Geriatric Assessment – Flashcards
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what is the purpose of a geriatric assessment
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useful planning and guiding care, leads to improved outcomes, including decreased length of stay, iatrogenesis, complications, nursing home admissions and cost of care, as well as increased over all survival and improved quality of life
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iatrogenesis
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negative things that happen from just being in the hospital
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what does the "L" in the LEARN model stand for
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LISTEN carefully to what the elderly is saying, including nonverbal communication, the perception of the situation and the desired goals and ideas of the treatment
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what does the "E" in the LEARN model stand for
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EXPLAIN your perception of the situation and the problems
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what does the "A" in the LEARN model stand for
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ACKNOWLEDGE and discuss both the similarities and the differenced between your perceptions and goals and those of the elder
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what does the "R" in the LEARN model stand for
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RECOMMEND a plan of action that takes both perspectives into account
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what does the "N" in the LEARN model stand for
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NEGOTIATE a plan that is mutually acceptable
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what are components of the geriatric assessment that are frequently not addressed?
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sexual dysfunction, depression, incontinence, ETOH, muscular stiffness, hearing loss, memory loss/confusion
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when is FANCAPES used
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comprehensive assessment with frail, medically complex older adults. It focuses on physical needs and social needs
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what doe the "f" in FANCAPES stand for
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fluids
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what does the "a" in FANCAPES stand for
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aeration and activity
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what does the "N" in FANCAPES stand for
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nutrition
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what does the "c" in FANCAPES stand for
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communication
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what does the "p" stand for in FANCAPES
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pain
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what does the "e" in FANCAPES stand for
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elimination
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what does the "s" in FANCAPES stand for
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socialization and social skills
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what are examples of functional performance tests
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balance, walking speed, and chair stands
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Blessed dementia score
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incorporates ADLs IADLs, memory, recall, orienting outdoors
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GDS
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geriatric depression scale
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CAM
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confusion assessment method
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CAM-ICU
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assesses for delirium instead of dementia
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what does SPICES stand for
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SLEEP disorders, PROBLEMS with eating or feeding, INCONTINENCE, CONFUSION, EVIDENCE of falls, SKIN breakdown
