Health history of the older adults.pptx, HEALTH ASSESSMENT OF OLD AGERS.

1. Health history of the
older adults
BY
V. PRASANTHI
M.SC NURSING
MEDICAL AND SURGICAL

2. Health history of the older adults
Beside the health history which is taken
for the adult, these are certain additions
to the health of the older adults. These
are discussed below:

3. Health history of the older adults
1. IMMUNIZATION:
 Pneumonia vaccine: date if taken. Revaccination
every 5years is recommended.
Influenza vaccine: Data if taken. It is recommended
annually.
Tetanus: Date of last vaccination. It is recommended
every 10 years.

4. 2. CURRENT PRESCRIPTION
MEDICATIONS:
Note name, dose and frequency of
prescribed medications.
Side- effects.
Adherence problems, i.e. economic,
inability to go to market to purchase,
ignorance.

5. 2. CURRENT PRESCRIPTION
MEDICATIONS:
Difficulty in swallowing.
Clients opinion of efficacy of medications.
Difficulty in administering the medication,
for example, visual impairment, memory
impairment.
Whether taking any non- prescribed drugs
and their side effects.

6. 3. NUTRITION
If taking any special diet, i.e. diabetic, low
salt.
Intake of sugar and extra salt at the table.
Appetite: Any change (loss or excessive).
Food purchase and preparation: Who buys
food and prepares it, Whether the client
prepares his own food. Problems faced in
preparing own food due to mobility, vision,
memory or fatigue.

7. 3. NUTRITION
Ingestion: Difficulty in chewing, swallowing
or chocking problems.
Affordability: Whether or not the client is
able to afford the food needed and desired.

8. 4. ACTIVITIES OF DAILY LIVING:
Note whether the client needs help with any of the
following activities:
 Dressing
 Grooming
 Bathing
 Toileting
 Mobility
 Eating

9. 4. ACTIVITIES OF DAILY LIVING:
Laundry
Meal preparation
House keeping
Financial affairs, eg: paying bills
Shopping
Medication administration
Transportation

10. 5. SOCIAL SUPPORT AND/OR
RESOURCES
Community involvement:
Membership of any religious organizations, hobbies,
employment, recreational facilities.
Support system: Family and friends
Living arrangement: Whether living with family/
alone/ in nursing home.
Finance Source and adequacy

11. 5. SOCIAL SUPPORT AND/OR
RESOURCES
Legal services: Does client have a will/
power of attorney?
Community services: Does the client use day
care centre /home health care, swnior centres
and rehabilitation services?

12. THANK YOU
THANK YOU