Summary NR601 Midterm weeks 1-4 + midterm audible, Complete spring 2022 solution guide.

NR601 Midterm weeks 1-4 + midterm audible, Complete spring 2022 solution guide. Week One Developmental Changes - NR601 Midterm Week 1 2022. Purpose of the CGA (comprehensive geriatric assessment): Physical health is r/t psychosocial functional ability and safe environment. 1. it helps in 2. identify potentially 3. perform - 1. dx conditions and improve outcomes 2. preventable conditions 3. patient-centered care CGA 1. Most beneficial for the vulnerable, older adults but 2. Domains: include - 1. should be completed for all older adults. 2. Physical health, functional health, psychological health, socioenvironmental support & quality of life measures. CGA Physical health 1. Medical history, PE including 2. Nutritional assessment; tools include 3. Medication review using - 1. (abnormals-differentials), ROS, diagnostics, 2. mini nutritional assessment instrument Food diary Physical assessment with measurements Biochemical markers 3. (Beers criteria) CGA Functional health 1. - goal is to improve 2. measure ADLs using 3. IADLs 4. Ask patients to demonstrate or explain how 5. Fall assessment tool 6. Mobility assessed with 7. Any change in their function is often the only sign of - 1. function and prevent decline 2. - Katz ADLs scale 3. - Lawton & Brody Scale for IADLs 4. they complete adls 5. Hendrich II Fall Risk Model 6. Time to get Up and Go Test 7. illness or could be the first sign of exacerbation of a chronic illness CGA Psychological health (cognition and mood) tools and acronyms include *dementia, delirium and depression are what you're evaluating for in geriatric MH - DSM-5 (delirium vs cognitive impairment) MMSE CDT, word recall Mini-Cog SLUMS Confusion Assessment Method (CAM) Geriatric Depression Scale- PHQ-9 HOPE, FICA, SPIRIT-These are acronyms to assess spiritual beliefs About the Cognitive Assessment tools MMSE-ID scoring ranges Minicog-explain type of tests and scoring - The MMSE Score of 24-30 is the normal range. Scores of 20-23 represent mild cognitive impairment or possible early-stage Alzheimer disease. The Minicog providers might prefer b/c its shorter clock drawing and three-word recall. The score range is 1-3. Diagram of Cognitive Disorders and differences w/ each - Depression does not have an abrupt onset, but patients will usually be able to identify some time frame for when the mood disorder started. It is important that,as providers,we have identified a set of favorite screening tools CGA Socioenvironmental 1. Social network/support 2. What tool assesses Social isolation 3. Living situation includes 4. Environmental includes 4. Economic includes - 1. blank 2. assessment (lubben social network scale) 3. (housing, transportation 4. ( utilities, heat, water) 5. (income, assets, afford meds and healthcare) Quality of life 1. the medical outcomes study short form 36 looks at - Physical/mental/social domains Personal resources Preference of care (advance directive) Age related changes: Physiological