C. an older adult's functional status may vary from independence to disability D. dementia is an example of function status An older person is experiencing an acute change in cognition. Many older adults report that “living well’ is as important (or more important) to them as “living long” In older adults, functional status predicts mortality, health care costs, nursing home placement and other outcomes. Effects of illness and treatment options on quality of life are essential for medical decision- making in older adults.
Sep 15, 2013 · Article Sections. Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social support, financial support, and the environment.Cited by: 58. GoalImprove the health, function, and quality of life of older adults.OverviewAs Americans live longer, growth in the number of older adults is unprecedented. In 2014, 14.5% (46.3 million) of the US population was aged 65 or older and is projected to reach 23.5% (98 million) by 2060.1Aging adults experience higher risk of chronic disease.
older adults are at greater risk impairments in mental capacity. Cognitive ability is easily threatened by any disturbance in health or homeostasis which can rapidly lead to delirium.Altered mental status may be the 1st sign of anything from a heart attack to a UTI. The goals of this Standardized Patient Instructor (SPI) exercise are to enable students to develop their skills in: 1. Accurately assessing the functional, cognitive, and affective status of older patients, and 2. Effectively communicating with older adults. This is a learning exercise, not a formal evaluation exercise.
As the population ages, physical and cognitive function can decline and pain becomes more prevalent. Older adults may also have more complex medication regimens. Consideration should be given to an individual’s own choices about end-of-life care; advance care plans should be executed. At each level, the purposes of the functional assessment and the implications of changes in function are different. The basic activities of daily living (ADLs) involve personal care--feeding, being continent, transferring, toileting, dressing, and bathing. Normally, these activities are performed independently.
Cognitive impairment in older adults has a variety of possible causes, including medication side effects, metabolic and/or endocrine derangements, delirium due to intercurrent illness, depression, and dementia, with Alzheimer’s dementia being most common. Some causes, like medication side effects and depression, can be reversed with treatment. Some older adults retain excellent cognitive function well into their 70s and 80s and perform as well or better than younger adults. Others, although within the normal range, show signs of decline by age 60.Author: Elizabeth L. Glisky.