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.
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• 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
(SYMPTOMS & SIGNS)
Poor hand function
DOMESTIC FUNCTIONS- SHOPPING
FUNCTIONAL INDEPENDENCE MEASURE (FIM)
MINI MENTAL STATE EXAM MMSE (FOLSTEIN’s)
GERIATRIC DEPRESSION SCALE (GDS)
D.Dressing upper body
E.Dressing lower body
I.Bed, chair, wheelchair
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)
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)
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 aimed at reducing the disability and handicap experienced by someone as a result of a disease, always within the limitations of available resources.
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) aimed at reducing the disability and handicap experienced by someone as a result of a disease, always within the limitations of available resources.
ASSESS FOR APPROVAL OF GOVERNMENT FUNDING FOR CARE
CO-LOCATED IN GERIATRIC DEPARTMENTS.