Rasmussen College Functional Assessment of a Geriatric in Home and Nutritional Screening Paper

Rubric:

Part A

• Go to the following website:

https://consultgeri.org/try-this/general-assessment/issue-9

1. Select an individual to interview:

• An elder male or female age 68 years or older,
• Single or married and collect data on
• Date of Interview Demographic Data: Age Gender Lives alone Lives with: Spouse? Other? Living Situation: Own Home Apartment Assisted Living Other
• Compile the Data Collected information fromthe interview of your selected elder in a written summary ( do not rewrite each question with the client’s responsefollowing).
• . Develop open-ended questions for the interview (these questions should be designed to initiate conversation rather than elicit a yes or no response). Topics/open-ended questions to consider: How long have you lived in your home (or in this apartment, or in this complex etc.)? How long have you been married (or, How long have you lived alone)? Notice whether pets are a part of this elder’s life and ask questions about his/her experiences with animals. Work history: Were they employed outside the home? What kind of jobs or work did the elder engage in? Or, if the elder is currently employed, what is his or her job? What did/does he or she enjoy about the work? What challenges did/do they encounter in their work? Ask about volunteer activities: Where have they or do they volunteer? What were/are their responsibilities? What did/do they enjoy about volunteering? What things do you like to do for fun? Ask about social outings such as playing cards, going to church, meeting for breakfast with friends, going for walks, etc.

2. You will use each of the bellow tools for a standardized assessmentsof various components of your chosen individual’s functional status in his/her home setting. . Download, print, and complete each assessments tools used during your visitand submit with assignment

• ·FulmerSPICES (Common Syndromes of the Elderly)·KatzIndex of Independence in ADLs (activities of daily living)·FallsRisk·GetUp and Go Test·GeriatricDepression Scale·MiniMental Status Assessment
• Write a discussion ofeach standardized assessment toolused in your assessment; address the valueof each tool (discussion of what evidence-based research finds regardingthose standardized assessment tools), the reason or reasons each tool may be used,and a summary of your general findings from each tool. (twoparagraphs per assessment tool.
• General Medical History (questions to consider):
  • Do you have a primary care provider (physician, nurse practitioner, physician assistant) whom you see on a regular basis?
  • Do you have health care directive, or have you talked with a medical provider about advance directives?
  • How often do you see your medical provider (physician, nurse practitioner, physician assistant)? When was your last medical appointment?
  • Ask regarding medical history, recent surgeries, and medications including prescription and over-the-counter drugs. (You do not need to list specific names of medications rather ask if they take medications for the conditions that they report to you: For example: if they report having high blood pressure then ask if they take medication to control blood pressure.
  • Ask about pain. When they experience pain, what helps to relieve the pain?
  • Ask if the individual has a health care directive or knows about preparing a health care directive.
  • Ask about alcohol use and smoking history.
  • Ask about any problems with hearing, vision or dentition.
  • Ask regarding cognitive problems you or the individual might be concerned about. Consider problems such as dementia, confusion, depression, anxiety, etc.
  • Have they ever received, or do they now receive home care services or community services such as: Meals on Wheels, Hartland Bus, Silver Sneakers, First Alert for seniors, etc.?
  • Ask about safety home. Do they feel safe physically? Emotionally? Other?

  3. Summarize your assessment findings including a discussion of

  • Potential or actual safety issues in the home of the elder
    • Home Safety Checklist
  • Your elder subject’s functional strengths, limitations, and potential risks.
  • Actual or potential geriatric syndromes your elder subject may be experiencing or is at risk for experiencing. You may communicate your findings in a narrative form.(These three bullets may be summarized in two paragraphs.)

  4. Develop and document three nursing interventions appropriate to the individual’s situation that could be performed to prevent functional decline or injury and/or maintain independence. Use APA format 7th edition to cite all references and resources used and; include a reference page.

Assignment Checklist

Please utilize this checklist before submitting your paper . This will help to assure that you have met all requirements of this assignment.

Completed Assessments tools

?Fulmer SPICES (Common Syndromes of the Elderly)

?Katz Index of Independence in ADLs (activities of daily living)

?Falls Efficacy Scale-International (FES-I)

?Get Up and Go Test

?Geriatric Depression Scale

?Mini Mental Status Assessment

Make sure that your paper contains all of the following information:

?Summary of pertinent information from open-ended questions/Data Collection Guide

?Summary of pertinent information from the general medication history

?Summary of your assessment findings and the value of the Fulmer SPICES

?Summary of your assessment findings and the value of the Katz Index of Independence in ADL’s

assessment.

?Summary of your assessment findings and the value of the Falls Efficacy Scale-International (FES-I)

?Summary of your assessment findings and the value of the Get Up and Go Test

?Summary of your assessment findings and the value of the Geriatric Depression Scale

?Summary of your assessment findings and the value of the Mini Mental Status Assessment

?Summary of the individual’s potential or actual safety issues found using the Home Safety Checklist

?Summary of the individual’s functional strengths, limitations, and/or potential risks and actual or

potential geriatric syndromes

?Develop and document three nursing interventions appropriate to the individual’s situation that

Could be performed to prevent functional decline or injury and/or maintain independence.

Rubric:

Content	Exemplary	Proficient	Developing	Unacceptable	Comments	Points
	5 – 4.6	4 .5 – 4.25	4.24 – 3.9	0 – 3.8
Completion of Required Assessments	Completes all assessments with accuracy.	(4.5 pts) Completes 5 of 6 assessments with some difficulty. (4.25 pts) Completes 4 of 6 assessments with some difficulty.	(4.24 pts) Completes 3 of 6 assessments with some difficulty. (4.13 pts) Completes 2 of 6 assessments with some difficulty. (3.9 pts) Completes 1 of 6 assessments with some difficulty.	Two or more assessments are not accurately completed and/ or not completed at all.
	8 – 7.36	7.35 – 6 .8	6.7 – 6.24	0 – 6.23
Interpretation of Assessment Data	Is able to thoroughly synthesize information gathered from all assessments.	Is able to synthesize assessment data with few gaps in information.	Minimal synthesis of assessment data. Multiple gaps in information.	Is unable to synthesize assessment data and/or missing this portion of assignment.
	5 – 4.6	4 .5 – 4.25	4.24 – 3.9	0 – 3.8
Organization of Content	Organization of content is clear, logical, and organized. Complete introduction, development, and conclusion of ideas.	Content is clear and organized. Minimal areas lack development or transition between ideas.	Minimal organization. Lack of transition between ideas.	Content only able to follow with effort. Ideas do not flow. Organization of content is disorganized.
Content	Exemplary	Proficient	Developing	Unacceptable	Comments	Points
	7 – 6.44	6.43 – 5.95	5.94 – 5.46	0 – 5.45
Home Safety Checklist	Evaluates & promotes safety and presents clear recommendations for improved safety.	Evaluates & promotes safety. Recommendations for improved safety are present but not clear.	Evaluates physical safety but makes no recommendations for improved safety.	Does not evaluate or promote client safety.
	2	–	–	0
Evidence-Based Support of Findings	Supports assessment findings utilizing evidenced-based resources.	N/A	N/A	Does not support ALL assessment findings utilizing evidenced-based resources.
	8 – 7.36	7.35 – 6 .8	6.7 – 6.24	0 – 6.23
Synthesis-Interventions	Formulates clearly articulated interventions.	Formulates interventions that may be effective.	Interventions do not correlate with assessment findings	Offers opinions, no exploration of evidence.
	5 – 4.6	4 .5 – 4.25	4.24 – 3.9	0 – 3.8
APA/Mechanics	Presentation has rare mechanical, grammatical, and APA errors.	Presentation has occasional mechanical, grammatical, and APA errors. Additional editing would have been helpful.	Presentation needs improvement and attention to improve mechanical, grammatical, and/or APA format.	Presentation has significant mechanical, grammatical, and/or APA errors; risk for illegibility or plagiarism.

Part B

Nutritional Screening

• Complete nutritional screening of the older adult. Ask questions regarding family history of nutrition related diseases (Type II Diabetes Mellitus, Cardiovascular diseases; including hypertension; obesity, overweight, malnourishment, osteoporosis, certain cancers etc.) to evaluate and provide information in your plan that relates to this topic.
• Include a typewritten reflection/evaluation of the completed assessment including the following information (2 pages maximum):
  • Summarize your findings from the screening tool; include relationship of genetics and nutritional screening findings and relate findings based on readings/assigned resources.Be specific to nutritional status only.Cite sources appropriately.
  • Develop a plan that will assist the elderly person to maintain or improve their nutritional status to promote wellness; including at least 2 individualized strategies to assist the elderly person to attain these goals. At least one of these strategies must be considered an “integrative (complementary or alternative) modality.” Provide rationale for how these strategies will promote nutritional health.Cite sources appropriately.
• Follow APA format; including cover page and separate page of reference.Be sure all of your in-text citations are fully cited in your reference.

Example: Individualized strategies may include incorporating foods enjoyed in easy-to-prepare methods, involving family in the food preparation process, or encouraging a favorite activity to promote physical activity. Be creative here and specific to the individual needs of the client.

• You must submit the completed 1 page MNA. Do not include the elder’s name; but you must include all the other data
• http://www.mna-elderly.com/forms/mna_guide_english.pdf
• Rubric:

	Exemplary	Proficient	Developing	Unacceptable	Comments	Total Points
	11.04 – 12	10.2 – 11.05	9.36 – 10.19	0 – 9.35
Completion of Nutritional Assessment Screening Tool	Completes screening tool with accuracy. All areas of the assessment are completed.	Completes screening tool. All areas of the assessment are completed with minor errors.	Completes screening tool. Missing minimal information and/or the assessment tool is not accurately completed.	Screening tool is not completed and/or multiples areas of the tool are incomplete and/or inaccurately completed.
	11.04 – 12	10.2 – 11.05	9.36 – 10.19	0 – 9.35
Summary-Relevance to and application of class readings, outside sources, and prior personal experiences	Clear referencing and strong linkages/ integration between learning resources, including class readings, outside references, and prior personal experiences.Concepts from multiple sources incorporated into summary that exemplify a high level of understanding of readings and assessment tool and includes relationship of genetics/genomics.	Clear referencing of class readings or outside sources with obvious linkages noted between readings, outside resources, or personal experiences.Very clear that the readings were understood and incorporated both in accurate completion of assessment and summary of assessment.Includes relationship of genetics/genomics.	Cites class reading or outside relevant source or experience; some linkage of readings to outside resources or personal experiences.Some evidence that readings were done, understood, and incorporated into completion of assessment and summary of assessment. Student does not clearly relate genetics/genomics to findings.	Minimal references to any sources or experiences; demonstration of beginning understanding of course readings / materials.Summary is largely personal opinions or feelings without support from relevant, resources. Unclear whether readings were done and/or understood. Student does not address genetics/genomics.
	11.04 – 12	10.2 – 11.05	9.36 – 10.19	0 – 9.35
Plan of Care / Individualized strategies	Plan clearly assists the elderly person to maintain or improve nutritional status.Includes individualized and integrative strategies to assist the elderly person to maintain or improve nutritional status/promote wellness.	Plan clearly assists the elderly person to maintain or improve nutritional status, but does not include individualized or integrative strategies to assist the elderly person maintain or improve nutritional status/promote wellness.	Plan to assist the elderly person to maintain or improve nutritional status is not clear and/or does not include individualized or integrative strategies to assist the elderly person maintain or improve nutritional status/promote wellness.	Plan to assists the elderly person to maintain or improve nutritional status is not clear or not completed and/or does not include personalized or integrative strategies to assist the elderly person to maintain or improve nutritional status/promote wellness.
	4	3.5	3	0 – 2.99
Use of APA	Document complies with APA format and guidelines with very rare error.	Correctly applies APA document formatting. Literature citations are in correct APA format.May be occasional error in APA style.	Correctly applies APA document formatting guidelines. Literature citations are in correct APA format.May have some errors in citations.	Multiple errors in APA document formatting.Literature citations do not use correct APA format.