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16 Cards in this Set
- Front
- Back
ADLs |
The tasks necessary for self-care. Typically, ADLs encompass domains of eating/feeding, bathing, grooming (the individual tasks of washing face, combing hair, shaving, cleaning teeth), dressing (lower body and upper body), toileting (bowel and bladder), walking (including propelling a wheelchair), using stairs (ascending and descending), and transferring (such as bed to chair). |
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IADLs |
been developed since the 1960s, with the goal of measuring functional abilities necessary for independent community living. IADL tasks typically include shopping, meal preparation, housekeeping, laundry, managing finances, taking medications, and using transportation. --> Lawton and Brody in 1969 to address higher order components of the Katz Index of ADL and to measure the more complex ADLs required for a person to adapt to the environment |
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SBAR |
Situation, Background, Assessment, Recommendations |
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Katz Index of ADL |
based on the concept of physical disability and was intended to measure physical function in older adults and chronically ill patients. |
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Barthel Index |
includes definitions of each task to facilitate ease of scoring and has a more comprehensive assessment of mobility than the Index of ADL, rehabilitation settings |
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Functional Independence Measure |
developed by a consensus panel of physical medicine and rehabilitation staff and has been widely tested on older adults. It can be administered three ways: by telephone, by in-person interview, and by proxy. It is more sensitive to change than the other ADL instruments, but formal training in its use is necessary, and it is more time consuming |
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Rapid Disability Rating Scale-2 |
completed by a family member or professional caregiver who is familiar with the abilities of the older adult. It is designed to measure what the patient actually can do versus what he or she might be able to do. |
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Advanced activities of daily living (AADLs) |
activities that an older adult performs as a family member and a member of society and community; they include occupational and recreational activities. Items concerning self-care, mobility, work (either paid or volunteer), recreational activities/hobbies, and socialization. |
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Delirium |
a common, life-threatening disordered mental state that, when recognized and treated promptly, is often reversible. |
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Dementia |
a progressive loss of brain function that can occur with several different diseases such as stroke and brain injury |
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Depression |
persistent feelings of sadness or hopelessness, a loss of interest or pleasure in previously enjoyable activities, or a combination of these. It also includes cognitive and physical changes, such as trouble with concentration (which leads to memory problems), disturbed sleep, decreased energy or excessive tiredness, and decreased appetite. "Prevention and treatment of depression may be one of the most effective interventions aimed at reducing functional decline in an older adult" |
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Social networks |
consist of informal supports that are accessible to the older adult |
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Components of Social Assessment |
Social network (formal, semiformal, informal) Caregiver assessment Potential for elder abuse Environment Spiritual needs |
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Elder Abuse |
Psychological abuse: Anything that diminishes a person's sense of dignity, self-worth, or identity Financial or material abuse: Theft or misuse of the older person's money or property Neglect -->Active (intentional withholding of basic necessities of life) -->Passive (not providing basic necessities because of lack of experience, information, or ability) Physical abuse: Nonaccidental use of force to coerce or harm; does not have to result in injury Sexual abuse: Any nonconsensual sexual behaviour, either physical or psychological Violation of rights: Disregard of basic human and legal rights of the individual Systemic abuse: Rules, regulations, or policies that harm or discriminate against older adults |
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A Mnemonic to Help Detect, Diagnose, and Manage Elder Abuse |
Screen for abuse in all older adult patients Think about risk factors Ominous danger signs present? Physical findings History Address issue of elder abuse Report to adult protective services Manage with prevention and risk factor modification |
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The Physical Performance Test |
assess upper body fine motor and coarse motor activities, balance, and mobility. |