Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ Daily Assessments ++ Table Graphic Jump Location|Download (.pdf)|Print Daily Assessments Assessment (check daily) YES/NO Changes Noted New symptoms? Worsening symptoms? Describe Medication changes? Vital signs: significant differences from previous visit? Lab values: any new changes? Daily weight change? Check patient/client's log (especially for heart failure or COPD patient/clients) Skin changes? Activity changes? Changes in sleep patterns or amt of sleep? Recent visit to MD or ER and any changes since visit? Changes in equipment needs? Changes in caregiver needs? Obstacles to performing activities? Dietary needs/recommendations? +++ Assessments ++ Table Graphic Jump Location|Download (.pdf)|Print Measures More Frequently Used in the Home Setting Outcome Measure Target of Measurement Borg Rating of Perceived Exertion Perceived effort w/activity (6–20 scale or 0–10 scale) Chair Rise test Functional lower extremity strength assessment Falls assessment (see Neuro Tab) Determine risk for falls Gait Speed Test (see Cardio Tab) Compare gait speed to functional indicators such as falls risk, risk for rehospitalization, etc Modified Romberg (see Neuro Tab) Balance screen Short Physical Performance Battery Balance, lower extremity functional strength, & gait speed measurements to screen for functional assessment Timed Walk Tests (3-, 6-, 12-min) Functional performance during ambulation: originally tested in chronic lung disease patient/clients Timed Stands Test Lower extremity strength in patient/clients w/arthritis Timed "Up and Go" Test Mobility of frail elderly: timed rise from chair, walk for 3 m, return to sit Visual Analogue Scale for Dyspnea Patient/client's perceptions of dyspnea; used w/activities ++ Table Graphic Jump Location|Download (.pdf)|Print Assistive/Adaptive Equipment Assessment in Home Identified Dysfunction Equipment to Consider Assessment of Equipment Unable to ambulate for distances Wheelchair Assess height, weight, & buttocks width to determine size of chair Assess need for removable arms/legs & reclining back or legs Assess comfort in w/c (see Assessment Tab for w/c measurement) Wheeled walker, regular walker, cane Mobility scooter Assess individual's height & height at hand grip w/30° bend in elbow Scooter: assess body height, leg height, hip to knee length, arm reach to handlebars Difficulty getting up from bed to stand, needs multiple pillows to sleep Bed risers Bed rails, trapeze, poles, or grab bars Electric bed to raise head or feet up or raise or lower from floor Assess ability to get up from elevated height—may only need risers Assess ability to hold on to bed assists Difficulty standing up from low chairs Higher height chair or a motorized lift chair Poles to use for standing from sit Evaluate heights from which individual can rise to standing & heights that are difficult Determine amount of assist needed to stand Difficulty rising up from toilet Elevated toilet seatHand rails around toilet to help with push Assess heights from which individual rise ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.