Assessing Elder Health with Standardized Tools
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Elder Assessment
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Assessing Elder Health with Standardized Tools
- 1. Bivin Jay B, MSN Mar Baselios College of Nursing Kothamangalam
- 2. • 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
- 3. 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)
- 4. 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
- 6. 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
- 7. Reference • Wold GH (2008) Basic Geriatric Nursing, 4th Ed., Missouri, Mosby Elsevier Inc.