Roxane S.

Aquillan bsn3 block 2

Care of Older Person

Activity 6: Please answer the following based on the instructions provided. Submit your output in either
Encoded (PDF) or Photo (Clear and readable format) for handwritten copy.

Identify and enumerate the data that should be taken during the assessment of the different systems.

Systems Assessment Data

Circulatory In circulatory the assessment data that mus be taken is via a cardiovascular
assessment, considering perfusion, heart rate, blood pressure, pulse volume
and the patient's temperature and checking the pulse, the temporary swelling
of an artery as blood passes through with each heartbeat. Capillary refill is also
part of a circulation assessment, which is the time it takes for blood to return to
a finger or toe after the blood supply is pinched off
Respiratory In Respiratory the assessment data that mus be taken is rate of respiration.Look
for abnormalities in the shape of the patient's chest.Ask about shortness of
breath and watch for signs of labored breathing.Check the patient's pulse and
blood pressure.Assess oxygen saturation. If it is below 90 percent, the patient
likely needs oxygen
Gastrointestinal In Gastrointestinal the assessment data that mus be taken include inspection,
auscultation, and light palpation of the abdomen to identify visible
abnormalities; bowel sounds and softness/tenderness. Ensure stomach is not
full at time of assessment as this may induce vomiting.
Genitourinary In Genitourinary the assessment data that mus be taken focuses on bladder
function. Ask about urinary symptoms, including dysuria , urinary frequency , or
urinary urgency . Dysuria is any discomfort associated with urination and often
signifies a urinary tract infection.The skin should be examined for ulcers and
rashes.The shaft of the penis is examined for plaques of Peyronie's disease.
Reproductive In Reproductive the assessment data that mus be taken a thorough physical
examination of the reproductive tract includes a complete history, general
physical examination, and evaluation of the external and internal genitalia.
Ancillary tests that can be applied to this system include uterine culture, biopsy,
cytology, and lava
Nervous In Nervous the assessment data that mus be taken is extremely important part
of the neurologic examination that is often overlooked. It should be assessed
first in all patients. Mental status testing can be divided into five parts: level of
alertness; focal cortical functioning; cognition; mood and affect; and thought
content
Musculoskeletal In Musculoskeletal the assessment data that mus be taken assess gait.Inspect
the spine.Observe range of motion of joints.Inspect muscles and extremities for
size and symmetry.Assess muscle strength.Palpate extremities for te
Sensory The sensory exam involves evaluation of pain (or temperature), light touch,
position sense, vibration, and discriminative sensations. This portion of the
exam is very subjective, and may become unreliable if repeated in
Integumentary In Integumentary the assessment data that mus be taken is inspecting overall
skin color, inspecting for skin lesions and wounds, and palpating extremities for
edema, temperature, and capillary refill.skin color, moisture, temperature,
 texture, mobility and turgor, and skin lesions. Inspect and palpate the
fingernails and toenails, noting their color and shape and whether any lesions
are present
Endocrine Endocrine glands are ductless glands of the endocrine system that secrete their
products, hormones, directly into the blood. The major glands of the endocrine
system include the pineal gland, pituitary gland, pancreas, ovaries, testes,
thyroid gland, parathyroid gland, hypothalamus and adrenal glands. The
hypothalamus and pituitary glands are neuroendocrine organs.
Immune and Hematologic assessment allows clinicians to evaluate not only a patient's risk
Hematologic factors for clotting or bleeding but also the medications and treatments the
patient has received that might affect the hematologic system Blood tests can
determine if you have typical levels of infection-fighting proteins
(immunoglobulins) in your blood and measure the levels of blood cells and
immune system cells. Having numbers of certain cells in your blood that are
outside of the standard range can indicate an immune system defect.

CRITICAL THINKING

Situation:

Mr. Barbers is an 86-year-old man who presents to a comprehensive geriatric assessment center with
early signs of dementia. He lives alone, takes five daily medications, and until recently has been able to
independently complete his ADLs. However, last winter his furnace broke and his home radiator was
frozen for 5 days. His daughter came to visit and found him living in the cold.

1. What dimensions does a comprehensive geriatric assessment generally involve?

 The dimensions comprehensive geriatric assessment generally involve including
physical, cognitive, affective, social, financial, environmental, and spiritual components
that influence an older adult's healt
2. What challenges do you anticipate in assessing Mr. Barbers?
 The challenges that anticipate in assessing Mr. Barbers is ability to remember, think, or
make decisions that interferes with doing everyday activiti
3. What normal changes of aging may further complicate your assessment of Mr. Barbers?
 The normal changes of aging may further complicate my assessment for Mr. Barbers is
increased agitation. aggression (shouting or screaming, verbal abuse, and sometimes
physical abuse) delusions (unusual beliefs not based on reality) hallucinations (hearing
or seeing things that do not exist).
4. What are the most important components of assessment for Mr. Barbers?
 The most important components of assessment for Mr. Barbers compassion,
competence, communication, courage and commitment