Health Assessment Final Exam Study Guide 2020
1. Geriatrics: functional assessment-what is being tested, best approach to testing; caregiver concerns;
... [Show More] IADLs, ADLs; disability concerns; tools to assess
What is being tested -Identify strengths
-Identify limitations – so interventions can be recognized
-Independence and prevention of functional decline
Best approach to testing
Caregiver concerns -Decrease in attention, memory, orientation, language, planning and making decisions
-Depression is not a normal change
-Persistent depression – is concerning if it interferes with ADL’s
-Eating
IADLs Instrumental activities of daily living
-measures functional abilities necessary for independent community living
-includes shopping, meal preparation, house-keeping, laundry, managing finances, taking medications, and using transportation
ADLs Activities of daily living
-tasks necessary for self-care
-measure domains of eating/feeding, bathing, grooming, dressing, toileting, walking, using stairs, and transferring
Disability concerns
Tools to assess -Katz Activities of Daily Living
-The Lawton Instrumental Activities of Daily Living Scale
-Hospital Admission Risk Profile
-Geriatric Depression Scale (short form)
-Inspect for lesions and moles – irregular shapes, change in size or color
-Check for pressure ulcers especially sacrum, heels & trochanters
-Clubbing – cardiac or pulmonary disorder
-Pitting/transverse groves – peripheral vascular disease, arterial insufficiency, or diabetes
-Brittleness – decreased vascular supply
-Yellow or brown nails – fungal infection
-Look for limited range of motion – arthritis or muscle weakness causing pain and discomfort
-While assessing range of motion – watch for reports of pain, dizziness, jerky or abnormal movements: may indicate fractured vertebrae, Parkinson’s disease, transient ischemic attack, or stroke
-Look for facial symmetry (asymmetry may indicate a stroke)
-Bowel sounds; Look for hernias, pulsatile masses
-Evaluate muscles for atrophy, tremors, and involuntary movements
-Note warmth, swelling, tenderness, crepitus and deformities [Show Less]