Quiz 1 Flashcards
(38 cards)
Major Components of the Initial Examination
- Patient/Client History
- Systems Review
- Tests and Measures
Essential Competencies in the Care of Older Adults
Health promotion and safety/evaluation and assessment/care planning and coordination across the care spectrum/caregiver support/healthcare systems and benefits
Divisions of History
Review of Systems/Medical/Medications/Social History/Living Environment
Systems Review includes
- Cardiovascular
- Pulmonary
- Integumentary
- Musculoskeletal
- Neuromuscular
- Communication
Red Flags for Resting HR
less than 50 bpm or greater than 120 bpm
Red flags for Resting SBP
less than 90 mm Hg or greater than 200 mm Hg
Red flags for Resting DBP
greater than 110 mm Hg
Red flag for weight gain
greater than 4-6 pounds a day
Red flag from history and systems review
- ankle edema
- acute angina
- acute dizziness
Communication barriers
- aphasia (comprehension)
- dysarthria (weak throat muscles)
- histrionic (need to be desired or noticed)
- hearing
Montreal Cognitive Assessment, Folstein Mini-Mental Status Exam, St. Louis University Mental Status Exam are
Scales evaluating cognition
Which comes first AROM or PROM
AROM; only do PROM if unable to complete full AROM
Muscle Performance measuring strength is done in which order?
- Myotome screen
- Investigate further if weakness noted
- Dynamometer if available
Note that functional strength most important
What’s the scale to assess pain?
VAS (visual analog scale)
What is used to assess posture?
Reedco Posture Score sheet
Berg balance scale, four square step test, balance evaluation systems test, mini BESTest of Dynamic Balance, functional reach test are all testing what?
Sitting/standing balance
The CARE item set stands for:
Continuity Assessment Record and Evaluation
Otago Exercise Program was developed in NZ to
prevent falls in older adults
NIH Toolbox tests for
assessing motor, cognition, sensation and emotion
HOME FAST stands for
Home Falls and Accidents Screening Tool
Scientific study of the aging processes as one ages from middle age through later life:
Gerontology
Includes professionals from diverse fields such as biology, sociology and psychology:
Gerontologist
Study of health and disease in later life and the comprehensive health care of older persons and the well-being of their caregiver
Geiratrics
Internists or family practice doctors specifically trained in medical care for older people
Geriatrician