assessment of elderly

8/6/2019 Assessment of Elderly

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Assessment of ElderlyAssessment of Elderly

Patrick Henry B.Patrick Henry B. LaOLaO, RN,MAN, RN,MAN

Clinical InstructorClinical Instructor


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ElderlyElderly

Person that ages nearing or surpassingPerson that ages nearing or surpassingthe average life span of human lifethe average life span of human life

cycle.cycle.AlsoAlso calldcalld as Senior citizenas Senior citizen

Have limited regenerative abilities andHave limited regenerative abilities and

more prone to disease and syndromemore prone to disease and syndromeGerontology is the study of disease inGerontology is the study of disease inelderly.elderly.


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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 hearingHow 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 and

drinking.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 vesselsHeart and blood vesselsFeeling of lightheaded/dizzyFeeling of lightheaded/dizzy

Discomfort on the legs/calf, crampingDiscomfort on the legs/calf, crampingaching. Distance able to walkaching. Distance able to walk

AbdomenAbdomenHeartburn,Heartburn, indigestion,hiccupsindigestion,hiccups

Problem in digestion(delay in gastricProblem in digestion(delay in gastric

emptying) vomiting.emptying) vomiting.


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Urinary Continence/incontinenceAny problem in controlling urine flow

Bowel EliminationConstipation/diarrhea

Kinds of foods, drinks, exercise do youenjoy 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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MusculoskeletalMusculoskeletalDiffucultyDiffuculty of getting out of the bedof getting out of the bed

StiffnessStiffness

Feeling of legs are going to give wayFeeling of legs are going to give way

CrepitusCrepitus

Use of cane/assistive deviceUse of cane/assistive device

Fall historyFall history

painpain


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Neurologic FunctionAbility to concentrate

Ability to recognize person, things etc.

Any inconsistencies

Ability to recall


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assessment of elderly

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