Questions and Correct Answers
What are the comprehensive geriatric assessment tests? ✅1. OARs:
-score of 6 is functional, 30 is nonfunctional
-takes a long time to complete
-covers= social and economic resources, mental and physical health, ADLs and IADLs
2. RAI:
-mandatory for anyone that will receive medicare or medicaid payments in a nursing
facility
-tracks their goals and develops a plan of care
3. OASIS C1:
-home health
-helps delegate payment and hospital readmissions
Mood Assessments ✅1. Geriatric depression scale: (if they answer a bolded answer,
they get a point)
2. Cornell scale for depression in dementia
***higher rates of depression later in life
Function and cognition tests ✅1. MMSE:
-gets baseline information from patient
2. Clock drawing test:
-common.
-patient needs to draw a clock
3. Mini Cog:
-similar to MMSE
-easy to administer
-fast
-for dementia
-remember three words and draw a clock
4. Global deterioration scale:
-prepares family for future when assessing patient for dementia
-shows progress throughout
-What are Activities of Daily Living?
-what are some tests to assess them? ✅-where the client needs help with bathing,
dressing, toileting, transferring, continence, feeding/eating
-Tests:
1. Katz:
-judges the above categories on whether the person is independent or dependent
2. Barthel:
, -measures progress and decline
-more specific than Katz
-usually for people with a stroke
3. FIM:
- usually for people with a stroke
-admission, discharge, and followup progress
4. FAST:
-specific for someone with Alzheimer's
***IADLs: client is more independent, may only need help with grocery shopping.
Test:
1. Lawton IADL scale: measures independence
What is a functional assessment ✅-evaluation of a person's ability to carry out the
tasks needed for self care and those needed to support independent living (negotiate
physical and social environments)
-screening tools typically look at the activity as a whole, not a summation of parts. (ex:
child may be able to chew and swallow, but may not be able to bring food to mouth)
Mnemonics for physical assessments
(SPICES and FANCAPES) ✅1. SPICES:
Sleep disorders, problems with eating, incontinence, confusion, evidence with falls, skin
breakdown
2. FANCAPES:
Fluids, aeration (heart and perfusion), nutrition, communication, activity, pain,
elimination, socialization
What is included in the health history? ✅Its the beginning of the health assessment
and includes:
-demographics
-past medical
-meds/supplements
-social history
-functional history
-ROS
Considerations for the health history ✅-patient listening
-allow for pauses
-ask relevant questions
-observe minute details
-obtain data from multiple sources
-recognize normal vs. abnormal changes of aging
what is the LEARN model? ✅L: listen to what the patient has to say
E: explain you perception of the problem
A: acknowledge the similarities and differences of perception