1. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Assessment of the Older Adult Assessment of the Older Adult Health Assessment Across the Lifespan

2. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-2 Functional Ability  Activities of Daily Living  Instrumental Activities of Daily Living  Advanced Activities of Daily Living  Assessment of Cognition  Social Domain

3. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-3 Activities of Daily Living  Eating  Bathing  Grooming  Dressing  Toileting  Walking  Using stairs  Transferring

4. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-4 Instrumental Activities of Daily Living  Shopping  Meal preparation  Housekeeping  Laundry  Managing finances  Taking medications  Using transportation

5. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-5 Advanced Activities of Daily Living  Self-care  Mobility  Work  Recreation  Socialization

6. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-6 Assessment of Cognition  Domains  Attention  Memory  Orientation  Language  Visuospatial skills  Higher cognitive functions

7. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-7 Assessment of Cognition (cont.)  Causes for alteration  Dementia  Delirium  Depression

8. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-8 Social Domain  Family  Social groups  Community  Assessment includes caregivers

9. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-9 Caregiver Assessment

10. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-10 Assessment of Caregiver Burden  Signs of burnout  Somatic complaints  Stress  Anxiety  Social isolation  Depression  Weight loss

11. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-11 Elder Mistreatment  Omission or commission  Types  Physical  Sexual  Emotional  Psychological  Abandonment  Neglect

12. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-12 Assessing for Elder Mistreatment  Risk factors for abuse  Female  75 years or older  Limited resources  Residing with family  Disruptive behavior  Social isolation  Caregiver financially dependent on elder

13. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-13 Possible Signs of Elder Abuse  Reluctant to leave elder alone  Patient defers excessively to caregiver  Delay in seeking treatment  Inconsistency with reported mechanism of injury  Lack of hygiene, appropriate clothing

14. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-14 Mnemonic: S.T.O.P. H.A.R.M.  Screen for abuse in all elderly patients  Think about risk factors  Ominous danger signs present?  Physical findings  History  Address issue of elder mistreatment  Report to Adult Protective Services  Manage with prevention and risk factor modification

15. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-15 Environmental Assessment  Lighting  Rugs  Hallways  Cords  Grab bars  Toilet seats  Neighborhood safety  Transportation  Basic community services

16. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-16 Spiritual Assessment  Spiritual health may improve as age progresses  Highly variable  Best assessed by open-ended questions

17. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 30: Functional Assessment of the Older Adult Slide 30-17 Special Considerations  Cultural Considerations  Assessing those in pain  Assessing elders with altered cognition  Assessment at the end of life