Caring for the elderly client 2
Terms
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- Home visits
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-evalute home setting and assist older person
- Urinary system assessment
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-Hx of leakage,freqeuncy, amount,incontinence
-inspect color,odor
-palpate-masses,discomfort - wellness assessment
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-health promotion
-individaul strengths
-increase life span
-prevention - GI System assessment
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-Hx of bowel,wght
-inspect lesions,rashes
-auscultate-Bowel sounds
-Palpate-tenderness or masses - Discharge planning/assessment
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-start early on day of admission
-team approach
-Blaylock tool - Eyes assessment
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-Hx of vision,changes,disease
-inspect size,swelling,
symmetry,redness,Snellen chart
- Nose and sinuses assessment
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-HX of noseblds,trauma,
allergies,infections
-inspect shape/size,color, flare nostrils?,air in nostrils?,smells
-palpate tenderness or for masses - Head, neck, and face Assessment
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-Hx of stress,injury,
-inspect position,size,shape,hair,face muscles
-palpate trachea,muscles - Integumentary system assessment
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-Hx of pain,allergies,sun light,skin care
-inspect odor,cleanness, skin folds
-palpate-turgor,temp,texture - Respiratoy assessment
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-Hx of SOB,cough,smoke,TB
-inspect chest,mucous,LOC
-palpate-tenderness,masses
-auccultate-air sounds,crackle - Musculoskeletal systme assessment
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-Hx of pain,stiffness
-inspect ADL and IADL,muscle mass,shoes wearing
- Cardiac system assessment
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-Hx of wght,diet,smoke,alcohol
-inspect-lying,sitting,
standing,venous distention,SOB
-palpate-pulse,chest,
capillary refill
-Auscultate-beats,murmurs - Reproductive system assessment
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-Hx breast exam,discharge,
prostate hypertrophy,pap smear
-inspect genitalia,
membranes,hair loss,inflam. - Neurological system assessment
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-Hx of headaches,disorders
-inspect LOC/orientation, alertness,grooming
- Ears assessment
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-Hx of hear loss,effects on life,pain,dizzyness
-inspect size/shape,redness
-palpate-swelling, soreness - Physical assessement
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-inspection (look)
-palpation (touch)
-percussion
-asculation (listen) - Peripheral Vascular System Assessment
- -Hx of wieght,smoke,alcohol, numbness in feet/ankles, color of extremeties,edema
- Mouth and throat assessment
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-Hx of dental prob,dentures,
pain,sensitivity
-inspect teeth,chips,sores
-palpate gums,teeth,tongue
- Social funcitoning
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-how sometone interacts with others and environment
-effected by culture, environment and background
- IADL assessment
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-able to use phone, cook, clean, manage $, laundry
-Lawtons scale for IADL is used - ADL assessment
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-bathing, dressing, bathroom, eating, ambulation
-Katz ADL scale