functional assessment of older adult 2

informal support

formal support

caregiver assessment

abuse and neglect

elder mistreatment

contexts of care

acute care setting

community

– Skilled nursing care, primary care, therapy, social work, nutritional services, medical equipment

home care

– Services to keep older adult at home

hospitalization

additional assessments

environmental risk factors

fall

• Wet floors

• Poor lighting

• High bed height

• Presence of throw rugs

physical risk factors

fall

in pain

• Alleviating pain should be a priority

• Premedication may be required

• Positioning for comfort

• Using age-appropriate pain scale: the “gold standard” is patient self-report

altered cognition

• Difficulty in obtaining accurate information from patient

• Involve the caregiver in the assessment dialogue

• Split assessments into smaller categories to get a better understanding of how the patient is understanding questions

cognition assessment

pain

examples

maintaining independence

poor nutrition

• Risks: chronic disease, poor dentition, GI disorders, depression or other psych disorders, medications (appetite & dry mouth- Anti- cholinergic)

• Polypharmacy

sleep

• Insomnia common

• Alcohol, nicotine, caffeine, medications

• Chronic illnesses such as CV, Pulmonary, arthritis, dementia, delirium, depression,

sleep apnea, restless leg syndrome, obesity

alcohol