QuizJuly 30 ’13

1. A multidimensional process designed to assess an elderly person's functional ability, physical health, cognitive and mental health, and socioenvironmental situation.

2. Is a systematic method of evaluating the older adult’s ability to function within the environment.

3 -8 Standardized Functional Assessment Tools

9-12 Components of A Functional Assessment

13. Is a tool for assessing an older adult’s baseline ability to bathe, dress, use the toilet, transfer, remain continent, and feed her- or himself.

14 – 19 Parameters of the PULSES Profile assessment

20. Reveals how well the individual is functioning within the environment.

3. PSYCHOLOGICAL ASSESSMENT

3. PSYCHOLOGICAL ASSESSMENT

• Determines the function of the mind.

• 2 Areas Assessed:– Cognitive or mental Functioning –

estimates how well the mind works in areas such as orientation, memory, concentration, and judgment.

– Affective or emotional – describes the emotional feelings or mood of the person.

3. PSYCHOLOGICAL ASSESSMENT

• Cognitive or mental Functioning – estimates how well the mind works in areas such as orientation, memory, concentration, and judgment.

• orientedX3= person, place and time.• COGNITIVE DYSFUNCTION:

• Confusion, disorientation, generalized slowing of intellectual activity, or difficult of abstract thinking.

FOLSTEIN MINI-MENTAL STATE EXAMINATION

• Evaluates orientation, registration, attention and calculation, recall and language. Reliable method.

• 30- maximum score

• Score evaluation:– 24-30 no cognitive impairment– 18-23 mild cognitive impairment– 0-17 severe cognitive impairment

AFFECTIVE FUNCTIONING• The nurse determines whether the

elderly person’s emotional state seems appropriate with the life situation.

• Be alert to for depression or self destructive thoughts or behavior.

AFFECTIVE FUNCTIONING.Depression symptoms:

– Loss of interest in life - remorse– A negative self- image - pessimistic attitude– Confused - used poor judgment– guilt– problems with sleep patterns

Depression can cause:– Fatigue, Headaches, constipation

‘I feel the future is hopeless.”

“ I feel like a complete failure”

“I hate myself.”

BECK DEPRESSION INVENTORY

• It is a 13-item assessment to determine mood, self-esteem, and any physical symptoms the individual is experiencing.

• 16 or higher score indicates severe depression

• Require less than 10 min to complete

BECK DEPRESSION INVENTORY

1. Sadness

2. Pessimism

3. Sense of failure

4. Dissatisfaction

5. Guilt

6. Self-dislike

7. Self-harm

8. Social withdrawal

9. Indecisiveness

10. Self- image change

11. Work difficulty

12. Fatigability

13. Anorexia

4. SOCIAL ASSESSMENT

4. SOCIAL ASSESSMENT

• Social aspects assessed:–Various social groups ( eg, church

groups, clubs, neighbors, volunteer agencies.)

4. SOCIAL ASSESSMENT

• Areas of importance:– Frequency and numbers of contacts– Amount of support offered– Types of support offered

LIBRARY WORK

• ETHICAL AND LEGAL CONSIDERATIONS IN ELDERLY