Geriatric Notes
Visual acuity: eye chart (jaeger), <20/40 is visual impairment. 20/200 legally blind.
Hearing voice: whisper after full exhalation, from a distance of 2 feet.
Dental hygiene, dentures
Nutritional status: wt <45 kg
Problems with eating and feeding
Malnutrition: involuntary wt. loss >4.5 kg x 6 mo; BMI <22 - >27; hypoalbuminemia <3.8 g/dL, hypocholesterolemia <160 mg/dL, vit B12 def.
Swallow ability
PEG-T/Trach
Gait, ambulation: use of assist devices, speed, stability
Up and go timed test: get up from chair, go 3 meters turn around and come and sit back in chair in <10 sec.
Foley indwelling, SPC
Decubiti, skin breakdown
ADLs and IADL
Immunization status
Sleep
Incontinence
Evidence of falls, h/o falls in past year
Home situation
NH situation
Med review: polypharmacy, prescription and OTC
Care givers: formal (nursing, home aide), informal (family)
Assess home safety
Reversible conditions associated with Urinary incontinence (DRIIIPP):
Delirium
Restricted mobility - illnesses, injury, gait d/o, restraint
Infection: acute symptoms of UTI
Inflammation: atrophic vagnitis
Impaction: feces
Polyuria: DM, caffeine, volume overload
Pharmacy: diuretics, alpha-adrenergic agonists or antagonists, anticholinergics, psychotropics, antidepressants, anti-parkinsonians