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HA Week 12
Health Assessment Exam 3 - Assessment of Older Adults
| Question | Answer |
|---|---|
| geriatric health history | present health status, medications, past health, family history, personal and psychosocial history, personal status, family and social relationships, diet & nutrition, functional ability, mental health, sleep, alcohol use, environmental hazards |
| activities of daily living (ADL) | dressing, toileting, bathing, eating, ambulating |
| instrumental activités of daily living (IADL) | meal preparation, shopping, medication safety, management of finances, ability to travel within the community |
| alcohol use in older adults | blood ETOH level stay high longer, CAGE assessment |
| clues to alcohol abuse in older adults | memory loss, cognitive impairment, change in hygiene, malnutrition, sleep difficulties, HTN, labile blood glucose, seizures, increased falls, frequent complaints of gastritis or esophagitis |
| fall risk factors | muscle weakness, balance/gait, postural hypotension/dizziness, slower reflexes, visual problems, mental status, adverse effects of medications, environment |
| skin | wrinkles, loses turgor, appears thin, age spots, fragile, loose |
| nails | lose luster, yellow, thicken |
| hair | scalp hair loses its pigment, loss in various areas, coarse facial hair appears |
| head and neck | fat loss on face, dry eyes, smaller pupils, increase risk for cataracts, glaucoma, macular degeneration, hearing and visual acuity diminishes, diminished salivary secretions, sense of taste, teeth wear down |
| thorax and lung | chest wall stiffens, respiratory muscles weaken, lung lose elasticity, slow respirations, cough is less effective, skeletal changes (kyphosis, barrel chest) |
| cardiovascular | lengthening of aorta, systolic bruits, S3 and S4 (decreased ventricular compliance/impaired ventricular filling), cardiac murmurs, reduced cardiac output |
| peripheral vascular system | arteries lengthen, tortuous, feel harder, less resilient; decreased circulation |
| concern regarding peripheral vascular system | possible abdominal aortic aneurysm, complaint of abdominal or back pain, especially male smokers with coronary disease |
| examination of older adults | focus on functional assessment during physical examination |
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ballen9519
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