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NCM114 RLE
Flashcard Deck
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What is the purpose of a functional assessment for older adults, and what factors can influence an individual's functional status?
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.
What are some examples of basic ADLs (Activities of Daily Living) that are typically assessed in a functional assessment?
Basic ADLs include activities such as eating, washing, dressing, toileting, continence, transferring or mobility, grooming, and feeding.
What is the Katz Index of Independence in Activities of Daily Living used for in functional assessment?
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.
What are IADLs (Instrumental Activities of Daily Living), and why are they important for functional assessment in older adults?
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.
What aspects of psychological functioning are assessed in a functional assessment for older adults?
Psychological functioning is assessed by measuring cognitive mental and affective functions independently. Detailed information on this aspect can be found in Module 5.
What does social functioning include in a functional assessment, and why is it important?
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.
[Flashcard 6] - 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.
What are some common chronic conditions that increase in incidence with age in older persons?
Common chronic conditions that increase with age include arthritis, hypertension, heart disease, hearing impairment, orthopedic impairment, and cataracts.
How does the older population impact healthcare resources and services, and what is the expected growth of the older population by 2030?
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.
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?
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.
What are some comorbid conditions that can negatively impact the functional status of an older adult?
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.
What is the Katz ADL Index, and how is it used in functional assessment for older adults?
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.
What is the Lawton Instrumental Activities of Daily Living (IADL) used for in functional assessment for older adults?
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.
