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19 Cards in this Set
- Front
- Back
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Goal of interventions for older adults
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Goal: Interventions to promote independence and prevent functional decline
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a functional assessment is the basis for what?
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Care Planning
Goal setting Discharge planning Eligibility for service like Rehabilitation Units and DME Long term care placement, Home Health or Hospice |
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Domains of functional assessment
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Activities of Daily Living (ADL)
Instrumental Activities of Daily Living (IADL) Mobility |
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Activities of Daily Living (ADL)
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self care
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Shopping, meal preparation, taking meds,
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Mobility domain of functional assessment
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coordination, endurance
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considerations during functional assessment
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*may tire easily
*medication side effects *hearing aid/glasses *face client when speaking low pitch voice *room comfort *privacy *PAIN WILL AFFECT QUALITY OF PAIN ASSESSMENT *Culture |
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KATZ index of independence in ADL measures?
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Measures physical function in the older adult and the chronically ill
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ADL impairment usually assoc w/?
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*Dementia
*Delirium *Depression |
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What is the best place for functional assessment for elderly - though may not be possible?
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home
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Mini-mental status exam
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assesses orientation, registration, attention, and recall to assess risk for loss of ADLs
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quality of life in elderly is closely linked with?
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social support
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The three types of social support
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formal: social welfare and health care
semiformal: church groups, neighborhood groups, etc. informal: usually family, friend, and/or female |
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Important to assess the person receiving care as it is to assess the?
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caregiver - often a loved one who is just as frail; may result in CAREGIVER BURNOUT
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When it comes to elder abuse, the perpetrator is often?
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family - may be in form of physical, psychological, emotional, sexual, financial or neglect
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Signs of elderly mistreatment
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Look for inconsistencies, delay in treatment for injuries, poor hygiene, reluctance of caregiver to leave elder alone with care provider
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Hospice Care
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Philosophy of care that focuses on comfort care versus cure of illness
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What makes one eligible for Hospice Care?
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Eligible if doctor certifies that a person has a terminal illness and has 6 months or less if the disease runs its normal course
90% of people will die of a chronic illness versus an acute episode |
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Interesting fact re: hospice care is that less than _______ is due to _________
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<40% due to cancer
Less than 40% are cancer diagnosis End stage cardiac, pulmonary, dementia, stroke |
