Nur 2092 Final Exam Study Guide

Final Exam Study Guide1. Geriatrics: functional assessment-what is being tested, best approach to testing; caregiver concerns; IADLs, ADLs; disability concerns; tools to assessWhat is being tested -Identify strengths -Identify limitations - so interventions can be recognized-Independence and prevention of functional declineBest approach to testingCaregiver concerns -Decrease in attention, memory, orientation, language, planning and making decisions-Depression is not a normal change-Persistent depression - is concerning if it interferes with ADLs-Eating IADLs Instrumental activities of daily living-measures functional abilities necessary for independent community living-includes shopping, meal preparation, house-keeping, laundry, managing finances, taking medications, and using transportationADLs Activities of daily living-tasks necessary for self-care-measure domains of eating/feeding, bathing, grooming, dressing, toileting, walking, using stairs, and transferringDisability concernsTools to assess -Katz Activities of Daily Living-The Lawton Instrumental Activities of Daily Living Scale-Hospital Admission Risk Profile-Geriatric Depression Scale (short form)-Inspect for lesions and moles - irregular shapes, change in size or color-Check for pressure ulcers especially sacrum, heels & trochanters-Clubbing - cardiac or pulmonary disorder-Pitting/transverse groves - peripheral vascular disease, arterial insufficiency, or diabetes-Brittleness - decreased vascular supply-Yellow or brown nails - fungal infection-Look for limited range of motion - arthritis or muscle weakness causing pain and discomfort-While assessing range of motion - watch for