Comprehensive Geriatric Assessment Discussion Board Nur 601 PDF

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Comprehensive geriatric assessment discussion board Nur 601 primary care of the maturing adult completed...

Description

Comprehensive Geriatric Assessment Domain

Physical Health

Dimensions of assessment

Screening tool related to the domain(s)

The assessment of the geriatric patient includes all the conventional methods of history taking, chief complaint, current medical problems, family history, social history, and review of systems. The physical examination should lean more towards specific risk and health problems in older adults. Providers should include questions directed towards hearing or vision loss. If the patient has had any incontinence of bladder or bowel. Balance problems along with falls that have occurred should be addressed. As well as screening and prevention for osteoporosis and polypharmacy are a few examples.

The American Geriatric Society and the Center Control recommend an annual fall assessment adults age 65 and older. STEADI- Stopping Eld Deaths and Injuries includes screening, assessi intervention. Screening questions include if th fallen in the past year, does the patient feel uns standing or walking and is the patient worried Assessment includes testing the patient’s stren gait. Timed up and go Tug test assess the patie includes having the patient sit in a chair, stand then sit down again. If the test takes 12 second patient is at higher risk for falls. 30-Second Ch used to assess strength and balance. The patie chair with arms crossed over chest. The provid patient is to stand up and sit down again, and seconds. A low number of how times the task is indicates a highter risk for a fall. 4-Stage Balan how well a patient can keep balance. The patie four different positions, holding each for ten se Stand with feet side by side. Position 2: Move o forward, so the instep is touching the big toe of Position 3: Move one foot fully in front of the o are touching the heel of the other foot. Position foot. If the patient can not hold position 2 or 3 the patient can not stand on one leg for 5 seco at higher risk for falls. Declining health, heari impairments, decrease in coordination and me effects all place the elderly patient at risk for f Fall assessment tools should be utilized to prev worsening health conditions.

References: Phelan,E.(2019). Assessment and management of fall risk in primary care settings. US Nationa Medicine, 99(2). 281-293. Doi:10.1016/j.mcna.11.0004...