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N450 - Ch. 3 - Principles of Geriatrics (3).
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N450 - Ch. 3 - Principles of Geriatrics (3).
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N450 - Ch. 3 - Principles of GeriatricsComprehensive Geriatric Evaluation - ANS-- need a holistic assessment
- key part is the systematic evaluation of the older person's level of function and self-care
(functional assessment)
- the primary challenge is to id and use the strengths of the older adults and **help them
maximize their independence**
- at risk for geriatric syndromes
- comprehensive geriatric evaluation should be done annually or if they have an acute illness,
been hospitalized or going into long term care
- comprehensive assessments --> decrease hospitalization, improve mental status, decrease
health care costs, improve functioning, decreases readmission rates & decreases mortality
Geriatric Syndromes - ANS-conditions that occur in older adults and are multifactorial
ex. Frailty
Interdisciplinary Plan of Care - ANS-whole team approach for an older adult
Reasons for Interdisciplinary Collaboration to Improve Care - ANS-- older adults have multitude
of complex problems
- group approach can enhance problem solving & delivery of health care
- coordination of services is enhanced
- pt. will have access to comprehensive & integrated care plan
- care can be safer, more cost effective & efficient
- decreases feelings of "burnout" and have support & encouragement from fellow team
members
Instruments for Use w/Older Adults - ANS-PULSES Profile, SPICES, Katz Index of
Independence in ADLs
PULSES Profile - ANS-- measures general functional performance in mobility and self-care,
medical status and psychosocial factors
- looks at physical condition
- idea of how physically functional pt is
SPICES - ANS-- overall assessment tool uses to plan, promote, and maintain optimal function in
older adults - creates interventions
- potential problems or problems they are having
- triggers further assessments
KATZ - ANS-6 point scale - higher the score the more independent the patient is
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