Health Assessment Final Exam Study Guide - 2020 | NUR 2092 Health Assessment Final Exam Study Guide - UPDATED

Health Assessment Final Exam Study Guide 2020 1. Geriatrics: functional assessment-what is being tested, best approach to testing; caregiver concerns; IADLs, ADLs; disability concerns; tools to assess What is being tested -Identify strengths -Identify limitations – so interventions can be recognized -Independence and prevention of functional decline Best approach to testing Caregiver concerns -Decrease in attention, memory, orientation, language, planning and making decisions -Depression is not a normal change -Persistent depression – is concerning if it interferes with ADL’s -Eating IADLs Instrumental activities of daily living -measures functional abilities necessary for independent community living -includes shopping, meal preparation, house-keeping, laundry, managing finances, taking medications, and using transportation ADLs Activities of daily living -tasks necessary for self-care -measure domains of eating/feeding, bathing, grooming, dressing, toileting, walking, using stairs, and transferring Disability concerns Tools to assess -Katz Activities of Daily Living -The Lawton Instrumental Activities of Daily Living Scale -Hospital Admission Risk Profile -Geriatric Depression Scale (short form) -Inspect for lesions and moles – irregular shapes, change in size or color -Check for pressure ulcers especially sacrum, heels & trochanters -Clubbing – cardiac or pulmonary disorder -Pitting/transverse groves – peripheral vascular disease, arterial insufficiency, or diabetes -Brittleness – decreased vascular supply -Yellow or brown nails – fungal infection -Look for limited range of motion – arthritis or muscle weakness causing pain and discomfort -While assessing range of motion – watch for reports of pain, dizziness, jerky or abnormal movements: may indicate fractured vertebrae, Parkinson’s disease, transient ischemic attack, or stroke -Look for facial symmetry (asymmetry may indicate a stroke) -Bowel sounds; Look for hernias, pulsatile masses -Evaluate muscles for atrophy, tremors, and involuntary movements -Note warmth, swelling, tenderness, crepitus and deformities - - -