57999771 Assessment of Elderly

7/28/2019 57999771 Assessment of Elderly

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Assessment of Elderly

Patrick Henry B. LaO, RN,MAN

Clinical Instructor


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Elderly

Person that ages nearing or surpassingthe average life span of human lifecycle.

Also calld as Senior citizen

Have limited regenerative abilities andmore prone to disease and syndrome

Gerontology is the study of disease inelderly.


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Differentiate the findings related to theusual wear and tear of aging from thosepathologic process.

Requires systematic and interdisciplinaryapproach and awareness to the effect ofaging and disease.

Acquire the Biographic data of your patient Consider the cultural norms


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Health Assessment Subjective Data: health history

Review of Systems

Skin, Hair and Nails

ask for any changes occur on skin, hairand nails. Any rashes developed aftermedication?

Rashes may result to allergy,inflammation : infection or cancer.

Ask for dry/itchy skin, routine bathing,how do you care for your skin? Use of

moisturizers.Dry itchy skin may result from dryingproperties of soap and alcohol base afterbath.


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Skin, Hair and Nails

any history of ulcers (open wound)on feet

or lower legs?May be due to Diabetes mellitus orArteriosclerosis obliterans


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Eyes and Vision

ask for any changes in vision.Any floaters or flashes of lightAny feeling of dryness/irritated,

excessive tears.Ears and hearing

How well do you hear?Any changes in hearing ability

Ringing sound in the ears


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Head and Neck

any pain on the neck area and head.

Mouth and ThroatAmount of food can eatFeeling of choking while eating anddrinking.

Nutrition change in the appetite for the last 6months

Feeding assistanceDepression, dementia, diarrhea, vomitingaffects your nutrition.Describe the amount of food can eat.


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HydrationAmount of fluid can eat every each day.Any medications that affects hydration.

Thorax and Lungs

Any shortness of breath during activity or atrest.Recurrent cough, hemoptysisUse of tobacco.

Weight lossVaccination: pneumococcal, flu


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Heart and blood vessels

Feeling of lightheaded/dizzyDiscomfort on the legs/calf, cramping

aching. Distance able to walk

AbdomenHeartburn, indigestion,hiccups

Problem in digestion(delay in gastric

emptying) vomiting.


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Urinary Continence/incontinenceAny problem in controlling urine flow

Bowel EliminationConstipation/diarrheaKinds of foods, drinks, exercise do you

enjoy each day.


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GenetaliaSexual function

Erectile dysfunction

Medication taken at this time

Vaginal itching, discomfort blood tingged

ProstateProstate screening


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MusculoskeletalDiffuculty of getting out of the bed

Stiffness

Feeling of legs are going to give way

Crepitus

Use of cane/assistive device

Fall history

pain


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Neurologic FunctionAbility to concentrate

Ability to recognize person, things etc.

Any inconsistencies

Ability to recall


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57999771 Assessment of Elderly

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