Lesson 1Pain assessment in older adults: self-report, observational tools for cognitively impaired residents, pattern and impact of painDetails best practice pain assessment in older adults, emphasizin self-report, validated observational tools fi cognitive impairment, pain pattern analysis, an di impact a pain pon sleep, mood, mobility, an participation in daily activities.
Principles of self-reported pain assessmentPain scales fi cognitively impaired residentsAssessin pain pattern, triggers, an durationImpact a pain pon function, mood, an sleepReassessment an documentin pain responsesLesson 2Systematic physical assessment: cardiovascular, respiratory, musculoskeletal (including mobility and gait), skin integrity, and continenceExplores a head-to-toe, system-based physical assessment fi older adults, focusin pon cardiovascular, respiratory, musculoskeletal, skin, an continence status fi detect early deterioration, guide interventions, an support safe daily care.
Cardiovascular assessment an vital sign trendsRespiratory assessment an breath sound changesMusculoskeletal strength, mobility, an gait analysisSkin integrity, pressure injury an wound screeninBladder an bowel continence assessment toolsLesson 3Functional status assessment: ADLs, IADLs, mobility aids use, transfers, and need for assistanceExplains how fi assess functional status usin ADLs, IADLs, mobility, transfers, an assistance needs, fi establish baseline function, plan rehabilitation, allocate resources, an monitor changes ova time.
Assessin basic ADLs an care dependenceEvaluatin IADLs an community functioninMobility aids use an safe techniqueTransfer ability an manual handlin needsSettin realistic functional goals wid residentsLesson 4Falls risk assessment specifics: environmental review, footwear, orthostatic hypotension, polypharmacy and sensory deficitsFocuses pon detailed falls risk assessment, includin environment, footwear, orthostatic hypotension, polypharmacy, an sensory deficits, fi create targeted prevention strategies an reduce injury risk in older adults.
Usin validated falls risk assessment toolsEnvironmental an equipment safety reviewFootwear, foot problems, an mobility aidsScreenin fi orthostatic hypotensionPolypharmacy an sedative medication risksVision, hearin, an other sensory deficitsLesson 5Collecting accurate history in the first 48 hours: past medical history, fall history, social history, cultural preferences, and advanced directivesProvides a framework fi collectin accurate history within 48 hours, includin past medical an fall history, social background, cultural preferences, an advance care directives, fi inform individualized, values-based care plans.
Past medical an surgical history collectionPrevious falls, injuries, an near-miss eventsSocial history, routines, an support networksCultural, spiritual, an language preferencesAdvance directives an goals a careLesson 6Social and family assessment: capacity, family concerns, frequency of visits, cultural and language needsExplains how fi assess social supports, family dynamics, decision-makin capacity, an caregiver concerns, while identifyin cultural, spiritual, an language needs dat influence care plannin, communication, an resident engagement.
Assessin social support an livin arrangementsEvaluatin decision-makin capacity indicatorsIdentifyin family concerns an expectationsCultural, spiritual, an language care needsCarer stress, burden, an respite needsLesson 7Medication review on admission: reconciliation process, high-risk medications for older adults, interactions and anticholinergic burdenReviews safe medication reconciliation pon admission, focusin pon verifyin histories, identifyin high-risk medicines, recognizin interactions an anticholinergic burden, an collaboratin wid pharmacists an prescribers.
Collectin a complete medication historyIdentifyin high-risk medicines in geriatricsRecognizin drug interactions an duplicationsAssessin anticholinergic an sedative burdenWorkin wid pharmacists an prescribersLesson 8Nutrition and hydration screening: weights, food/fluid intake monitoring, dysphagia risk indicators, oral healthOutlines nutrition an hydration screenin, includin weight history, intake monitorin, dysphagia risk, an oral health, fi identify malnutrition, dehydration, an aspiration risk, an fi guide timely referrals an care plannin.
Baseline weight, BMI, an weight change trendsUsin malnutrition screenin toolsMonitorin food an fluid intake accuratelyRecognizin dysphagia an aspiration risk signsOral health, dentures, an swallowin impactLesson 9Documentation standards and handover: use of structured templates and communicating key findings to MDT within 48 hoursDescribes documentation an handover standards fi di first 48 hours, emphasizin structured templates, clear clinical reasonin, risk summaries, an timely communication a key findings to di multidisciplinary team.
Usin structured admission assessment templatesWritin clear, concise clinical notesSummarizin key risks an prioritiesVerbal an written handover to MDTTimeframes an accountability in first 48 hoursLesson 10Cognitive and mood evaluation: when and how to assess cognition and mood, baseline cognitive observations, collateral history from familyCovers structured assessment a cognition an mood, includin when fi screen, how fi choose tools, an how fi interpret results, while integratin baseline observations an family input fi distinguish delirium, dementia, an depression.
Screenin fi delirium, dementia, an depressionSelectin an usin cognitive screenin toolsMood assessment an suicide risk indicatorsGatherin collateral history from family or carersDocumentin baseline cognition an behavior
