The guideline recommends assessing decline in physical and mental capacities (mobility, nutrition, vision, hearing, cognition, and depression) as well as assessing two geriatric syndromes (urinary incontinence and risk for falls).
In particular, topics such as nutrition, vision, hearing, fecal and urinary continence, balance and fall prevention, osteoporosis, and polypharmacy should be included in the evaluation. Physical Health
Subsequent articles will explore the five domains that should be explored when assessing older people: the physical, psychological, functional, social and spiritual domains.
A functional assessment is a multidimensional and often interdisciplinary diagnostic process, which assesses and quantifies an older adult’s medical, psychosocial and functional status.
Comprehensive geriatric assessment is a systematic evaluation of frail older persons by a team of health professionals and consists of six core components: data gathering, team discussion, development of a treatment plan, and implementation of a treatment plan, with monitoring and revision as needed.
Checklist 23: Focused Neurological System Assessment
Here is a brief overview of each principle followed by some take home messages which will help the assessor navigate this potentially challenging process.
The typical nursing assessment in the clinical setting will be the collection of data about the following:
During a physical examination, a health care provider studies your body to determine if you do or do not have a physical problem.
The physical, psychological, cognitive and social ability to carry on normal activities of life. *including only functional ability aspects of care in exemplars. Explain the concept of Functional Ability (including definition, antecedents, and attributes). Identify the four domains of Functional Ability.
The evaluation of functional performance in older adults is essential for planning support needed in older age. Changes related to normal aging, acute illnesses, worsening chronic illnesses, and hospitalization can contribute to a decline in the ability to perform tasks necessary to live independently in the community.
Among the most commonly used instruments, the usual gait speed test, the Short Physical Performance Battery, the handgrip strength, the Timed Up-and-Go test, the 6-minute walk test, and the 400-meter walk test are widely adopted by clinicians and researchers.
Geriatric assessment uses specific tools to help determine patient’s status across several different dimensions, including assessment of medical, cognitive, affective, social, economic, environmental, spiritual, and functional status.
Activities of daily living — An older adult’s functional status can be assessed at three levels: basic activities of daily living (BADLs), instrumental or intermediate activities of daily living (IADLs), and advanced activities of daily living (AADLs).
How do you assess mobility in the elderly (step-by-step)?