Geriatric
global valuation is a process to identify problems and needs of the elder, for
that are strategies of intervention that was realized in the long term to
achieve a better quality of life, we need an anamnesis, physical examination
and rating scales
Is very important to make an overall assessment to study all areas and know which will be more deteriorated or that more afetada to work on it.
For that we have different scales in different parts of the valuation.
In
anamnesis I think that could be important to consider the limitations of each
patient, so that would be nice short interviews, speak out and be clear in our
explanations and also be patient for them to make their responses
Moreover,
the realization of physical examination will be like an adult but need more time;
it will take constant and explore the skin for pressure sores or lesions
Also be
used to evaluate functional, in my opinion, is one of the most important
because it examines their ability to perform activities of daily living. There
are two tipes:
-
basic
activities of daily living, for study that we have different scales
o
index
of activity of the daily lifeàKatz
o
index
of Barthel
o
scale
of physical disability of Cruz Roja
o
scale
of Plutchik
-
instrumental
activity
o
index
of Lawton
Finally be
used to evaluate the patient's mental state and this point is so important to
undertake screening methods using scales and test to value:
-
Short
portable mental status of Pfeiffer test Pfeiffer
-
Mini-mental
state examination of Folstein
-
Mini examen cognoscitivo de LOBO
-
Clock
test
In some
study was found that the mini-mental examination of Folstein to be a reliable, valid and stable cognitive screening instrumental in the stroke population.
Bibliography
- Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23(10):433-41.
- http://www.ncbi.nlm.nih.gov/pubmed/7733842
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