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DEPARTMENT OF COMMUNITY
PHYSIOTHERAPY
THIRD YEAR BACHELOR OF PHYSIOTHERAPY
DATTA MEGHE COLLEGE OF PHYSIOTHERAPY
GERIATRIC ASESSMENT
By,
DR. MILIND.G.KAHILE DR.NEHA DESHMUKH
DEPARTMENT OF COMMUNITY (PT)
PURPOSE OF LECTURE
At the end of lecture students should able to know how to take assessment for
geriatric patient.
LEARNING OBJECTIVE
SR NO LEARNING
OBJECTIVE
DOMEN LEVEL
1 What is NGO? cognitive all
2 Health related legal
rights for elderly?
cognitive all
3 Health related
benefits for elderly?
cognitive all
INTRODUCTION
GERIATRIC
REHABILITATION
ASSESSMENT
COMPREHENSIVE
GERIATRIC
ASSESSMENT
MULTIDIMENSIONAL
PROCESS
MANAGMENT
PREVENTIVE RESTORATIVE COMPENSATORY
DEMOGRAPHIC DATA
β€’ FULL NAME: Documentation
β€’ AGE: common problem in particular age
β€’ GENDER: specific problem related with age
β€’ DATE OF BIRTH:
β€’ RESIDENCE:
β€’ MARITAL STATUS:
β€’ SOURCE OF HISTORY:
β€’ OCCUPATION:
CHIEF COMPLAINT
β€’ Primary reason to visit
β€’ Ideally in patient’s own words
β€’ Duration of presenting symptoms
PAIN HISTORY
β€’ Location
β€’ Duration
β€’ Nature
β€’ Intensity
β€’ On activity
β€’ On rest
β€’ Side
β€’ Onset- gradual or sudden
PRESENT ILLNESS
β€’ Chronological narrative of reasons for patients visit.
β€’ Persistence, change, severity, character, resolution and
disabling effects of initial symptoms.
β€’ Presence of new symptoms and associated symptoms
PAST HISTORY
β€’ Previous medical h/o
β€’ Childhood disease
β€’ Immunizations
β€’ Allergies ,including clinical description of exposure
medication, including dosage, duration and indication, diet
SOCIAL H/O
β€’ Level of education
β€’ Relationship
β€’ Hobbies
β€’ Alcohol use drugs(including rout of administration if applicable),
tobacco and travel in abroad.
β€’ Vocation, including type of industry, past an
FAMILY H/O
β€’ Presence of disease with recognized familial importance in
first degree relatives-type2 diabetes, tuberculosis, cancer,
hypertensions, allergy, heart disease, neurological or
psychiatric disease.
NUTRITIONAL HEALTH CHECK LIST
Day time intake of food like carbohydrate ,fat& protein daily
meals regularly calories expenditure.
COGNITION
β€’ This changes are from mild to moderate
β€’ There are some cognitive dysfunctions common in geriatrics
β€’ Depression, delirium, dementia.
Depression scale
1 geriatric depression scale(GDS)
2 center of epidemiological studies depression scale(CES-D).
SCREENING FOR COGNATIVE functioning can be done easily
3 Mini mental status examination
VISION AND HEARING
visual testing can be done by asking patients to read few lines
from news paper. if patients can able to read head lines and
sentences there is a normal acuity. if only the head lines is
read there is moderate impairment and there is sever
impairment.
Screening for Hearing
β€’ Hearing handicap inventory
β€’ The whisper test
Motor
examination
Strength
examination
FLEXIBILITY
ROM
SENSORY EXAMINATION
β€’ SUPERFICIAL
β€’ DEEP
β€’ CORTICAL
β€’ PROPRIOCEPTION
BALANCE
β€’ SINGLE LEG STANCE
β€’ FUNCATIONAL REACH TEST
β€’ BERG BALANCE SCALE
β€’ TIME UPAND GO TEST
PELVIC FLOOR EXAMINATION
β€’ urge and stress incontinence
β€’ (PFDI) floor distress inventory
CARDIOVASCULAR ENDURANCE
β€’ 6 MINUTE WALK TEST
β€’ 400 METER WALK TEST
GAIT ASSESSMENT
β€’ GAIT SPEED ND GAIT ABNORMALITY CAN BE ASSESSED
β€’ 4 METER WALK TEST= IS HIGHLYRELIABLY FOR POPULATION
MORE THN 65 YEARS
FUNCATIONAL INDEPENDENCE
β€’ KATZ INDEX
β€’ BARTHEL INDEX
β€’ PARTICIPATION
β€’ LIFE HABBIT QUESTIONNAIER(LIFEβ€”H)
MANAGMENT
preventive restorative compensatory
While treating elderly patient we need lot patience and
hearing heart
PREVENTIVE
β€’ Falls prevention
RESTORATIVE
β€’ It emphasis on maximizing persons functional capacity
β€’ Aerobics exercise
β€’ Strengthen exercises
β€’ Balance training
β€’ Functional training
β€’ Pelvic floor muscle strengthening
β€’ Pain management
β€’ Gait training
ELEMENTS OF EXERCISE PRISCRIPTION
β€’ Frequency
β€’ Intensity
β€’ Time
β€’ Type
SUPPORTIVE MANAGMENT
β€’ Assistive and accommodative devices
β€’ Footwear modification
SUMMARY
In this we have seen about assessment for geriatric patient
where we need to address multiple aspects for geriatric
patient. The complexity of assessment in geriatric population
as it covers multiple system screening within valid tools is
necessary. to interact with geriatric population and good
understanding of their behavior help you to develop your skill
better manner.
References
1.Text book of prevention practice and community Physiotherapy by Dr.Bharti Vijay
Bellare, first edition :2018 isbn:978-9-5270-325-8

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GERIATRIC ASESSMENT.pptx

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