Assessment: General Assessment
GENERAL GERIATRIC ASSESSMENT
Comprehensive Geriatric Assessment
http://ocw.tufts.edu/data/42/499797.pdf
Provides very detailed information about doing a comprehensive geriatric assessment including how it differs from standard assessment, what to look for during the physical assessment, and the components of the assessment with explanations of each.
Geriatric Assessment Tools
http://www.healthcare.uiowa.edu/igec/tools/Default.asp
Geriatric Assessment Tools are a standardized means of obtaining information as part of a comprehensive assessment visit. Assessment tools enable the practitioner to efficiently evaluate a person's current level of function, cognition, and safety. Examples of tools are organized into the following categories. Click on the appropriate category for a menu of tools.
Geriatric Assessment in a Time-Dependent Practice
http://www.ucop.edu/agrp/docs/sf_timedepend.ppt
Although this presentation was created by a physician for physicians, it contains important information and tips on doing geriatric assessments when working within time constraints. AGE-SPECIFIC ASSESSMENT INFORMATION
Normal Age Related Changes
http://www.consultgerirn.org/
To the right of “Evidence-Based Geriatric Topics”, select “Age Related Changes” from the pulldown menu. This article is a synopsis of normal age-related physiological changes and the etiology, implications, assessment, and nursing-care strategies for each.
Atypical Presentation of Illness in Older Adults
http://www.consultgerirn.org/
To the right of “Evidence-Based Geriatric Topics”, select “Atypical Presentation” from the pulldown menu. Older adults may have atypical presentations of illnesses such as a decrease in their ability to perform daily living activities as opposed to more commonly recognized illness-specific presentations. This article outlines potential atypical presentations of various illnesses.
Article: http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=529262
(Amella, E. (2004). Presentation of Illness in Older Adults. American Journal of Nursing, 104(10), 40-51.)
This article is an overview of generalized symptoms that are often critical indicators of illness in older patients. Also presented are alternative presentations for cardiovascular disease, infection, GI disease, depression, and thyroid disorders.
ASSESSMENT TOOLS
SPICES: An Overall Assessment Tool for Older Adults
http://consultgerirn.org/uploads/File/trythis/issue01.pdf
Scroll down the page until you see the “General Assessment Series” box. In the upper righthand corner, click on “Click to view”. The SPICES assessment in the first topic listed.
The Fulmer SPICES Assessment is a screening tool for commonly seen syndromes in the elderly, which may require nursing intervention.
Geriatric Examination Tool Kit
http://web.missouri.edu/~proste/tool/
This site is a well organized listing of several screening instruments for the assessment of common health concerns of older patients.
Geriatric Home Visit Assessment
http://www.geriatrics.umn.edu/SAT/home.cfm This site contains a comprehensive guide to conducting home assessments of older clients including screening tools, interviewing guides, and home visit etiquette.
PATIENT RESOURCES
When Should You Consult? A Few Tests You Can Do Yourself
http://www.nicenet.ca/advsearch.aspx?cat1=1&tp=1&key=when+should+you+consult%3f
A brochure for use by caregivers of aging adults. Features several chapters that address common health problems that can easily be assessed for my individuals not in the health care field. Assists with identification of when an aging adult should be seen by a medical professional.
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