FANCAPES assessment - ANSWER •Fluids
•Aeration - adequate O2
•Nutrition
•Communication
•Activity
•Pain
•Elimination
•Socialization and social skills
Purpose: is an assessment tool that is used with frail older adults
SPICES - ANSWER Sleep disorders
Problems with eating or feeding
Incontinence
Confusion
Evidence of falls
Skin breakdown
Purpose: an assessment tool to determine areas where further
assessment is needed.
OPQRSTUV - ANSWER onset of the pain, precipitation of pain, quality-
quanitity, region or radiation, severity scale, treatments,
understanding(what do you think is causing it?) and values(goals and
expectations of care)
SAFE - ANSWER Safe Environment
Assist with Mobility
Fall Risk Reduction
Engage Resident
Purpose: UNIVERSAL FALL PRECAUTIONS.
, Post Fall Management - ANSWER 1. Assess if the residnt is afe to move
2.Transfer to bed or remain in position with supportive care while the
transfer plan is made
3.Determine if the fall was witness or unwitness
4.Complete Head to Toe, Musculoskeletal, and neurological
assessments
5.Report and Document
Post Fall Assessment - ANSWER 1. Vital Signs
2. Head to toe assessment
3. Musculoskeletal Assessment
4.Neurological Assessment
5.Determine the cause of fall if possible
Comprehensive Assessment - ANSWER Requires:
Physical Data
Biological data
Psychological Data
Functional Data
Helps determine a plan of action
Health History - ANSWER Patient Profile: PHN, Marital Status etc
Past Medical History: Diseases, immunizations, etc
Review of Symptoms & Systems: Target system in question
Medication History: Prescribed? OTC? Alternative Medicines
Family History: Presence of disease in the family
Social History: Where were they born?
Changes in Musculoskeletal System for older adults - ANSWER Verbral
disks become thin, causing shortening of the trunk.
Stooped. slightly forward bent posture common
Functional Assessment - ANSWER The evaluation of a person's ability
to carry out basic self-care tasks and other necessary tasks to support
independent living.
ADL - ANSWER activities of daily living
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