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Functional Assessment Of The Elderly

the ultimate goal of all physical therapy interventions with the elderly is to restore or maintain the highest level of function possible for the individualThe physical therapist must review functional limitations in light of other clinical findings that identify the patient's impairments. The ther

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Functional Assessment Of The Elderly

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    1. Functional Assessment Of The Elderly By Dr. Michael Banoub

    2. the ultimate goal of all physical therapy interventions with the elderly is to restore or maintain the highest level of function possible for the individual The physical therapist must review functional limitations in light of other clinical findings that identify the patient's impairments

    3. The therapist then hypothesizes which findings contribute to the patient's functional deficits and will be the focus of patient-related instruction and direct intervention.

    4. Geriatric Assessment The geriatric assessment is a multidimensional to collect data on the medical, psychosocial and functional capabilities and limitations of elderly patients. to develop treatment and long-term follow-up plans, arrange for rehabilitative services and make the best use of health care resources.

    5. The geriatric assessment differs from a standard medical evaluation in three general ways: it focuses on elderly individuals with complex problems it emphasizes functional status and quality of life it frequently takes advantage of a team of providers

    6. The areas geriatric providers may choose to assess: Current symptoms and illnesses and their functional impact. Current medications, their indications and effects. Relevant past illnesses. Recent and impending life changes. Family situation and availability. Current caregiver network including its deficiencies.

    7. Objective measure of cognitive status. Objective assessment of mobility and balance. Rehabilitative status and prognosis if ill or disabled. Current emotional health and substance abuse. Nutritional status and needs. Services required and received.

    8. The History Demographic Data Full name Age, sex and birth date Marital status Source of history and reliability of historian

    9. Chief Complaint Primary reason for visit, ideally in patient's own words Duration of presenting symptoms Present Illness Chronological narrative of reasons for patient visit. Persistence, change, severity, character, resolution and disabling effects of initial symptoms. Presence of new symptoms and/or associated symptoms History of similar symptoms in the past Aggravating and mitigating factors

    10. Previous medical history. General state of health Childhood diseases Immunizations (hepatitis A&B, influenza) Chronological list of adult medical diseases, injuries and operations (not already mentioned in "Present Illness“) Hospitalizations (not already mentioned) Allergies, including clinical description of exposure Medications, including dosage, duration and indication Diet

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