7-10 Q's

Clinical Disciplines II-Exam #1 (5 decks)

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