GERIATRIC ASSESSMENT
Sponsored Links
This presentation is the property of its rightful owner.
1 / 19

GERIATRIC ASSESSMENT Jane Courtney PowerPoint PPT Presentation


  • 57 Views
  • Uploaded on
  • Presentation posted in: General

GERIATRIC ASSESSMENT Jane Courtney. family. Community support. nurses. Speech therapist. pharmacist. dietician. Multi-disciplinary team. Multi-disciplinary team. geriatrician. physiotherapist. Local doctor. Occupational therapist. psychologist.

Download Presentation

GERIATRIC ASSESSMENT Jane Courtney

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


GERIATRIC ASSESSMENT

Jane Courtney


family

Community support

nurses

Speech therapist

pharmacist

dietician

Multi-disciplinary team

Multi-disciplinary team

geriatrician

physiotherapist

Local doctor

Occupational therapist

psychologist


World Health Organization definitions of disability.

• Disease—an intrinsic pathology or disorder . . . [which] may or may not make [itself] evident clinically

• Impairment—a loss or abnormality of structure or function at the organ system level

• Disability—a restriction or lack of ability to perform an activity in a normal manner, a disturbance in the performance of daily tasks

• Handicap—a disadvantage resulting from impairment or disability that limits or prevents fulfillment of a role that is normal


PATHOLOGY

(DISEASE)

IMPAIRMENT

(SYMPTOMS & SIGNS)

DISABILITY

(FUNCTIONAL LOSS)

HANDICAP

(SOCIAL CONSEQUENCES)


DIAGNOSES

DISABILITIES

Rheumatoid arthritis

Poor mobility

Pain

Poor hand function


Carcinoma of prostate

TURP

Radiotherapy

Hormonal therapy

Skeletal metastases

Incontinence

Hot flushes

Faecal urgency

Pain


ACTS OF DAILY LIVING (ADL’s)


COGNITION-MEMORY

PROBLEM SOLVING

SOCIALISATION

BEHAVIOUR

DOMESTIC FUNCTIONS-SHOPPING

COOKING

CLEANING

TRANSPORT


BARTHEL ADL index

FUNCTIONAL INDEPENDENCE MEASURE (FIM)

MINI MENTAL STATE EXAM MMSE (FOLSTEIN’s)

GERIATRIC DEPRESSION SCALE (GDS)


FIM (motor)

Self-care 

A.Self-care 

B.Grooming 

C.Bathing 

D.Dressing upper body 

E.Dressing lower body 

F.Toileting 


Sphincter control 

G.Bladder management 

H.Bowel management

Mobility (transfer) 

I.Bed, chair, wheelchair 

J.Toilet 

K.Tub, shower

Locomotion   

L.Walk/wheelchair 

M.Stairs


FIM(cognitive): 

Communication 

N.Comprehension 

O.Expression

Social cognition 

P.Social integration 

Q.Problem solving 

R.Memory


Score: 1 – 7 for each of 18 items (126)

Independence:7—complete independence (timely, safely) 

6—modified independence (device used) 

Modified dependence:5—supervision 

4—minimal assistance (>75% of task) 

3—moderate assistance (50%-74% of task) 

2—maximal assistance (25%-49% of task) 

Complete dependence:1—total assistance (subject performs <25% of task)


MMSE

1 ORIENTATION- TIME(5)

2 ORIENTATION – PLACE(5)

3 REGISTRATION(3)

4 CALCULATION(5)

5 RECALL(3)

6 NAMING(2)

7 “NO IF ANDS OR BUTS”(1)

8 “3 STAGE COMMAND”(3)

9 “CLOSE YOUR EYES”(1)

10 WRITE A SENTENCE(1)

11 PENTAGONS(1)


GERIATRIC DEPRESSION SCALE


WHAT DO WE DO WITH THIS ASSESSMENT?

PLAN CARE


Rehabilitation is a problem solving and educational process aimed at reducing the disability and handicap experienced by someone as a result of a disease, always within the limitations of available resources.

(ICIDH quoted in “oxford textbook of geriatrics”.)


1 assess- identify, analyze &measure problems

2 plan- analyze problem(s) & set goals

3 treat- intervene to reduce disability & handicap

4 care- intervene to alleviate consequences of disability

5 evaluate- check effectiveness


AGED CARE ASSESSMENT TEAM (ACAT)

ASSESS FOR APPROVAL OF GOVERNMENT FUNDING FOR CARE

CO-LOCATED IN GERIATRIC DEPARTMENTS.


  • Login