Exam 2 Flashcards
(25 cards)
Requirements of an assessment of an older adult
- patience
- good listening skills
- observation skills for details (notice cues)
- non-judgemental approach
- ability to ask difficult questions
- understand the normal changes in older adults
Important to assess is patient’s medical/social history
- what happened to their family
- who is involved in their decision making
- Do they have any advance directives
Flow of Review of Systems (ROS)
- begin with system that has chronic/acute illness
- use open ended questions to start and then move towards specific questions
SATA: Geriatric syndromes
1) Falls and gait abnormalities
2) Frailty
3) Delirium
4) Urinary incontinence
5) Sleep Disorders
6) Pressure ulcers
FANCAPES
Fluids Aeration Nutrition Communication Activity Pain Elimination Social Skills
SPICES
tool used for determining areas where further assessment is needed
-not used as a stand alone
KATS adls
1) bathing
2) dressing
3) toileting
4) transferring
5) feeding
6= full function; 4 = moderate impairment; <2 = severe impairment
What is FAST used for?
Functional Stages of Alzheimer’s Dementia is used to stage people w/ dementia and/or alzheimer’s
FAST: Stage 1
Normal adults - no decline
FAST: stage 2
Normal older adult - mild memory loss (forget keys, purse, etc.)
FAST: stage 3
Early dementia: apparent to ppl around them (forget bdays or what their boss says)
FAST: stage 4
Mild dementia - difficulty w/ money and planning things
FAST: stage 5
Moderate dementia - difficult to survive on their own, difficulty dressing, poor decision making/assessment skills
FAST: stage 6
Moderately Severe Dementia - sleeping during day and staying up at nights, forgets names, aggressive and violent, they are scared
FAST: stage 7
Severe dementia - (qualifies for hospice), speaks 5-6 words daily, loss of ability to walk, talk, etc. CAN EASILY CONTRACT INFX
Communicating w/ pt w/ Moderately severe dementia
use shorter, slower sentences, and rephrasing
Why do we use the Mini-Cog Assessment?
To screen for cognitive impairment
Steps to Mini-Cog
1) say 3 words
2) have them repeat the words
3) have them draw 11:10 on an analog clock in a circle
4) have them repeat the 3 words
Why is 11:10 used for the clock drawing test
can be used to visualize constructional Apraxia which is an indication of Alzheimer’s disease
Importance of Mood assessment tool
people become very depressed in a nursing home
Safety of older Adults…
allows older person to live w/out fear of attack, accident, or imposed inference
Vulnerability
threats to the patient
If the power goes out, who do you assess first?
- alcoholic
- impaired circulation
- DMT2
- adrenal/thyroid dysfunction
- inadequate supervision
- uses sedatives/amtidepressants
alcoholic
Driving in older adults
Stopping driving is a serious, life-changing decision
