Geron Casestudy Baclaran Print

Republic of the Philippines
Pamantasan ng Cabuyao
(University of Cabuyao)
COLLEGE OF HEALTH AND ALLIED SCIENCES
Katapatan Mutual Homes, Brgy. Banay-banay, City of Cabuyao, Laguna 4025
BACHELOR OF SCIENCE IN NURSING
COLLEGE OF NURSING
Gerontological Nursing Case Study
A Nursing Case Study Presented to the
College of Health and Allied Sciences
and the Faculty of the Department
of Nursing
In partial fulfillment of the requirements

for RLENCM 114 – Care of the Older
Adults for Bachelor of Science
in Nursing
Submitted by:
Paragua, Joerin B.
2024
TABLE OF CONTENTS
Introduction ……………………………………………………………………. 3
Patient Identification ………………………………………………………….. 3
Medical History ……………………………………………………………….. 3
Psychosocial History …………………………………………………………. 4
a. Demographic Data ………………………………………………………. 4

b. Family Genogram ………………………………………………………... 4
c. Current Problems/Concerns ……………………………………………. 5
d. Current Life Circumstances …………………………………………….. 5
e. Process Issues …………………………………………………………… 6
f. Socioeconomic Environment …………………………………………… 7
g. Assessment ………………………………………………………………. 8
h. Plan ………………………………………………………………………... 8
i. How do you feel if your members of the family will bring to the
home for the aged? Why? ………………………………………………. 8
Drug Study …………………………………………………………………….. 10

Nursing Care Plan ……………………………………………………………. 14
Appendices ……………………………………………………………………. 18
a. Interview Checklist ………………………………………………………. 19

b. Narrative Report …………………………………………………………. 27
c. Vital Signs Sheet ………………………………………………………… 29
d. Reflection About Working Older Adults …………..…………………… 30
e. Abused Older Adult ……………………………………………………... 32
i. Drug Study ……………………………………………………….. 33
ii. Nursing Care Plan ………………………………………………. 35
f. Photo Documentation …………………………………………………... 38
g. RLE Sheets ………………………………………………………………. 41
Date of Home Visit: _December_16, 2023___________
I. Patient Identification
 Initials or pseudonym: Mr. Pedro
 Age: 70 y/o
 Race/Ethnicity: Filipino
 Gender: Male
II. Medical History

a. Chief Complaint or major health problem at this time:
 He experiences difficulty in movement and easily succumbs to fatigue
and weakness.
b. HPI
 Mr. Pedro is a 70-year-old man who has been feeling more tired and
having trouble breathing for about six months. These problems are worse
when he does physical activities, and he can't do as much as before.
Sometimes, he also feels a heavy pressure in his chest, especially when
he's stressed. Mr. Pedro is finding it harder to do regular tasks that were
easier before. He hasn't had any recent sicknesses, and he hasn't
changed his medicines. In his family, his father had heart problems
before. Because of these issues and how they're affecting his daily life,
Mr. Pedro decided to see a doctor to check his heart.
 Medications
o Febuxostat 40mg
o Trimetazidine 35mg
o Losartan 25mg
c. Past Medical History
 History of Falls, Twice. The first time, he fell from the bed because there
wasn't enough space, and made a sudden wrong movement. The second
time, he slipped because of vertigo and he didn't get any medical help
both times.
d. Family Medical History
 No familial history of hereditary disease.
e. Review of Systems
 General: conscious, coherent, conversant
 HEENT: blurring of vision, with Distance
 Chest/Lungs: Shortness of Breath
 Extremities: Weakness and fatigue in the extremities
 Musculoskeletal: Body Pain when walking
 Neurologic: Has not exhibited any signs of memory issues
III. Psychosocial History

a. Demographic data
 Marital status and history: Married for 42 years
 Education: Elementary Undergraduate
 Occupational history: Construction worker/Pedicab Driver
 Socioeconomic status/financial situation: Middle Class; Is receiving
allowance from her kids and from the Social Pension for Indigent Senior
Citizen Program.
 Religious affiliation: Roman Catholic
 Place of birth: Northern Samar
b. Family Genogram
LEGEND:
Male
Female
c. Current problems or concerns

 The management of cardiomegaly typically requires financial for
regular follow-up appointments, prescribed medications, and potential
adjustments to one's lifestyle. Diagnostic tests, consultations with

healthcare professionals, and the ongoing need for medications are
integral aspects of the care regimen.
i. How long has the problems/concerns been occurring?
"Mr. Pedro has been contending with cardiomegaly for an
approximate duration of two years."
ii. What strategies has the patient used to cope with/solve the
problem? Mr. Pedro having heart-healthy lifestyle changes,
including adopting a balanced diet, engaging in regular
exercise by walking every morning, and doing stress reduction
by lying in the nipa hut.
d. Current life circumstances
i. How does patient occupy his/her time? Seeking comfort in
nature, the person takes breaks to plant trees.
ii. Include current psychosocial stressors, coping strategies, and
resources? Mr. Pedro is not currently facing any psychosocial
stress because he has good relationships with his family and
friends, and he enjoys an active social life.
iii. Habits
1. Eating: Eats 2-3 times a day with a healthy time

interval in between meals
2. Drinking: Non-Alcoholic Drinker
3. Smoking: Non-Smoker
4. Drugs: Non-Drug user
5. Caffeine: Usually takes a half to one cup of coffee a
day before, then stopped when having illness
iv. Diet: Based on a 24hr Diet Recall
Mrs. Pedro usually starts her day with bread and oatmeal for
breakfast. She prefers home-cooked meals for both lunch and
dinner, focusing on including whole foods in her diet. While Mr.
Pedro leans towards vegetables rather than meat, the family's
food choices are mostly influenced by his wife's preferences.
Consequently, their meals often include more meat than
vegetables.
v. Exercise: Currently lacks of exercise than walking. Only
performs ADL as part of his day.
vi. Romantic/sexual attachments: None
vii. Close friends/support group: Has friends around the vicinity.
viii. Employment situation: Unemployed
ix. Strengths/areas of improvement: Wisdom and Experience,
Self-Awareness, Stability with Relationships
e. Process Issues
i. How does patient react to you?
Mr. Pedro and his wife warmly welcomed me into their home,
making me feel comfortable throughout the entire interview.
ii. How does patient communicate his/her concerns (e.g. openly,
honestly, avoids expressing feelings)? He openly listens to my
questions and answers them without hesitation. He is also
enthusiastic about participating and actively engages in the
activity.
iii. What is it like to be in the house of the older person? What
thoughts/emotions are evoked? While spending some time at
Mr. Pedro's house, I saw that the small space and living with
family made him feel comfortable. But, as he told his stories, I
realized that this feeling isn't always there. He told me that
having them around brings him a lot of joy and happiness.
f. Socioeconomic Environment
i. Past education, occupation, religion, economic status,
discipline, and housing while growing up
Mr. Pedro was able to study until the grade 5, but he stopped
for some personal reasons. He mentioned that he worked after
he stopped studying, especially after marrying his wife. He
didn't come from a wealthy family; he grew up in a disciplined
and loving household.
ii. Current
1. economic status. Financially unstable, Mr. Pedro relies
on his son for support. Some of his needs are provided
and covered by him.
2. Housing: He lives in the house that owned by the
government; he also lives near his children.
3. Transportation: He usually uses his bike as primary
transportation then he stated that his son drives for him
when he needs to go to the hospital.
g. Assessment
i. Problem list from medical and psychosocial history
 Cardiomyopathy.
 Shortness of Breath
 Body Pain
ii. Conclusions
 Mr. Pedro demonstrates strong psychosocial
functioning. He effortlessly engages in social
interactions and adeptly processes his emotions. His
openness and self-awareness are noteworthy as he

navigates social situations with an understanding of his
limitations, particularly considering the aging process.
Additionally, he effectively manages his medical
condition by adhering to a consistent and accurate
medication regimen.
h. Plan
i. List some specific suggestions regarding ways in which older

person can improve current situation
 Get Help from the Government, look for programs or help
from the government that can make things easier for older
people who might be having money problems.
 Talk to Someone About Money, speak with someone who
knows about money, like a money advisor. They can look
at how much money is coming in and going out, find ways
to save money, and help make a plan for spending.
 Ask About Cheaper Medicines, check if there are programs
that can help you get your medicines for a lower price. You
can also ask about discounts or if there are other
medicines that work the same but cost less.
 Do Healthy Things for Your Heart, eat good food, exercise
a bit (as suggested by doctors), and find ways to relax.
Doing these things can make your heart healthier and can
also help you feel better
f. How do you feel if your members of the family will bring you to the home for
the aged? Why?
o I do not want my family to bring me in a home for the aged. I’ll be
extremely sad if they will bring me to that facility. I’d rather go in
my hometown (Samar) so my sister can take care of me instead.

CHECKLIST
NAME OF ELDERLY: Pedrino Saladaga AGE:70 Years Old
ADDRESS: Brgy. Baclaran, City of Cabuyao, Laguna
Checklist for Interviewing and Screening Older Adults for Common Problems
PART I
Establishing Rapport:
● Introduce yourself by name.
● Greet the elderly person and shake their hand.
● Ask the elderly person their preferred name.
● Respond empathetically to the elderly person's emotions.
● Arrange to sit and adjust your voice volume to ensure effective communication.
● Explain the purpose of the interview.
● Do not interrupt during the opening statement.
Gathers Data:
◻ Begin with an open-ended question: “What do you feel is the biggest obstacle to
your day-to-day activities?
Tatay Pedro’s body pain occasionally and he is also experiencing doubled or
blurring of vision often.
◻ Identify the seven main symptoms or problems that significantly affect daily
activities.
Financial, Food, Electricity, Environment, Medication
◻ Obtain information on current and past medical conditions.

Nothing to mention
◻ Inquire about past surgical history.

Never been into a surgery
◻ Collect a comprehensive medication history (use additional paper if necessary).

Ask for the names of medications, dosages, and reasons for use
 Febuxostat 40mg
 Trimetazidine 35mg
◻ Inquire about prescription medications, laxatives, vitamins, herbals, &

cold medications
Nothing as mentioned
◻ Ask about any recent changes in medication

Nothing as mentioned
◻ Allergies (reactions)
Allergies to seafood and eggs
◻ Social History (living arrangements, work history, financial concerns,

social/spiritual support)
Living Arrangements: Together with my husband and sometimes with my
grandchildren
Work History: Construction Worker? Pedicab Driver
Financial Concerns: Lack of financial Income
Social Support: They only receive from her Son
Spiritual Support: We believe in Christ but we often go to church
◻ Family History (Alzheimer’s disease, depression, role as caregiver)

None as mentioned
PART II
Geriatric Screening Questions:
◻ Are you currently experiencing any difficulties with your memory?

No.
◻ Have you experienced any falls in the past year?
Yes
◻ Do you have any trouble with your hearing?
Yes
◻ Do you have any trouble with your vision? Do you wear glasses?
Yes. I am experiencing doubled and blurring of vision. I have eyeglasses before,
but I refuse to wear it because I felt dizzy when I was wearing it
◻ Have you lost more than 10 lbs in the past 6 months?
Yes
◻ Do you feel sad or depressed?
No, I am feeling just fine.
Activities of Daily Living (ADLs):
◻ Toileting – Do you experience any involuntary urine loss? Do you have difficulty
reaching the bathroom?
No difficulty reaching the bathroom and no involuntary urine loss.
Score: 1/1
◻ Feeding – Do you have any difficulty feeding yourself? Are you able to feed
yourself? Do you follow a special diet?
No difficulty feeding, I can eat on my own and I don’t follow any special diet.
Score: 1/1
◻ Dressing - Are you able to dress yourself? Do you have any difficulty with
dressing?
I am able to dress myself without any difficulty.
Score: 1/1
◻ Grooming – Do you require assistance with cutting your nails or brushing your
hair?
I can groom myself without any assistance.
Score: 1/1
◻ Walking – How far are you able to walk?

I can walk going to Stella back and forth (1 Kilometer Approx)
Score: 1/1
◻ Bathing – Are you capable of independently bathing yourself or do you require

assistance? Do you possess a shower chair to ensure safety? Are you
concerned about the risk of falling in the shower?
I am able to bathe myself without any assistance or any chair. I am not
concerned about falling or slipping in the bathroom.
Score: 1/1
PART III
Instrumental Activities of Daily Living (IADLs)
◻ Telephone – Are you proficient in using the telephone? In the event of an

emergency, who would you contact? Do you have access to a lifeline or
any other emergency communication system?
I know how to use a cellphone; I contact my son in case of emergency; I don’t
have access to any emergency communication system.
◻ Shopping – Do you handle your own shopping or do you rely on assistance

from someone else? If you require assistance, please specify who helps
you with your shopping needs.
I can still shop on my own without assistance.
◻ Food Preparation – Are you able to independently cook your own meals?
I can cook my own meals.
◻ Housekeeping – Are you capable of performing household chores and

maintaining cleanliness in your living space?
I can still perform household chores without difficulty.
◻ Laundry – Are you able to manage your own laundry or do you require
assistance?
I can still do my own laundry.
◻ Transportation – Do you currently drive or rely on alternative means of

transportation?
How do you typically commute to your doctor’s appointment?
I only commute by riding a tricycle, sometimes by my son
◻ Medication – How do you manage your medication regimen? Do you utilize

a pill box or any other organizational system? Do you require assistance in
setting up your medications?
I know when to drink my medications; I store them in the table; I don’t require any
assistance in taking my medications.
◻ Finances – Do you receive any assistance with managing your finances?

Yes, my son helps me with managing the finances
MINI-COGNITIVE ASSESSMENT (Administration)
◻ Instruct the patient to listen attentively and remember three unrelated words,
such as "red," "Broadway," and "42." Then, ask the patient to repeat the three
words back to you to ensure they have heard them correctly. (Payong, Aso,
Tubig)
◻ Guide the patient to draw the face of a clock on a blank page or a page with a
pre-drawn circle.
◻ Once the patient has placed numbers on the clock face, instruct them to draw the
clock hands to indicate the time as 8:30. Do not provide any further instructions.
If the clock draw test (CDT) is not completed within three minutes, proceed to the
next step.
◻ Ask the patient to recall the three words that were presented earlier.
Scoring
◻ Assign one point for each correctly recalled word after the CDT, resulting in a
score ranging from 0 to 3 for recall. Score: 1/3
◻ Award two points for a normal CDT, where all numbers are depicted once, in the
correct order and position, and the hands show the requested time. Assign a
score of 0 for an abnormal CDT. Score: 2/2
◻ Add the recall and CDT scores to obtain a Mini-Cog Score, which ranges from 0
to 5. Score: 3/5
Interpretation:
• A score of 3 or more indicates normal performance.

• A score of 2 or less suggests abnormal performance.
PART IV
Up and Go Test
To ensure the patient's comfort, please stand close by to offer support if needed.
◻ Kindly ask the elderly patient to sit in an armless chair.
◻ Instruct them to stand without using their hands, walk to a designated mark 10
feet away, turn, walk back to the chair, and sit down again. If they are unable to
stand without using their hands, allow them to do so.
◻ Inform the patient that they will be timed during this test.
◻ Observe the following closely and be prepared to provide a description for each:
- Body posture while seated: Good body posture; Relaxed
- Initial stance and stride length: Good and strong stance
- Quality of turning: Fast turning
- Spatial awareness when seated: Aware of obstacles and surroundings.
Scoring: This performance measure has been validated, and a time exceeding
9 seconds indicates a twofold increase in the risk of falls.
Closing:
◻ Inquire about any other concerns the patient may have.
◻ Summarize the key points discussed during the session.
◻ Express appreciation for the patient's time and cooperation.
◻ Offer a handshake as a gesture of goodwill.
December 16, 2023
Temperature: 36.6°
Blood Pressure: 100/70
Pulse Rate: 114 BPM
Respiratory Rate: 18 CPM
Oxygen Saturation: 99%
Drug Study
Name of Mechanis Indication Contraindi Side Nursing

Drug m of cation Effects Responsi
Action bilities

Nursing Care Plan
Assessme Nursing Planning Intervention Rational Evaluation

nt Diagnosis s e
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exercise promotes of vertigo.
Patient will program. engagem

PHOTO DOCUMENTATION
REFLECTION
In the heart of Aparri, where time seems to have stood still, lies the solitary
barbershop of Tatay Piping, it stood for about two decades, his establishment was
crafted from a patchwork of wood and corrugated iron. Capturing the essence of days
long gone, the resilient structure bears witness and embodying the nostalgia of an era
past, weathered by the years, it tells a silent tale of tradition and resilience. As the
camera entering through the rustic interiors, viewers are transported into a world
where simplicity meets profoundness.
The aged yet meticulously maintained tools of Tatay Piping reveal a

commitment to craftsmanship and a dedication to his trade that transcends the
superficial, the walls echo of Tatay Piping barbershop has a countless stories of
customers who have passed through its doors, their stories are told with the rhythmic
snipping of scissors and the buzzing hum of clippers and the worn-out chairs cope the
weight of not just bodies but also shared laughter, whispered confidence, and the
passage of time itself. The video serves as a poignant exploration of the passage of
time and the resilience of tradition in the face of modernity.
Tatay Piping’s barbershop becomes a metaphor for the enduring spirit of

community, where the echoes of the past harmonize with the present. It prompts
reflection on the importance of preserving the cultural threads that weave the fabric of
our society. In the face of the changing environment of Aparri, Tatay Piping’s
barbershop stands as a testament to the indomitable human spirit. It symbolizes not
only a fading era but also the profound beauty found in the simplicity of tradition.
‘Kapuso Mo, Jessica Soho’ adeptly captures the essence of this timeless narrative,
RLENCM 113 – Community Health Nursing 2
MWIA CASE STUDIES ELDER ABUSE Case 19:
Nursing Home in Finland
In Partial Completion of Community Health Nursing 2
Community Area: Barangay Baclaran Cabuyao, Laguna
Submitted By:
Joerin B. Paragua
3 BSN-B / Group 9
Submitted To:
Dr. Josielyn P. Maligalig, RN, MAN, EdD
December 09, 2023
CASE SCENARIO
A 79-year-old woman, living with her son in. 2-room apartment, came to the day
clinic. The patient said that she fell over her rollator and bruised herself the previous
evening. She had difficulties breathing, pain all over her body and was sad, shaking and
with no eye contact whilst talking. She started to cry on a number of occasions during
the conversation and examination. The doctor, a specialist in geriatric medicine,
examined the patient and was surprised by the number of bruises and hematomas on
her body and left cheek and orbit, where later a fracture of the cheek bone was
diagnosed. There were also some bruises on both forearms. On x-ray examination,
multiple old rib fractures were found. From previous documentation comes out the fact
that she was examined earlier due to a falling problem, no orthostatic reaction and she
did not appear to be using prescribed blood pressure lowering drugs. The patient denied
alcohol consumption. The examining doctor suspects domestic violence.
During treatment, the patient was found to be suffering from malnutrition and
weighed only 45kg with a plasma albumin well below normal. She refused to eat and
expressed wishes of wanting to die. Her cognitive status was defined by tests as mild
cognitive impairment. When carefully asked about what happened on the night prior to
hospital admission, she confirmed that her son abused her and he had come home
drunk late at night. She says that the relationship with her 49-year-old son had
deteriorated lately due to his alcoholism. Her son is often out of the house. He has been
unemployed [5], for quite some time and threateningly demanded that she shared her
small pension with him. Lately, the patient had on a number of occasions refused to give
her money away because she was afraid [6], her son would simply drink more. Whilst
telling this fact, the patient started to cry bitterly. Later in conversation, it came out that
for about two years her son physical abused his mother regularly.
This case was discussed by a team, consisting of the medical doctor, nurses,
social worker, physiotherapist and functional therapist. A Guardian for the patient's
economic interests was organized. The patient received supportive psychotherapy to
deal with the problem and the social worker organized separate living facilities for the
mother and son (mother was able to stay in her own home). Additionally, the city council
and the local church organized weekly contact with other elderly people. Our patient also
has regular (three times weekly) visits by the nurse from the local health center in order
to support her to be able to stay and function at home (regular medicine usage, buying
together products from the local store, etc). As the patient experienced strong fear
reactions towards her son, a temporary restraining order was put in place.
I. Patient Identification
 Initials or pseudonym: Patient (P)

 Age: 79 y/o
 Race/Ethnicity: American
 Gender: Female
II. Medical History
a. Chief Complaint or major health problem at this time.

 She fell over her rollator and bruised herself
 She had difficulties breathing, pain all over her body, shaking
and with no eye contact while talking.
b. Assessments
Ms. P came to the day clinic and the doctor which specialist in
geriatric medicine examined her complaints and she started to cry on
a number of occasions during the conversation and was undergoing
unto a cognitive functioning test, physical Assessment, Orthostatic
examination and x-ray examination.
I. Cognitive Function
– Her cognitive status was defined by tests as mild cognitive
impairment
II. X-ray Examination
- Examination shows a multiple old rib fractures were found
III. Physical Assessment
- The patient was found to be suffering from malnutrition and weighted
only 45kg
- The doctor was surprised by the number of bruises and hematomas
on her body and left cheek and orbit, where later a fracture of the
cheek bone was diagnosed. - There were also some bruises on both
forearms.
IV. Orthostatic Examination
- No orthostatic reaction and she did not appear to be using
prescribed blood pressure lowering drugs ere are no barriers to
communication observed.
I. Psychosocial History
a. Demographic data
I. Marital status and history:
The case scenario doesn't mention her spouse, but it is revealed that she
is living with her 49-year-old son in a 2-room apartment. The dynamics of the
relationship between the elderly individual and her son are described. Living in a
2-room apartment implies a confined living space, potentially impacting the overall
living conditions and dynamics between the family members. The fact that the son
is frequently out of the house and currently unemployed introduces another layer
to the scenario. This situation might lead to considerations about financial support,
the emotional well-being of both the elderly individual and her son, and the overall
family dynamics.
b. Current problems or concerns
1. For about two years her son physical abused his mother regularly.
 Upon examination the doctor suspects domestic violence

 The night prior to hospital admission, she confirmed that her son abused her
and he had come home drunk late at night.
2. Financial abuse by her son.
 Her son is threateningly demanded that she shared her small pension with
him but the patient had on a number of occasions refused to give her
money away because she was afraid her son would simply drink more.
 Despite the fact that her son has been unemployed, there is a probability
that his son is dependent for her small pension
References: Heiskanen, M. & Piipsa, M. (1998). Faith, hope, battering. A survey of

men’s violence against women in Finland. Helsinki: Statistics Finland and Council for
Equality. Retrieved from https://mwiaviolencemanual.files.wordpress.com/2019/07/case-
19_-_elder_abuse_-_finland_case.pdf
Drug Study
Name of Mechanism Indication Contraindi Side Nursing

Drug of Action cation Effects Responsibi
lities
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Name: a Ibuprofen is hypersensiti reactions: Before
nonsteroidal often used vity or Skin rash, using this
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atory drug mild to reaction to hives, nurse will be
Brand (NSAID) moderate ibuprofen swelling of able to
Name: that exerts pain, such (or any of the face, assess the
its effects as that the other lips, tongue, appropriate
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Cold and the activity with in the use based
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Congestion known as musculoskel Gastrointe overall
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Classificati These or injuries vity to upset, history,
on: enzymes and also aspirin and ulcers, or allergies,
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synthesis of including • Asthma ns taking and
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are and NSAID Function: reactions to
(NSAID)

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Republic of the Philippines

BACHELOR OF SCIENCE IN NURSING

Gerontological Nursing Case Study

A Nursing Case Study Presented to the

College of Health and Allied Sciences

and the Faculty of the Department

In partial fulfillment of the requirements

BACHELOR OF SCIENCE IN NURSING

Patient Identification ………………………………………………………….. 3

Medical History ……………………………………………………………….. 3

Psychosocial History …………………………………………………………. 4

a. Demographic Data ………………………………………………………. 4

Drug Study …………………………………………………………………….. 10

a. Interview Checklist ………………………………………………………. 19

BACHELOR OF SCIENCE IN NURSING

Date of Home Visit: _December_16, 2023___________

II. Medical History

BACHELOR OF SCIENCE IN NURSING

III. Psychosocial History

c. Current problems or concerns

BACHELOR OF SCIENCE IN NURSING

adjustments to one's lifestyle. Diagnostic tests, consultations with

1. Eating: Eats 2-3 times a day with a healthy time

BACHELOR OF SCIENCE IN NURSING

BACHELOR OF SCIENCE IN NURSING

openness and self-awareness are noteworthy as he

i. List some specific suggestions regarding ways in which older

BACHELOR OF SCIENCE IN NURSING

BACHELOR OF SCIENCE IN NURSING

NAME OF ELDERLY: Pedrino Saladaga AGE:70 Years Old

ADDRESS: Brgy. Baclaran, City of Cabuyao, Laguna

● Introduce yourself by name.

● Greet the elderly person and shake their hand.

● Ask the elderly person their preferred name.

● Respond empathetically to the elderly person's emotions.

● Explain the purpose of the interview.

● Do not interrupt during the opening statement.

BACHELOR OF SCIENCE IN NURSING

◻ Obtain information on current and past medical conditions.

◻ Inquire about past surgical history.

◻ Collect a comprehensive medication history (use additional paper if necessary).

◻ Inquire about prescription medications, laxatives, vitamins, herbals, &

◻ Ask about any recent changes in medication

◻ Social History (living arrangements, work history, financial concerns,

◻ Family History (Alzheimer’s disease, depression, role as caregiver)

BACHELOR OF SCIENCE IN NURSING

◻ Are you currently experiencing any difficulties with your memory?

Activities of Daily Living (ADLs):

BACHELOR OF SCIENCE IN NURSING

◻ Walking – How far are you able to walk?

◻ Bathing – Are you capable of independently bathing yourself or do you require

◻ Telephone – Are you proficient in using the telephone? In the event of an

◻ Shopping – Do you handle your own shopping or do you rely on assistance

BACHELOR OF SCIENCE IN NURSING

◻ Housekeeping – Are you capable of performing household chores and

◻ Transportation – Do you currently drive or rely on alternative means of

◻ Medication – How do you manage your medication regimen? Do you utilize

◻ Finances – Do you receive any assistance with managing your finances?

MINI-COGNITIVE ASSESSMENT (Administration)

BACHELOR OF SCIENCE IN NURSING

• A score of 3 or more indicates normal performance.

BACHELOR OF SCIENCE IN NURSING

◻ Inquire about any other concerns the patient may have.

◻ Summarize the key points discussed during the session.