Posted: May 15th, 2023

Module 11 Classroom Assignment – Geriatric Functional Assessment

Module 11 Classroom Assignment - Geriatric Functional Assessment

Module 11 Content

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There are two parts to this assignment:

A. You will be conducting a geriatric functional assessment. This geriatric functional assessment tool is the Katz Index of Independence in Activities of Daily Living & depression screening tool
At the end of the geriatric functional assessment, you will be asked to document your findings & provide a brief summary of each of the six categories
NOTE
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Patient Initials:
Date:

Katz Index of Independence in Activities of Daily Living
Activities
Points (1 or 0) Independence
(1 Point)

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NO supervision, direction or personal assistance. Dependence
(0 Points)

WITH supervision, direction, personal assistance or total care.
BATHING

Points: (1 POINT) Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area or disabled extremity. (0 POINTS) Need help with bathing more than one part of the body, getting in or out of the tub or shower. Requires total bathing
DRESSING

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Points: (1 POINT) Get clothes from closets and drawers and puts on clothes and outer garments complete with fasteners. May have help tying shoes. (0 POINTS) Needs help with dressing self or needs to be completely dressed.
TOILETING

Points: (1 POINT) Goes to toilet, gets on and off, arranges clothes, cleans genital area without help. (0 POINTS) Needs help transferring to the toilet, cleaning self or uses bedpan or commode.
TRANSFERRING

Points: (1 POINT) Moves in and out of bed or chair unassisted. Mechanical transfer aids are acceptable (0 POINTS) Needs help in moving from bed to chair or requires a complete transfer.
CONTINENCE

Points: (1 POINT) Exercises complete self control over urination and defecation. (0 POINTS) Is partially or totally incontinent of bowel or bladder
FEEDING

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Points: (1 POINT) Gets food from plate into mouth without help. Preparation of food may be done by another person. (0 POINTS) Needs partial or total help with feeding or requires parenteral feeding.

TOTAL POINTS: SCORING: 6 = High (patient independent) 0 = Low (patient very dependent

• Patient is:

Geriatric Depression Scale (Short Form):

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1. Are you basically satisfied with your life?
2. Have you dropped many of your activities and interests?
3. Do you feel that your life is empty?
4. Do you often get bored?
5. Are you in good spirits most of the time?
6. Are you afraid that something bad is going to happen to you?
7. Do you feel happy most of the time?
8. Do you often feel helpless?
9. Do you prefer to stay at home rather than go out and do new things?
10. Do you feel you have more problems with memory than most?
11. Do you think it is wonderful to be alive now?
12. Do you feel pretty worthless the way you are now?
13. Do you feel full of energy?
14. Do you feel that your situation is hopeless?
15. Do you think that most people are better off than you are?

One point for “no” to questions 1, 5, 7, 11, 13
One point for “yes” to other questions.

SCORE: __/15. Assessment: _______________
(Normal 3 +/-2; Mildly depressed 7 +/-3; Very depressed 12 +/-2

Summarized your findings of the Katz Scale and depression screening tool:

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Week 11 Part II assignment: Functional Assessment of the Older Adult Questions

1. Differentiate the following, and provide 2 examples of each:
• Activities of daily living (ADLs)

• Instrumental activities of daily living (IADLs)

• Advanced activities of daily living (AADLs)

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2. Discuss at least 2 disorders that may alter an older adult’s cognition.

3. What are some indications of possible caregiver burnout?

4. Describe a method of assessing an older adult for depression.

5. Describe 3 contexts of care of an older adult.

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6. How do falls affect older adults? Name some interventions.

Jarvis, Carolyn: PHYSICAL EXAMINATION AND HEALTH ASSESSMENT: Study Guide and Laboratory Manual, Eighth Edition. Copyright © 2020, 2016, 2012, 2008, 2004, 2000, 1996 by Elsevier Inc. All rights reserved.

_________________
Differentiate the following, and provide 2 examples of each:

Activities of daily living (ADLs) are basic tasks that people need to do to maintain their independence. Examples of ADLs include bathing, dressing, toileting, transferring, continence, and feeding.
Instrumental activities of daily living (IADLs) are more complex tasks that help people live independently in their homes. Examples of IADLs include using the telephone, shopping, cooking, cleaning, doing laundry, managing finances, and taking medications.
Advanced activities of daily living (AADLs) are activities that people may need assistance with as they age. Examples of AADLs include managing transportation, managing social activities, and managing health care.

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Discuss at least 2 disorders that may alter an older adult’s cognition.

Dementia is a general term for a decline in cognitive function that is severe enough to interfere with daily life. There are many different types of dementia, including Alzheimer's disease, vascular dementia, and Lewy body dementia.
Stroke is a sudden loss of blood flow to the brain that can cause a variety of cognitive problems, including difficulty with memory, language, and reasoning.

What are some indications of possible caregiver burnout?

Feeling overwhelmed or stressed
Having trouble sleeping or concentrating
Feeling angry or resentful
Withdrawing from friends and family
Having thoughts of harming themselves or the person they are caring for

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Describe a method of assessing an older adult for depression.

The Geriatric Depression Scale (GDS) is a short, self-administered questionnaire that is commonly used to screen for depression in older adults. The GDS consists of 15 questions that ask about symptoms such as sadness, hopelessness, and loss of interest in activities. A score of 10 or more on the GDS is considered to be a positive screen for depression.
Describe 3 contexts of care of an older adult.

Acute care: This type of care is provided in a hospital or other health care facility. It is typically short-term and is focused on treating an acute illness or injury.
Chronic care: This type of care is provided on an ongoing basis to help people with chronic health conditions manage their symptoms and maintain their quality of life. It can be provided in a variety of settings, including the home, the community, and long-term care facilities.
Palliative care: This type of care is focused on providing comfort and support to people with serious illnesses, regardless of whether they arecurable or not. Palliative care can be provided alongside curative treatment or after curative treatment has stopped working.

How do falls affect older adults? Name some interventions.

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Falls are a major cause of injury and death in older adults. They can lead to fractures, head injuries, and other serious health problems. Some interventions that can help to prevent falls in older adults include:

Exercise: Regular exercise can help to improve balance and strength, which can reduce the risk of falls.
Environmental modifications: Making changes to the home environment, such as installing grab bars and handrails, can help to make the home safer and reduce the risk of falls.
Fall prevention education: Educating older adults about fall prevention and how to reduce their risk of falls can help to prevent falls.

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