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Questions and Answers
What is the primary purpose of nursing-focused assessment in older adults?
What is one goal of the nursing-focused assessment for older adults?
What approach does the Comprehensive Geriatric Assessment (CGA) emphasize?
In what settings can nursing-focused assessments take place?
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Which of the following is NOT a component of the domains of health in the nursing-focused assessment?
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What do assessments aim to identify in older adults?
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How does patient participation enhance the assessment process?
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What is a key aspect of recognizing unmet needs during the assessment?
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Study Notes
Nursing-Focused Assessment
- Nursing-focused assessments are used to determine the ability of older adults to meet their health and illness-related needs.
- These assessments identify patient strengths and limitations to deliver effective and appropriate interventions.
- The goals of a nursing-focused assessment are to support, promote, and restore optimal function, as well as prevent disability and dependence.
- Nursing-focused assessment requires the application of various skills and abilities.
- The assessment process involves considering complex and varied issues.
- It's crucial to have a solid gerontologic knowledge base for effective assessment.
- Repeated practice is essential to acquire the art of assessment.
- Nurses must recognize responses that reflect unmet needs.
- Numerous frameworks and tools are available to guide nurses in assessing older adults.
###Â Comprehensive Geriatric Assessment (CGA)
- CGA is considered the multidisciplinary geriatric tool of choice for determining the clinical profile, pathological risk, and residual skills of an older adult.
- CGA helps define personalized therapeutic and care plans and facilitates clinical decision-making.
- When screening suggests potential frailties, performing a CGA is recommended to identify risks better and tailor treatment accordingly.
- CGA is an interdisciplinary approach that produces problem lists and develops goal-driven interventions.
- It provides and coordinates an integrated treatment, rehabilitation, support, and long-term care plan.
Domains of Health Assessed During CGA
- Physical Medical Conditions: Addressing existing medical diagnoses and managing ongoing health issues.
- Mental Health Conditions: Recognizing and addressing any mental health concerns that may be present.
- Functioning: Evaluating the patient's performance in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).
- Social Circumstances: Assessing social support networks, family dynamics, and social engagement.
- Environment: Evaluating the home environment, living arrangements, and access to resources.
Risk Factors During Assessment
- Habits: Identifying behaviors that can impact health, such as smoking, alcohol consumption, and sedentary lifestyle.
- Assess potential health hazards to identify risk factors for illness and injury, such as falls, medication errors, and malnutrition.
Assessment Setting
- Nursing-focused assessments are conducted in a variety of settings, including:
- Hospitals
- Homes
- Long-term care facilities
- Senior centers
- Congregate living units
- Hospice facilities
- Independent/group nursing practices
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Description
This quiz covers nursing-focused assessments aimed at determining the health-related needs of older adults. It examines the goals, processes, and essential skills necessary for effective evaluations, as well as the importance of a solid gerontologic knowledge base. Test your understanding of frameworks and tools to optimize patient care.
