Professional Documents
Culture Documents
Clinical Pathway For Family Wellness Promotion in Elderly: Junayyah A. Sarip Jaeron Den D. Topinio
Clinical Pathway For Family Wellness Promotion in Elderly: Junayyah A. Sarip Jaeron Den D. Topinio
JUNAYYAH A. SARIP
JAERON DEN D. TOPINIO
Post Graduate Interns
“Health or wellness
is a state of complete
physical, mental, and
social well-being, and
not merely the absence
of disease or infirmity.”
– WORLD HEALTH ORGANIZATION
2015
7.5%
NON-COMMUNICABLE
DISEASES
• In the Philippines, diabetes accounts
for 4,260 deaths for males and 7,320
for females 70 years old and above.
Screening Score:
12-14 points: Normal nutritional status
8-11 points: At risk of malnutrition
0-7 points: Malnourished
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Physical activity
– Types of exercise:
Endurance
Balance
Flexibility
Strength training
Immunization History
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Review of Systems
– Vision
• ophthalmologic examination
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Review of Systems
– Hearing
• Whispered voice test at 2 feet
• Audioscope
• Hearing Handicap Inventory –
Screening (HHIE-S)
HISTORY & PHYSICAL EXAMINATION
INTERNATIONAL
PROSTATE SYMPTOM
SCORE
1. Incomplete emptying
2. Frequency
3. Intermittency
4. Urgency
5. Weak Stream
6. Straining
7. Nocturia
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Review of Systems
– Speech and Language
– Balance
– Cardiac
– Pulmonary
– Gastrointestinal
– Sexual
– Neurologic and Psychiatric
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Fall Assessment
– Timed Up and Go Test
HISTORY & PHYSICAL EXAMINATION
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Physical Examination
Vital signs, weight, height, BMI, WH ratio, Waist
circumference, Pain
HEENT
Chest, Lungs
Abdomen
Spine, Extremities
Neuro Exam
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Functional Capacity
• Katz index activities of daily living
• Lawton’s instrumental activities of
daily living
Table. Comparison of Katz ADLs and Lawton IADLs
Activities of Daily Living Instrumental Activities of Daily
Living
Feeding Using the telephone
Continence Shopping
Transferring Preparing food
Toileting Housekeeping
Dressing Doing laundry
Bathing Using transportation
Handling medications
Handling finances
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Cognition
• Mini Mental Status Examination
HISTORY & PHYSICAL EXAMINATION
GERIATRIC ASSESSMENT CHECKLIST
Mood
• Late-life depression remains underdiagnosed and
inadequately treated.