Get Up and Go Test (The Timed Up and Go Test)

GERIATRICS

Direct patient to: Rise from sitting position, Walk 10 feet, Turn around, Return to the chair, and sit down. Interpretation: If the patient takes <20 seconds to complete the test, he/she is adequate for independent transfers and mobility. If the patient requires...

Advance Care Planning (Advance Directives)

Clinic A/P, adults, GERIATRICS, Hospital A/P, Adults

Advance Care Planning (ACP) & End-of-Life Planning  Two CPT codes are used to report ACP services: 99497 and 99498. Advance directives include the following four elements Durable power of attorney for healthcare. Living will DNR or Do not resuscitate order POLST...

Chemical Code Status

GERIATRICS

What does Chemical Code Status mean? Chemical Code Status means that the (likely terminally ill) patient will only allow medications. The patient doesn’t want CPR and doesn’t want to be intubated and kept on a ventilator. However, they want all their...

Falls in Geriatric Patients

Clinic A/P, adults, GERIATRICS

Diagnosis -H&P: -Risk Factors: -Patients with a history of recent falls are at highest risk for recurrent falls. -Med Review for culprit meds. Decrease or D/C psychoactive medications to prevent falls. -Will evaluate for postural hypotension (orthostatic...

The PEACE Tool: Domains of Palliative Assessment

Clinic A/P, adults, GERIATRICS

PEACE Tool (which assesses the Physical, Emotive, Autonomy, Communication, Economic, and Transcendent domains) is included as a table PEACE Tool stands for: Physical Emotional, Psych, Mental: Autonomy Communication Economic and Transcendent domains of quality of life....

Fall Prevention

Clinic A/P, adults, GERIATRICS, Hospital A/P, Adults

Checking environmental issues and assessing each patient for fall risk can reduce the incidence of falls at home, in extended-care facilities, and in the hospital. History of recent falls: Patients with a history of recent falls are at highest risk for recurrent...