Unit 7B: Elderly Client

1. Katz Activities of Daily Living

2. Lawton Scale for Instrumental Activities of Daily Living

Functional Assessment Tools for the Elderly Client

1. Bathing

2. Dressing

3. Toileting

4. Transferring

5. Continence

6. Feeding

Katz Activities of Daily Living

True

True or False: The higher the score, the higher the independence in Katz ADL.

0-6 (Dependent - Independent)

Range for Katz ADL

1. Ability to Telephone

2. Shopping

3. Food Preparation

4. Housekeeping

5. Laundry

6. Mode of Transportation

7. Responsibility for Own Medication

8. Ability to Handle Finance

Lawton Scale for Instrumental Activities of Daily Living

False, the lower the score, the higher the independence

True or False: The higher the score, the higher the independence in Lawton Scale for Instrumental ADL.

8-28 (Independent - Dependent)

Range for Lawton Scale for Instrumental ADL

Geriatric Depression Scale

Psychosocial Assessment Tool for Elderly

0-10

Normal range for Geriatric Depression Scale

>11

Range that may indicate depression in Geriatric Depression Scale

Almost every ability has decreased, EXCEPT for blood pressure (increases)

Important Note about Age-Related Changes for Elderly

16-25 cpm

Normal respiratory rate for geriatric

• S4

• Low Intensity Systolic Murmur

What hearts sounds are heard in geriatric clients?

Dorsalis Pedis

What peripheral pulse is absent in geriatric clients?

Heberden’s Nodes

Normal Musculoskeletal Variation in geriatrics

Kyphosis/Dowager’s Hump

Abnormal Musculoskeletal finding in geriatrics