HEALTH ASSESSMENT GUIDE

FOR THE OLDER CLIENT

OLEH
K SWARJANA
2005
HEALTH ASSESSMENT GUIDE
FOR THE OLDER CLIENT
IDENTITY
BIOPHYSICAL DIMENSION
Physiologic Function : perceptions
of personal health.
Review of systems : eyes, ears,
mouth & throat, resp., etc.
Functional abilities related to :
bathing, dressing, toiliting, mobility,
eating, bowel & bladder function,
communicating.
PSYCHOLOGICAL DIMENSION
Mental status/orientation
Changes in self-image due to aging, retirement
Coping abilities
History of mental illness
Provision for privacy
Loss of loved ones
Life satisfaction
Preparation for death
Evidence of depression
Evidence of abuse or neglect
PHYSICAL DIMENSION
Safety hazard in home ?
Presence of safety features in home
Availability of resources in neighborhood
Neighbohood safety
Driving
Home maintenance and repair
Pets
Adequacy of heating, lighting, ventilation
SOCIAL DIMENSION
Social interaction and support network
Income
Relationships with family
Education level
Religion and importance in client’s life
Ethnicity and influence on client’s health
Current employment
Previous occupation
BEHAVIORAL DIMENSION
CONSUMPTION PATTERNS
Use of alcohol or other drugs
Use of medications
Exercise
Sleep paterns
LEISURE ACTIVITIES
Preferred leisure pursuits
Opportunity for leisure activities
SEXUALITY
Opportunity for intimacy
Alternative modes of meeting sexual needs
INDEPENDENCE
Ability to care for self
Ability to make independenct decisions
HEALTH SYSTEM DIMENSION
Source of health care
Health care financing
Use of health care services
Barriers to obtaining health care