GERIATRIC GLOBAL VALUATION is a diagnostic process dynamic and structured which allows to detect and quantify the problems, needs and capabilities of the elderly in the clinical, functional, social and mental areas.The main objetive is to improve the patient's quality of life.
The main elements to perform a correct assessment are:
- Physical examination
- The most useful tools which serve as support to conduct a Geriatric Global Valuation are the SCALES.
It's focused to find the presence of GERIATRIC SYNDROMES through the interview and physical examination.
- Pressure Ulcer
- Fecal impaction
- Sensorial impairment
- Terminal illness
This area is the most important for me, because it evaluates the persons's independence level. It's based on:
- Basic activities of daily living such as eat, walk, dress up/undress,communication, continence, ambulation, rest...
- Instrumental activity such as write/read, cook, shops,use the phone, clean, transport, administration of drugs, housework, climbing stairs...
Mental area valutes the presence of mental disorder in the elderly. I think that is very important too because the 25% of geriatric patients have some type of psychiatric disorder. Therefore, nursing should have a mental examination as a screening to detect any pathology.
- SHORT PORTABLE MENTAL STATUS QUESTIONNAIRE
- MINI-MENTAL STATE EXAMINATION OF FOLSTEIN
- GLOBAL DETERIORATION SCALE OF REISBERG
- MINI EXAM COGNITIVE OF LOBO
- CLOK TEST
Family and social support are the most important issues in this area.
- OARS SCALE
Anxiety and depression are disease very prevalent in the elderly because it a life's stage where many losses occur, such as couple's death, friend's death, health's loss, low economic resources and another social problems.