Assessing older adults
What does the "SPICES" assessment test?
What is: Sleep disorders, problems eating/chewing, Incontinence, confusion, evidence of falls, skin breakdown
Where is breast cancer present?
What is: upper, outer quadrant, extending into the armpit.
What disease process is weight loss and muscle loss associated with cancer/HIV?
what is: Wasting syndrome/cachexia
what scale assess "asymmetry, border, color, diameter, evolution" of lesions?
what is: "ABCDE" scale
In what order is the abdomen assessed?
what is: Inspection, auscultation, percussion, palpation
What assessment test for ADL's such as bathing, toileting, transferring, dressing, conintience, feeding.
What is: the KATZ assessment test
An inflammatory breast response seen with dimpling of the nipple and when the skin turns orange.
what is: Peau D'Orange
What are risk factors of malnutrition?
what is: long hours of work eating vending machine food, low socioeconomic status, chronic diseases, anorexia, depression, stroke.
Number one risk factor for developing pressure ulcers
what is: lack of mobility
When would you auscultate the area in the abdomen for 5 minutes?
what is: If there are no bowel sounds heard in the first minute.
What does the LAWTON assessment test for?
what is: Ability to live independently - answering the phone, opening the door, prepping food, shopping.
These signs would indicate malignant tumors in the breast?
what is: dimpling and retraction
This is often overlooked in malnutrition when screening for older adults?
what is: hydration status
This is an antibiotic induced infection that can be seen hospital acquired or community acquired
what is: MRSA
What test reveals rebound tenderness
what is: Blumberg sign
What scale assess gait and balance?
What is: the TINNETI assessment test
Discharge from the nipple that is medication induced?
what is: Galactorrhea
This test is an indicator for diabetes?
What is: hemoglobin A1C
Build up of moisture whether incontinent or sweat built up in the skin that can grow yeast.
what is: MASD (moisture associated skin damage)
Open sores in the esophagus
what is: peptic ulcer disease
What are environmental risk factors for older adults?
what is: rugs, small object, clutter, loose cords, animals, medication side effects.
What is gynecomastia?
what is: seen in males going through puberty which results in an imbalance of testosterone and progesterone; can be seen in one or both breast.
This lab is to be first affected when a person is malnourished.
what is: protein level
What is onychomycosis?
what is: Infection of the nail
Stomach contents back up into esophagus.
what is: GERD