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Assessment of ElderlyAssessment of Elderly
Patrick Henry B.Patrick Henry B. LaOLaO, RN,MAN, RN,MAN
Clinical InstructorClinical Instructor
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ElderlyElderly
Person that ages nearing or surpassingPerson that ages nearing or surpassingthe average life span of human lifethe average life span of human life
cycle.cycle.AlsoAlso calldcalld as Senior citizenas Senior citizen
Have limited regenerative abilities andHave limited regenerative abilities and
more prone to disease and syndromemore prone to disease and syndromeGerontology is the study of disease inGerontology is the study of disease inelderly.elderly.
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Differentiate the findings related to theusual wear and tear of aging from thosepathologic process.
Requires systematic and interdisciplinaryapproach and awareness to the effect ofaging and disease.
Acquire the Biographic data of your patient Consider the cultural norms
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Health Assessment Subjective
Data: health history
Review of
Systems
Skin, Hair and Nails ask for any changes occur on skin, hairand nails. Any rashes developed aftermedication?
Rashes may result to allergy,inflammation : infection or cancer.
Ask for dry/itchy skin, routine bathing,how do you care for your skin? Use of
moisturizers.Dry itchy skin may result from dryingproperties of soap and alcohol base afterbath.
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Skin, Hair and Nails any history of ulcers (open wound)on feet
or lower legs?May be due to Diabetes mellitus orArteriosclerosis obliterans
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Eyes and Vision ask for any changes in vision.Any floaters or flashes of lightAny feeling of dryness/irritated,
excessive tears.Ears and hearingHow well do you hear?Any changes in hearing ability
Ringing sound in the ears
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Head and Neck
any pain on the neck area and head.Mouth and ThroatAmount of food can eatFeeling of choking while eating and
drinking.Nutrition change in the appetite for the last 6months
Feeding assistanceDepression, dementia, diarrhea, vomitingaffects your nutrition.Describe the amount of food can eat.
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HydrationAmount of fluid can eat every each day.Any medications that affects hydration.
Thorax and Lungs
Any shortness of breath during activity or atrest.Recurrent cough, hemoptysisUse of tobacco.
Weight lossVaccination: pneumococcal, flu
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Heart and blood vesselsHeart and blood vesselsFeeling of lightheaded/dizzyFeeling of lightheaded/dizzy
Discomfort on the legs/calf, crampingDiscomfort on the legs/calf, crampingaching. Distance able to walkaching. Distance able to walk
AbdomenAbdomenHeartburn,Heartburn, indigestion,hiccupsindigestion,hiccups
Problem in digestion(delay in gastricProblem in digestion(delay in gastric
emptying) vomiting.emptying) vomiting.
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Urinary Continence/incontinenceAny problem in controlling urine flow
Bowel EliminationConstipation/diarrhea
Kinds of foods, drinks, exercise do youenjoy each day.
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GenetaliaSexual function
Erectile dysfunction
Medication taken at this time
Vaginal itching, discomfort blood tingged
ProstateProstate screening
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MusculoskeletalMusculoskeletalDiffucultyDiffuculty of getting out of the bedof getting out of the bed
StiffnessStiffness
Feeling of legs are going to give wayFeeling of legs are going to give way
CrepitusCrepitus
Use of cane/assistive deviceUse of cane/assistive device
Fall historyFall history
painpain
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Neurologic FunctionAbility to concentrate
Ability to recognize person, things etc.
Any inconsistencies
Ability to recall
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