What is the definition of geriatric assessment?

  

Please do a paragraph about this post with this instruction .post most have 4 or more sentences .you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readingsThe geriatric assessment is a multidimensional, multidisciplinary assessment and the key elements of the assessment is to assess the older persons functional ability, physical health, cognition and mental health and his/her socioenvironmental circumstances. It differs from typical medical evaluation since it includes non-medical domains by emphasizing on functional capacity, quality of life and it incorporates other disciplines like physicians, nutritionists, physical and occupational therapists, and social workers.Physical Health This incorporates all facets of conventional medical history including the current illness, family and social history and a review of all systems. However special considerations should be taken when assessing the patients nutrition, vision, hearing, fecal and urinary incontinence, balance and fall prevention and a review of all the medications that the patient is taking. Nutrition assessment should include assessment of the patients normal food intake and particular attention taken to assess for any signs of malnutrition or obesity, for the vision, assess for conditions that cause impaired vision in geriatrics including, diabetic retinopathy, cataracts and age related macular regeneration. A hearing assessment should also be performed using an otoscope or whispered voice test and all patients medications examined for any potential ototoxicity. Assess for any urine or fecal incontinence which combined with immobility are the biggest causes of decubitus ulcers and eventual sepsis. Impaired balance in the elderly normally manifests in fall related injuries. Balance can be assessed by how the patient gets up from a chair, how they walk and turn, assess if they have an unsteady gait. This can also be manifested by skin assessment where the patient has scattered bruising or hematomas. (Geriatric assessment, American family physician 2011).Cognitive and Mental Health Altered cognition is not a normal part of aging and the nurse may need to pay close attention to the possibilities of the onset of dementia. Cognitive impairment in older adults has a variety of possible causes, including medication side effects, metabolic and endocrine derangements, delirium due to illness, depression, and dementia, with Alzheimers dementia being most common. Some causes, like medication side effects and depression, can be reversed with treatment. Others, such as Alzheimers disease, cannot be reversed, but symptoms can be treated for a period of time and families can be prepared for predictable changes. Patients should be screened for cognitive impairment if the person, family members, or others express concerns about changes in his or her memory or thinking, or you observe problems /changes in the patients memory or thinking or if the patient is age 80 or older. (Barnes et al, 2014)Socioenvironmental circumstances Determining the living arrangements for the geriatric patient is part of the geriatric assessment. Most of the older population live with their spouses or the extended family. Although options vary widely there are three basic types depending on the patients health, and cognitive impairment. They include private homes in the community, (where patients live alone but have home health services) assisted living residences (patients live in a home but are basically independent, only assisted with those tasks that they are unable to do themselves) and skilled nursing facilities (includes rehabilitation hospitals and nursing homes). Assess the patient and involve the social workers in determining the ideal placement for the patient.(Geriatric assessment, American family physician 2011).

Introduction:

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A geriatric assessment is an important tool for evaluating and treating the elderly. It is a multidisciplinary evaluation that considers a variety of factors, including physical health, cognitive and mental health, and socioenvironmental circumstances. The purpose of the assessment is to gain a comprehensive understanding of the individual’s overall well-being, functional ability, and quality of life. This approach differs from a traditional medical evaluation, which focuses primarily on medical history and physical examination. The geriatric assessment is particularly useful in identifying and managing geriatric syndromes, such as falls, frailty, incontinence, and cognitive impairment.

Description:

The geriatric assessment is a comprehensive evaluation designed to assess an older person’s overall well-being. It is typically performed by a multidisciplinary team of healthcare professionals, including physicians, nurses, social workers, and physical and occupational therapists. The assessment includes several key elements, including physical health, cognitive and mental health, and socioenvironmental circumstances.

Under the physical health category, the assessment includes a review of the individual’s medical history, including current illnesses, family history, and medication use. The healthcare professionals also assess the patient’s nutrition status, vision, hearing, incontinence, balance, and fall prevention. Additionally, a review of all the patient’s medications is conducted, paying close attention to potential drug interactions and side effects.

The cognitive and mental health category focuses on assessing the patient’s cognitive function to detect any cognitive impairment, such as dementia. The healthcare team evaluates the individual’s memory, thinking, and behavior. They also screen for possible causes of cognitive impairment, such as medication side effects, delirium, depression, and metabolic derangements.

Finally, the socioenvironmental circumstance category evaluates the individual’s social support, living arrangements, access to community resources, and financial status. This information helps to identify any social barriers to health, such as inadequate housing, income, or transportation. The scope of the geriatric assessment offers a comprehensive evaluation of the older person, providing a blueprint for care at a more personalized level.

Post:

The geriatric assessment is an essential tool for evaluating and managing the health and well-being of older adults. It is a comprehensive evaluation that considers various factors, resulting in individualized care. From the reading, I learned that the geriatric assessment typically includes three key areas of evaluation: physical health, cognitive and mental health, and socioenvironmental circumstances. The assessment is conducted by a multidisciplinary team of healthcare professionals to identify and manage geriatric syndromes, such as falls, incontinence, and frailty.

I agree that the geriatric assessment is an important tool for managing the health of the elderly, especially since subtle changes in functioning may not be noticeable during a routine medical exam. The assessment provides a more comprehensive understanding of the older person, allowing the healthcare team to focus on individualized care. Through this reading, I also understood that altered cognition is not a normal part of aging and the nurse may need to pay close attention to the possibilities of the onset of dementia. This highlights the importance of cognitive and mental health assessment in older adults, which requires early identification and management. Overall, the geriatric assessment is a powerful tool in promoting physical and psychosocial health in older adults.

Objectives:
1. To understand the key elements of geriatric assessment
2. To be able to assess physical health in older adults
3. To be able to assess cognitive and mental health in older adults
4. To understand the importance of assessing socioenvironmental circumstances

Learning Outcomes:
By the end of this content, learners will be able to:
1. Explain the key elements of geriatric assessment and how it differs from typical medical evaluation
2. Evaluate physical health in older adults, including nutrition, vision, hearing, fecal and urinary incontinence, balance and fall prevention, and medications
3. Assess cognitive and mental health in older adults, including screening for cognitive impairment and identifying possible causes
4. Recognize and consider the socioenvironmental circumstances of geriatric patients when making care plans.

The content provides an overview of the geriatric assessment, its key elements, and the importance of assessing physical health, cognitive and mental health, and socioenvironmental circumstances. It emphasizes the multidimensional, multidisciplinary approach to geriatric care and highlights the need to consider non-medical domains such as functional capacity and quality of life. The article also provides practical advice on how to assess physical health, cognitive and mental health, and socioenvironmental circumstances in older adults. Overall, the content is informative and useful for healthcare professionals who work with geriatric patients and need to conduct thorough assessments to provide appropriate care.

Solution 1:
One possible solution is to establish a comprehensive geriatric assessment program that includes a team of healthcare professionals from various disciplines. The team should consist of physicians, nutritionists, physical and occupational therapists, social workers, and other relevant professionals. The program should focus on assessing the patients’ physical health, cognitive and mental health, and socioenvironmental circumstances. The physical health assessment should include a review of all medications that the patient is taking, assessment of nutrition, hearing, vision, fecal and urinary incontinence, and balance and fall prevention. The assessment of cognitive and mental health should focus on screening the patients for cognitive impairment, including dementia, depression, and delirium. Finally, the socioenvironmental circumstances assessment should include an evaluation of the patients’ living arrangements, social support, and financial status.

Solution 2:
Another possible solution is to implement a telemedicine program that focuses on geriatric care. The program should utilize video conferencing to connect geriatric patients with healthcare professionals from various disciplines. The program should focus on providing a comprehensive geriatric assessment, including physical health, cognitive and mental health, and socioenvironmental circumstances. The program should also incorporate remote monitoring technology to monitor the patients’ health and well-being. The use of telemedicine can increase access to geriatric care for patients who live in rural or remote areas or who have difficulty with mobility. It can also reduce the need for unnecessary hospital admissions and allow for early intervention when health issues arise.

The geriatric assessment is a critical component of geriatric care that goes beyond traditional medical evaluation. It is a multidimensional, multidisciplinary assessment that assesses the older person’s functional ability, physical health, cognition and mental health, and his/her socioenvironmental circumstances. The assessment should be conducted by a team of healthcare professionals from various disciplines, and the results should be used to develop a personalized care plan for the patient. The implementation of comprehensive geriatric assessment programs or telemedicine programs can increase access to geriatric care and improve patient outcomes.

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