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11 Cards in this Set

  • Front
  • Back

Advanced Activities of Daily Living

complex measure of functional status; losing ability in these activities may announce a major decline in overall health



working


volunteering


social activities


recreational activities


connection with peers and community

SHAFT

Shopping


Housekeeping (cooking, laundry, vacuum)


health maintenance activities


Accounting (financial matters)


Food prep


Transportation and telephone use/skills

DEATH neumonic

Dressing


Eating (self-feeding)


Ambulating


Transferring and toileting


Hygiene

Examples of functional assessment tools

Katz ADL scale


Barthel index


Kenny self-care scale


IADL scale


Timed manual performance


farmingham disability scale


lawton scale

Nurtirional assessment in elderly

do they need daily multivitamin



albumin below 3.5 indicates protein malnutrition


Need .8g/kg/day of protein


low protein inhibits healing



Calcium intake needs to be individualized



BMI:


<18.5 underweight


18.5-24.9 normal


25-29 overweight


>30 obese



What meds may increase appetite in elderly?

antidepressants


tranquilizers


beta adrenergic agents


narcoleptics


hormones


steroids

Indicators of Nutritional risk

loss of 5# in a month


loss of 5% in one month


7.5% loss in three months


10% loss in six months

Normal albumin

3.5-5

Normal pre-albumin

16-35

Normal Transferrin

>200

Normal total lymphocyte count

1200-1800