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P06: Care Assessment (Care Assessment Tools (Home Safety Assessment…

- - - - Assessment
        
        Shared understanding of the Co-morbidities
      - Recommendation
        
        Shared understanding of each action plan
      - Background
        
        Co-morbidities and their inter-dependency
      - Resource
        
        Mustering of medical and social care services
      - Situation
        
        Reason for encounter and decisions needed
      - Responsibility
        
        Activation of all stakeholders including patient
      - Relationship
        
        Maintaining working relationship with patients and stakeholders
    - - The assessment is a valid and reliable instrument for measuring the burden of caregivers.
      - Assess caregiver needs:
        
        Overworked: Activate community resources (day care, skilled caregiver, respite care)
        
        Psychological Stress: FSC/ MSW for Caregiver psycho-emotional counseling
        
        Lack of knowledge & skill: CGT
        
        Refer to disease specific associations (e.g. Parkinson Society Singapore)
      - Scores
        
        0-21 little or no burden
        
        21-40 mild to moderate burden
        
        41-60 moderate to severe burden
        
        61-88 severe burden
        
        (hence >40/88 = high burden
    - - Family System
      - Lifestyle
      - Energy Level
      - Physiological
      - Self - Esteem
      - Aim: evaluation of client on mental health and social well-being to provide the best care possible and help improve health
  - - - It is a test for rapidly assessing elderly patients for the possibility of dementia.
      - Scores
        
        4-6: Moderate impairment
        
        7-10: normal
        
        0-3: Severe impairment
  - - - System that reviews that has information about the past diagnosis, family and social history of the patient and drug allergies
    - - A body-check will be done systemically
        
        It is done to look for signs of diseases (raised temperature, elevated blood pressure or abnormality heart sounds
      - Vital Sign
        
        Respiration
        
        Blood pressure
        
        Pulse
        
        Pain Assessment Tools
        
        Temperature
        
        Fall risk assessment
        
        Wong-Baker FACES Pain Rating scale
        
        Universal Pain assessment Tools
        
        Pain Assessment PQRST
  - - - Testing for the level of frailty
- - - - Install grab bars in and outside of the toilet
      - Bed rail for the patient so that they can get up from bed
      - Ramps are being installed so that patients that are wheelchair bound are able to move out of their house without any trouble