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Flashcards in Assessment Deck (9)
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1

What are the areas of assessment in a geriatric visit?

Cognition/memory

function (ADL and IADL)

mood

mobility

nutrition

continence

vision

hearing

ETOH use

caregiver

social/economic issues

2

Mini Mental Status Exam:
-testing what 5 areas?



What is another way to assess mental status?

Tests:
-orientation
-registration
-attention/calculation
-recall
-language


Clock drawing; have them place hands at "20 past 8" or "10 past 11"

3

What are basic ADLs?
--what scale is used to determine competency of ADLs?

ADLs:
-personal hygeine
-dressing/undressing
-eating/feeding self
-transferring from bed to chair and back
-toileting
-continence
-communication
-visual capability
-use of upper extremities

*the physical self-maintenence scale determines whether or not you are competent w/ ADLs.

4

What are IADLs?
--what questonaire is used to determine competency of IADLs?

IADLs:
-obtaining and preparing food
-manage transportation
--driving, bust schedule, taxi, shopping, cooking
-laundry
-housekeeping
-using the telephone
-managing finances
-medication

Functional Activites Questionaire determines competency of IADLs

5

How do we test depression and mobility in the geriatric population?

Geriatric depression scale

Mobility: get UP and GO test

6

What is one way we assess nutrition in the geriatric population?

WEIGHT!!! its a VS!

7

Which test can be done to assess for macular degeneration in the elderly?

What types of questionnaires are done to assess alcohol use in the elderly?

Amsler Grid


CAGE Questions
Geriatric MAST (score of 5 or more is indicative of alcohol problem)

8

What are some aspects of caregivers that make them especially vulnerable to stress ?

Their own frailty;
-spouse is caregiver
-70YO caregiver to 90YO patient
-ETOH
-Depression
-Illness
-caregiver demands (Sandwich generation)

Stressful aspects of the patient:
-disturbed nights
-uncontrolled aggression
-wandering and falling
-uncontrolled incontinence
-inability to walk without assistance

9

At the end of your initial office visit you should have a good sense of what three things?

Good sense of medical conditions, social situation, and functional status.