Aralin 1Pagtatasa ng sakit sa matatanda: self-report, observational tools para sa mga residenteng may cognitive impairment, pattern at epekto ng sakitNagdedetalye ng best practice sa pagtatasa ng sakit sa matatanda, na nagbibigay-diin sa self-report, validated na observational tools para sa cognitive impairment, pagtatasa ng pain pattern, at ang epekto ng sakit sa pagtulog, mood, mobility, at pakikilahok sa pang-araw-araw na gawain.
Mga prinsipyo ng self-reported pain assessmentPain scales para sa mga residenteng may cognitive impairmentPagtatasa ng pain pattern, triggers, at tagalEpekto ng sakit sa function, mood, at pagtulogReassessment at pagdokumenta ng pain responsesAralin 2Maayusang pisikal na pagtatasa: cardiovascular, respiratory, musculoskeletal (kabilang ang mobility at gait), skin integrity, at continenceNag-e-explore ng head-to-toe, system-based na pisikal na pagtatasa para sa matatanda, na nakatuon sa cardiovascular, respiratory, musculoskeletal, skin, at continence status upang matukoy ang maagang pagbaba, maggabayan ng mga interbensyon, at suportahan ang ligtas na pang-araw-araw na pangangalaga.
Cardiovascular assessment at vital sign trendsRespiratory assessment at breath sound changesMusculoskeletal strength, mobility, at gait analysisSkin integrity, pressure injury at wound screeningBladder at bowel continence assessment toolsAralin 3Pagtatasa ng functional status: ADLs, IADLs, paggamit ng mobility aids, transfers, at pangangailangan ng tulongIpinaliliwanag kung paano magtatasa ng functional status gamit ang ADLs, IADLs, mobility, transfers, at assistance needs, upang itaguyod ang baseline function, magplano ng rehabilitation, magbahagi ng resources, at bantayan ang mga pagbabago sa paglipas ng panahon.
Pagtatasa ng basic ADLs at care dependencePag-e-evaluate ng IADLs at community functioningPaggamit ng mobility aids at ligtas na techniqueTransfer ability at manual handling needsPag-set ng realistic functional goals sa mga residenteAralin 4Mga spesipikong detalye ng falls risk assessment: environmental review, footwear, orthostatic hypotension, polypharmacy at sensory deficitsNakatuon sa detalyadong falls risk assessment, kabilang ang environment, footwear, orthostatic hypotension, polypharmacy, at sensory deficits, upang lumikha ng targeted na mga estratehiya sa pagpigil at bawasan ang panganib ng pinsala sa matatanda.
Paggamit ng validated falls risk assessment toolsEnvironmental at equipment safety reviewFootwear, foot problems, at mobility aidsScreening para sa orthostatic hypotensionPolypharmacy at sedative medication risksVision, hearing, at iba pang sensory deficitsAralin 5Pagkolekta ng accurate na history sa unang 48 oras: past medical history, fall history, social history, cultural preferences, at advanced directivesNagbibigay ng framework para sa pagkolekta ng accurate na history sa loob ng 48 oras, kabilang ang past medical at fall history, social background, cultural preferences, at advance care directives, upang magbigay ng impormasyon sa individualized, values-based na care plans.
Past medical at surgical history collectionPrevious falls, injuries, at near-miss eventsSocial history, routines, at support networksCultural, spiritual, at language preferencesAdvance directives at goals of careAralin 6Social at family assessment: capacity, family concerns, frequency of visits, cultural at language needsIpinaliliwanag kung paano magtatasa ng social supports, family dynamics, decision-making capacity, at caregiver concerns, habang kinikilala ang cultural, spiritual, at language needs na nakakaapekto sa care planning, communication, at resident engagement.
Pagtatasa ng social support at living arrangementsPag-e-evaluate ng decision-making capacity indicatorsPagkilala ng family concerns at expectationsCultural, spiritual, at language care needsCarer stress, burden, at respite needsAralin 7Medication review sa admission: reconciliation process, high-risk medications para sa matatanda, interactions at anticholinergic burdenNagre-review ng ligtas na medication reconciliation sa admission, na nakatuon sa pag-verify ng histories, pagkilala ng high-risk medicines, pagkilala ng interactions at anticholinergic burden, at pakikipagtulungan sa mga pharmacist at prescribers.
Pagkolekta ng complete medication historyPagkilala ng high-risk medicines sa geriatricsPagkilala ng drug interactions at duplicationsPagtatasa ng anticholinergic at sedative burdenPagtutulungan sa mga pharmacist at prescribersAralin 8Nutrition at hydration screening: weights, food/fluid intake monitoring, dysphagia risk indicators, oral healthNag-o-outline ng nutrition at hydration screening, kabilang ang weight history, intake monitoring, dysphagia risk, at oral health, upang makilala ang malnutrition, dehydration, at aspiration risk, at maggabayan ng timely referrals at care planning.
Baseline weight, BMI, at weight change trendsPaggamit ng malnutrition screening toolsAccurate na monitoring ng food at fluid intakePagkilala ng dysphagia at aspiration risk signsOral health, dentures, at swallowing impactAralin 9Documentation standards at handover: paggamit ng structured templates at pagko-comunicate ng key findings sa MDT sa loob ng 48 orasNagdedetalye ng documentation at handover standards para sa unang 48 oras, na nagbibigay-diin sa structured templates, clear clinical reasoning, risk summaries, at timely communication ng key findings sa multidisciplinary team.
Paggamit ng structured admission assessment templatesPagsusulat ng clear, concise na clinical notesPagbubuod ng key risks at prioritiesVerbal at written handover sa MDTTimeframes at accountability sa unang 48 orasAralin 10Cognitive at mood evaluation: kailan at paano magtatasa ng cognition at mood, baseline cognitive observations, collateral history mula sa familyTinutustusan ang structured na pagtatasa ng cognition at mood, kabilang ang kailan mag-screen, paano pumili ng tools, at paano i-interpret ang results, habang pinagsasama ang baseline observations at family input upang makilala ang delirium, dementia, at depression.
Screening para sa delirium, dementia, at depressionPagpili at paggamit ng cognitive screening toolsMood assessment at suicide risk indicatorsPagkolekta ng collateral history mula sa family o carersPagdokumenta ng baseline cognition at behavior
