Physical health assessment includes health history, physical examination and functional status assessment. Health history refers to the past and present health status of the elderly, their understanding of their own health status, and information about their daily life and social activities. Physical health is understood by sight, touch, button sensation and hearing, and functional status assessment includes activities of daily living, LADL and AADL.
Mental health assessment includes emotional and affective assessment, cognitive ability, stress and coping ability. Cognitive evaluation of the elderly is often carried out from three aspects: thinking ability, language ability and orientation. Social health assessment is mostly carried out from social environment, cultural background and family status.
It is of great significance to comprehensively evaluate the health care problems of the elderly and do a good job in prevention. The evaluation results are only used as a description of the existing health status of the elderly, not as a diagnosis of diseases. Provide the main contents and requirements of health management for the elderly, provide the basis for admission, referral, discharge, nursing plan and judgment for the elderly, and provide the basis for avoiding risks.
Classification of comprehensive health assessment for the elderly:
1, admission evaluation
When entering the hospital, the elderly should be evaluated, and the purpose and requirements of the evaluation should be explained to the elderly and their families in advance to obtain the cooperation of the elderly. Evaluation can be carried out in stages and in different periods, and can also be completed by different evaluators. The comprehensive evaluation should be completed within 14 days, and all health information should be based on the information completed, and health files should be established.
2. Routine assessment
This paper mainly reviews and summarizes the main health problems faced by the elderly at present, and should be summarized in stages in the health file after evaluation. Routine assessment should be conducted at least once a year. Through this assessment, the elderly who are hospitalized for rehabilitation can be discharged or transferred in time, and can also be transferred to the old-age care service institution at any time to reduce the resource occupation of the hospital or the old-age care institution.
3. Immediate assessment
Assess when the health status of the elderly has changed significantly or the situation is critical. When evaluating, we should first review the past health status, current health problems and their severity of the elderly, and explain the treatment measures taken and the next nursing plan. For example, doctors should also record the consultation in the health file so as to evaluate the health status of the elderly.