Examples of Non modifiable Intrinsic Risk Factors: - ANSWER-• Age
• Gender
• Cognitive Impairment
• Chronic Medical Conditions (PD, DM,
... [Show More] Arthritis,
CVA)
CMS article.pdf
Examples of Modifiable Intrinsic Risk Factors: - ANSWER-• Unrelieved Pain
• Dehydration
• Postural Hypotension
• Depression/ Anxiety
• Sleep Disturbances
• Visual Field Loss
• Sensory Impairment
• Weight loss
• Urinary Incontinence
• Gait Disorders
• Muscle Weakness
• Functional Limitations
• Unsteadiness/ Dizzy
CMS article.pdf
Examples of Modifiable Extrinisic Risk Factors:: - ANSWER-• Falls (w/in 3mos)
• Fear of falling
CMS article.pdf
Examples of Modifiable Intrinisic Risk Factors:: - ANSWER-• Medications: (sedatives, psychoropics,
diuretics, opioids, anticholinergics,
antidepressants, CV agents, anticoags, bowel
preps)
• Polypharmacy
• ETOH
• Footwear Problems
• Walking aids
• Environment (hazards - home, outside, stairs,
slippery floor)
CMS article.pdf
_________________ pays for 1 AWV annually, which may be provided by an MD, an APRN, a PA or a CNS. The AWV needs to include an H&P, preventative screening and personalized health planning and a Health Risk Assessment (HRA) - ANSWER-Medicare
CMS article.pdf
Plan includes provisions aimed at improving health and preventing chronic conditions and Annual Wellness Visit (AWV),usually targets people > 65: - ANSWER-Affordable Care Act of 2010
CMS article.pdf
The use of this tool is to detect problems in performing activities of daily living and to plan care accordingly. The Index ranks adequacy of performance in the six functions of bathing, dressing, toileting, transferring, continence, and feeding. - ANSWER-Katz Index of Independence in Activities of Daily Living
- higher rating = higher function
- score > 6 = independent
Bassem, E and Higgins, K. (2001)
Two instruments for assessing ADL and IADL include: - ANSWER-1) the Katz ADL scale (Table 1)
2) the Lawton IADL scale (Table 2)
Bassem, E and Higgins, K. (2001)
Status that refers to a person's ability to perform tasks that are required for living. - ANSWER-Functional Ability
- The geriatric assessment begins with a review of the two key divisions of functional ability: activities of daily living (ADL) and instrumental activities of daily living (IADL).
Bassem, E and Higgins, K. (2001)
Self-rated Scale that assesses a person's ability to perform tasks such as using a telephone, doing laundry, and handling finances. Measuring eight domains, it can be administered in 10 to 15 minutes. - ANSWER-Lawton Instrumental Activities of Daily Living Scale
- declining scores over time reveal deterioration)
- higher score is higher functioning
Bassem, E and Higgins, K. (2001)
Four components specific to the geriatric nutritional assessment: - ANSWER-(1) nutritional hx performed with a nutritional health checklist
(2) a record of a patient's usual food intake x 24hr
(3) PE w/ particular attention to s/s associated with inadequate nutrition or overconsumption
(4) select laboratory tests, if applicable.
Bassem, E and Higgins, K. (2001)
Simple screening tool for nutrition in older persons is the: - ANSWER-Nutritional Health Checklist
Bassem, E and Higgins, K. (2001)
Nutritional Health Checklist score of 4 would indicate: - ANSWER-- 3 to 5 = You are at moderate nutritional risk, and you should see what you can do to improve your eating habits and lifestyle.
- Recheck your nutritional score in three months.
Bassem, E and Higgins, K. (2001)
Nutritional Health Checklist score 0 to 2 indicates = - ANSWER-- You have good nutrition.
- Recheck your nutritional score in six months
Bassem, E and Higgins, K. (2001)
Nutritional Health Checklist score > 6 means: - ANSWER-6 or more = You are at high nutritional risk
Bassem, E and Higgins, K. (2001)
The most common causes of vision impairment in older persons include: - ANSWER-- presbyopia
- glaucoma
- diabetic retinopathy
- cataracts
- age-related macular degeneration
Bassem, E and Higgins, K. (2001)
Sensorineural hearing loss caused by the natural aging of the auditory system that is the third most common chronic condition in older Americans, after hypertension and arthritis is known as___________________. - ANSWER-Presbycusis
Bassem, E and Higgins, K. (2001)
Falls are the leading cause of hospitalization and injury-related death in persons 75 years and older, T/F? - ANSWER-True
Bassem, E and Higgins, K. (2001)
A useful tool used to assess a patient's fall risk. Name this test which involves observing as a patient gets up from a chair without using his or her arms, walks 10 ft, turns around, walks back, and returns to a seated position. - ANSWER-The Tinetti Balance and Gait Evaluation
Bassem, E and Higgins, K. (2001)
Osteoporosis is most commonly diagnosed by dual-energy x-ray absorptiometry of the total hip, femoral neck, or lumbar spine, with a T-score of _________ - ANSWER--2.5 or below
- The USPSTF has advised routinely screening
women 65 years and older
Bassem, E and Higgins, K. (2001)
Name two validated screening instruments for depression: - ANSWER-- Geriatric Depression Scale
- Hamilton Depression Scale
Bassem, E and Higgins, K. (2001) [Show Less]