Care of the Older

DIRECTIONS:
 Accomplish a Comprehensive Geriatric Assessment.
 Assess a 60 year old and above and healthy adult who belongs to your family
using geriatric concepts.
 Fill up the following assessment forms and be guided by the specific instructions
in each assessment tool.
 This is an individual workload.

PART II: GERIATRIC ASSESSMENT

Directions:
 Accomplish Assessment 1 by placing a specific mark on the space
provided for each area.
 Once you have completed Assessment 1, compute for the total number of
points obtained and interpret the score by using what is written below.
Compose a simple analysis on this.

SCORE interpretation:
*—No supervision, direction, or personal assistance.
†—With supervision, direction, personal assistance, or total care.
‡—Score of 6 = high (patient is independent); score of 0 = low (patient is
very dependent).

ASSESSMENT 1 KATZ INDEX OF INDEPENDENCE IN

ACTIVITIES OF DAILY LIVING
ACTIVITIES INDEPENDENCE DEPENDENCE
(1 OR 0 POINTS) (1 POINT)* ( 0 POINT)*

Bathing Bathes self completely or Needs help with bathing more

needs help in bathing only a
single part of the body, such
as the back, genital area, or
Points: 0 disabled extremity
Dressing Bathes self completely or
needs help in bathing only a
single part of the body, such
as the back, genital area, or
Points: 0 disabled extremity
Toileting Goes to toilet, gets on and
off, arranges clothes, cleans
Points: 0 genital area without help
Transferring Moves in and out of bed or
than one part of the body,
getting in or out of the
bathtub or shower; requires
total bathing
Needs help with bathing more
than one part of the body,
getting in or out of the
bathtub or shower; requires
total bathing
Needs help transferring to the
toilet and cleaning self, or
uses bedpan or commode
Needs help in moving from

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 chair unassisted; mechanical bed to chair or requires a
transfer aids are acceptable complete transfer
Points: 0
Fecal and urinary Exercises complete self- Is partially or totally
continence control over urination and incontinent
defecation
Points: 0
Feeding Gets food from plate into Needs partial or total help
mouth without help; with feeding or requires
preparation of food may be parenteral feeding
Points: 0 done by another person
Total Points: 0

Analysis: Mrs. is classified as being dependent because she’s unable to perform

activity without assistance, in the performance of 6 ADLs

Directions: For each question put a check on the point that best applies to your clients’ situation.
Use the choices below. Make a simple analysis on the data obtained.
Choices:
Without help: 3
With some help: 2
Completely unable: 1

ASSESSMENT 2 LAWTON INSTRUMENTAL ACTIVITIES OF DAILY LIVING
ACTIVITIES OF DAILY LIVING WITHOUT WITH COMPLETELY
HELP SOME UNABLE
3 HELP 2 1

1. Can you use the telephone? 

2. Can you get to places that are out 
of walking distance?
3. Can you go shopping for 
groceries?
4. Can you prepare your own meals? 
5. Can you do your own housework? 
6. Can you do your own handyman 
work?
7. Can you do your own laundry? 
8a. Do you use any medications? 
8b. Do you take your own medication? 
8c. If you had to take medication, could 
you do it?
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 9 .Can you manage your own money? 

Note: Scores have meaning only for a particular patient (e.g., declining scores over time
reveal deterioration).

Analysis: Mrs. can’t operates phone, looks up and dials numbers; can’t handles all
shopping needs on her own; plans, prepares, and serves adequate meals on her own;
maintains home alone with occasional assistance (heavy work); does n’t personal laundry;
can’t drive their own car; can’t manages finances on her own, collects and keeps track of
their income

Directions: Perform physical examination and fill up the form.

ASSESSMENT 3 GERIATRIC PHYSICAL EXAMINATION

SIGNS DATA
Vital signs:
Blood pressure: 120/100
Heart rate: 104 bpm
Respiratory rate: 25 bpm
Temperature: 36.9
General: Awake and seated. Her appearance matches her true age. She has a pale,
restless, coherent, and articulate appearance. Although she was well
suited for the day. She has messy hair. She wasn’t alert and well-
oriented.

Head: Inspection: Head normally upright and in the mid-line of the trunk. Skull is
generally round with prominence in the frontal area anteriorly and occipital
area posteriorly.

Palpation: Without scalp lesions.

Eyes Impaired visual Acuity
Loss of peripheral and central vision
Ears
External Ear: The Auricles are symmetrical and has the same color
with his facial skin. The auricles are aligned with the outer canthus of
eye

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 External Ear: When palpating for the texture, the auricles are mobile,
firm and tender. The pinna recoils when folded

Hearing

Gross Hearing: diffuculty of hearing

Mouth, throat No mouth or gum sore
Bad odor
Cardiac
Precordium: The precordium is symmetrical

Neck vessels; Carotid arteries and Jugular Veins: Normal Pulsation

PRECORDIUM: Normal Pulsation

Percussion

Precordium: Dull

Auscultation

Carotids Normal Findings

Jugular Veins

Precordium Normal Findings

Apex
Xyphoid Area

Pulmonary Inspection

Breathing Pattern: 25bpm

Breast No Masses

Abdomen Unblemished skin, uniform in color, symmetric contour, not distended.

Without scars and lesions on both extremities.

Gastrointestinal,
genital/rectal

Extremities Measurements: Arms 68cm, Legs 27cm

Muscular/skeletal Muscle Tone: NO involuntary movement and tenderness

Muscle Strength: With equal strength
Skin Inspection: The client’s skin is uniform in color, unblemished and no
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 presence of any foul odor. He has a good skin turgor.

Neurologic

Analysis:When assessing my client over all results is abnormal due to her age but there is no
deformities, no lesion, no enlargement and no tenderness from his head to toe.
Directions: Read the statements below, and put a check on the columns for each statement that
applies to your clients. Add up the numbers to get the nutritional score.
Utilize the scoring provide below and make a simple analysis on the findings.

Scoring:
0 to 2 The client has good nutrition. Recheck the nutritional score in six months.
3 to 5 The client is at moderate nutritional risk, and client should see what they
can do to improve your eating habits and lifestyle. Recheck their
nutritional score in three months.
6 or more The client is at high nutritional risk, and client should bring this checklist
with them the next time they see their physician, dietitian, or other
qualified health care professional.

ASSESSMENT 4 NUTRITIONAL HEALTH CHECKLIST

STATEMENT YES NO
I have an illness or condition that made me change the kind or amount of 2 0
food I eat.
I eat fewer than two meals per day. 3 0

I eat few fruits, vegetables, or milk products. 2 0

I have three or more drinks of beer, liquor, or wine almost every day. 2 0

I have tooth or mouth problems that make it hard for me to eat. 2 0

I don't always have enough money to buy the food I need. 4 0

I eat alone most of the time. 1 0

I take three or more different prescription or over-the-counter drugs per 1 0

day.
Without wanting to, I have lost or gained 10 lbs. in the past six months. 2 0

I am not always physically able to shop, cook, or feed myself. 2 0

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 Analysis: She has bad nutrition. She does have illness that change the amount of food, She
doesn’t drink beers and soda, she eats 3 times a day and she has family to join every
meal

Directions:
 Accomplish the hearing screening of an adult client using the assessment tool.
 Use the scoring provided to interpret the data.
 Make a simple analysis on the data obtained.

SCORING:
0 to 8 13 percent probability of hearing impairment (no handicap/no referral);
10 to 24 50 percent probability of hearing impairment (mild to moderate
handicap/referral);
26 to 40 84 percent probability of hearing impairment (severe handicap/referral).

ASSESSMENT 5 SCREENING VERSION OF THE HEARING HANDICAP

INVENTORY FOR THE ELDERLY
QUESTION YES SOMETIMES NO
(4 (2 POINTS) (0 POINTS)
POINTS)
Does a hearing problem cause you to feel
embarrassed when you meet new people?
Does a hearing problem cause you to feel
frustrated when talking to members of your
family?
Do you have difficulty hearing when someone
speaks in a whisper?
Do you feel impaired by a hearing problem?
Does a hearing problem cause you difficulty
when visiting friends, relatives, or neighbors?
Does a hearing problem cause you to attend
religious services less often than you would like?
Does a hearing problem cause you to have
arguments with family members?
Does a hearing problem cause you difficulty
when listening to the television or radio?
Do you feel that any difficulty with your hearing
limits or hampers your personal or social life?
Does a hearing problem cause you difficulty
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when in a restaurant with relatives or friends?
Raw score (sum of the points assigned to each of
the items)

Analysis; My client has a total of 36 points. Therefore, the has hearing problem.

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