Elder Assessment

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Elder Assessment

Health & Medicine

Bivin Jay B, MSN
Mar Baselios College of Nursing
Kothamangalam

• Assessment ranges from simple
screening tests to in-depth evaluations
• Health assessment include health
history, physical examination & lab
investigations
• Many structured assessment
formats/tools are available
• Interviewing an elder
– Prepare the physical settings
– Establish the rapport
– Structure the interview

Screening tests Recommendations
Blood pressure Every clinical
examination/ q1-2 yr
Clinical breast
examination
Annually (if >40 Yrs)
Mammogram q1-2 yrs if 50-69 yrs
q1-3 yrs if 70-85+ yrs
Pelvic exam/Pap
smear
q2-3 yrs; (after 3 –ve
tests, can decrease)

Screening tests Recommendations
Cholesterol Every 5 yr
Rectal examination Annually (if >40 Yrs)
Fecal occult blood Annually (if >50 Yrs)
Sigmoidoscopy Annually (if >50 Yrs)
Prostrate examination q3-5 yr (if <50 Yrs)
Annually (if >50 Yrs)
Tests for hearing/
vision/thyroid/EKG/
Glucose etc
Periodically
Exam of heart/lungs/
skin etc
Periodically

Psychological assessment
• Cornell scale for depression and
dementia
• Short test for dementia
• Functional activities questionnaire
• Clinical dementia rating scale
• Information questionnaire on cognitive
decline in the elderly
• Confusion assessment method

Reference
• Wold GH (2008) Basic Geriatric
Nursing, 4th Ed., Missouri, Mosby
Elsevier Inc.

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