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Geriatric Tool.2020-21

This document contains a geriatric assessment tool that can be used to evaluate the health status of older patients. It includes sections to document a patient's vital signs, integumentary changes, body temperature, neuromusculoskeletal changes, cardiorespiratory changes, sensory perceptual changes, gastrointestinal system, urinary changes, and mood. Nurses or healthcare providers would use this assessment to identify common physical and psychological changes that occur with aging by checking off observed signs and symptoms and analyzing their clinical significance.

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0% found this document useful (0 votes)
165 views2 pages

Geriatric Tool.2020-21

This document contains a geriatric assessment tool that can be used to evaluate the health status of older patients. It includes sections to document a patient's vital signs, integumentary changes, body temperature, neuromusculoskeletal changes, cardiorespiratory changes, sensory perceptual changes, gastrointestinal system, urinary changes, and mood. Nurses or healthcare providers would use this assessment to identify common physical and psychological changes that occur with aging by checking off observed signs and symptoms and analyzing their clinical significance.

Uploaded by

S Milan
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FEU – Institute of Nursing

NUR 1215: Care of the Older Adults AY 2020-2021

Geriatric Assessment Tool

Name of Patient: _(initials) Date of Assessment:

Age:

Vital Signs:

Temperature: Pulse Rate Respiratory Rate: Blood Pressure: BMI:


Height:
Weight:

INTEGUMENTARY CHANGES Interpretation and Analysis


(Indicate used reference)
 Dry Skin
 Decrease sensation
 Lentigo Senilus (brown "age spots")
 Pale skin
 Hollow or gaunt hand
 Baldness and hair loss
 Loss of hair (gray/white hair)
 Thickened and brittle fingernails and toenails
 Double chin
 Sagging eyelids and earlobe
 Wrinkles
 (In women) breast are smaller
 Decrease tolerance to cold
BODY TEMPERATURE
 Decrease in body temperature
NEUROMUSKULOSKELETAL CHANGES
 Slowed voluntary or automatic reflexes
 Decrease ability to respond to multiple stimuli
 Easy tiring
 Kyphosis (humpback to upper spine)
 Stiffness of joint
 Visible range of motion
 Limited range of motion
CARDIOPULMONARY CHANGES
 Short breaths taken
 Dyspnea
 High blood pressure
SENSORY PERCEPTUAL CHANGES
A. Visual:
 Sunken eyes
 Slowed blinked reflexes
 Blurry vision
INTEGUMENTARY CHANGES Interpretation and Analysis
(Indicate used reference)
 Decreased color perception
 Decrease tear production
 Increased sensitivity to glare
B. Hearing:
 Decrease ability to distinguish high frequency
sounds
 Decrease ability to hear
C. Taste and Smell:
 Less stimulated by food
D. Pain and Touch:
 Increases threshold for sensations
GASTROINTESTINAL SYSTEM
 Impaired mastication
 Decrease gag reflex
 Decrease salivary production
 Increased incidence of hiatus hernia
 Constipation
URINARY CHANGES
 Urinary Urgency
 Urinary frequency
 Nocturnal frequency
 Increased concentration of urine
MOOD
 Nervous with strangers
 Difficulty in making decisions
 Lack of concentration of memory
 Lonely or depressed
 Cries often
 Hopeless outlook
 Difficulty relaxing
 Worries a lot
 Frightening dreams or thoughts
 Shy or sensitive
 Dislikes criticism
 Losses temper
 Annoyed by little thing

Assessed by:

(Signature)
Printed Name
Section and Group No.

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