Evaluation Notes
Geriatric Assessment - correct answer ✔✔An interprofessional approach for evaluating the
physical and psychosocial impairments and functional disabilities of older adults
SPICES - correct answer ✔✔Framework for targeted assessment for an older adult
-Addresses common syndromes of older adults that require nursing assessment and
intervention
-Used for change of shift handoff, interprofessional rounds, etc
S: Sleep
P: Problems with Eating/Feeding
I: Incontinece
C: Confusion
E: Evidence of Falls
S: Skin Breakdown
Cognitive Function - correct answer ✔✔• Assessment of cognition is vital to the comprehensive
assessment of older adults
• Knowing a patient's baseline cognitive function is important as the first sign of illness among
older adults is often an acute change in mental status
Mini-Cog
Cognition Assessment tool - correct answer ✔✔• Overview: Used to differentiate between
individuals with dementia and those without
, • Administration Time: Takes about three to five minutes to administer
• Assessment: The min-cog is a two part test of executive function (the ability to plan, manage
time, organize activities, and manage working memory) which is impaired in mild cognitive
impairment or dementia
• Scoring: Three item recall and clock drawing test
(The mini-Cog test cognition, using three-item recall and clock-drawing test. It takes about 3
minutes to administer and it is not affected by language, education, or culture. The tool is to
differentiate those with dementia and those without)
Montreal Cognitive Assessment (MOCA)
Cognition Assessment tool - correct answer ✔✔• Overview: A rapid screening instrument for
mild cognitive dysfunction
• Administration Time: Time to administer the MOCA is approximately 10 minutes
• Assessment: It assesses different cognitive domains: attention and concentration, executive
functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and
orientation.
• Scoring: There are 11 sections of the assessment, with a total of 30 possible points
• Administration Issues: Animal naming-often older adults have trouble naming
the animal, especially if English is not their primary language