See Order Instructions. It Is One Page Discussion Question. Reference Source Within Last 5 Years – Coursework Example
Comprehensive Geriatric Assessment Geriatric assessment usually contains all the necessary elements of a basic medical history such as demographic data, present illness and chief complaint, current and past medical problems, social and family history and, other review systems. Demographic data is used by the caregiver to obtain objective historical information about the population in question. The chief complaint and present illness are the actual complaints of the elderly patients. The elderly usually complain of a multiple of non specific discomforts that may be very challenging to comprehend and diagnose. It would of great importance if a nurse performs an elaborate physical examination of the patient to ascertain the complaints. The past medical history information may be similar to that of another patient population. However, a nurse must consider to frequently locating medical records from various sources that existed long ago. Social history covers a range of information, including the level of education of the elderly patient and their views on end-of-life care. Other elements of social history include sleep, sexual activity, recreational activities and substance use. Family history usually provides important information about familial predisposition to diseases that are usually later in the onset such as Alzheimer.
During the Geriatric assessment, a nurse has to consider the potential communication barriers that may prevent the patient from getting adequate attention and treatment. Such barriers may include memory loss, hearing impairment and cultural background of the patient. A nurse must, therefore, use living room language and also use other non-verbal forms of communication. It is also important to remember that most elderly patient will take their discomforts as normal aging symptoms that cannot be treated. It is the responsibility of the nurse to help the patient avoid this notion and accept the treatment.
Karen B. (2014). Assessment of the Older Adult: American Geriatrics Society.