/
NCM114 RLE
Save to my account
Sign up
Report Bug
NCM114 RLE
Flashcard Deck
Study
Question
What is the purpose of a functional assessment for older adults, and what factors can influence an individual's functional status?
Answer
The purpose of a functional assessment is to determine an individual's level of independence in performing activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Functional status can change based on factors such as symptom control, disease progression, and mood.
Question
What are some examples of basic ADLs (Activities of Daily Living) that are typically assessed in a functional assessment?
Answer
Basic ADLs include activities such as eating, washing, dressing, toileting, continence, transferring or mobility, grooming, and feeding.
Question
What is the Katz Index of Independence in Activities of Daily Living used for in functional assessment?
Answer
The Katz Index of Independence in Activities of Daily Living is a tool used to assess an individual's independence in performing basic ADLs. It evaluates a person's ability to perform activities like bathing, dressing, toileting, eating, transferring, continence, and grooming.
Question
What are IADLs (Instrumental Activities of Daily Living), and why are they important for functional assessment in older adults?
Answer
IADLs are activities required for independent living in the community. They include tasks like shopping, food preparation, using the telephone, doing laundry, housekeeping, managing medications, managing finances, and more. Assessing IADLs is essential to understand an individual's ability to function in daily life.
Question
What aspects of psychological functioning are assessed in a functional assessment for older adults?
Answer
Psychological functioning is assessed by measuring cognitive mental and affective functions independently. Detailed information on this aspect can be found in Module 5.
Question
What does social functioning include in a functional assessment, and why is it important?
Answer
Social functioning encompasses social interactions, available resources, subjective well-being, coping strategies, and person-environment fit. It is important to assess social functioning to understand an individual's overall ability to participate in social activities and adapt to their environment.
Question
[Flashcard 6] - Answer
Answer
Social functioning encompasses social interactions, available resources, subjective well-being, coping strategies, and person-environment fit. It is important to assess social functioning to understand an individual's overall ability to participate in social activities and adapt to their environment.
Question
What are some common chronic conditions that increase in incidence with age in older persons?
Answer
Common chronic conditions that increase with age include arthritis, hypertension, heart disease, hearing impairment, orthopedic impairment, and cataracts.
Question
How does the older population impact healthcare resources and services, and what is the expected growth of the older population by 2030?
Answer
Older persons over 65 years use a significant portion of physician resources and medications. By 2030, the older population is estimated to reach about 71.5 million, with a substantial increase in the 85+ age group.
Question
How does functional decline change with age in older persons, and what percentage of older persons over 65 and over 85 require assistance with ADLs?
Answer
Functional decline, as measured in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), becomes more prevalent with age. Approximately 20% of older persons over 65 require assistance with ADLs, while 45% of those over 85 require assistance with ADLs.
Question
What are some comorbid conditions that can negatively impact the functional status of an older adult?
Answer
Comorbid conditions that can impact an older adult's functional status include acute illness, alterations in nutrition and hydration, chronic illness, delirium, dementia, economic factors, environmental factors, medications, psychiatric comorbidities (especially depression), and psychological/social stressors.
Question
What is the Katz ADL Index, and how is it used in functional assessment for older adults?
Answer
The Katz ADL Index is a tool used to assess an individual's independence in basic ADLs. It is widely used to evaluate an older adult's ability to perform activities like bathing, dressing, toileting, eating, transferring, continence, and grooming.
Question
What is the Lawton Instrumental Activities of Daily Living (IADL) used for in functional assessment for older adults?
Answer
The Lawton IADL is used to monitor improvements in IADLs, which are activities necessary for continued independent residence in the community. It helps differentiate task performance based on the amount of help and time needed to accomplish each task.