An older patient has been admitted to the intensive care unit (ICU) after falling at home. Within 8 hours, his condition has stabilized and he is transferred to a medical unit. The family is wondering whether he will be able to go back home
Which assessment instrument is most appropriate for the nurse to choose at this time?
a.
Lawton IADL instrument
b.
Hospital Admission Risk Profile (HARP)
c.
Mini-Cog
d.
NEECHAM Confusion Scale
ANS: B
Hospital-acquired functional decline may occur within 2 days of a hospital admission. The HARP helps identify older adults who are at greatest risk of losing their ability to perform ADLs or mobility at this critical time. The Lawton IADL measures instrumental activities of daily living, which may be difficult to observe in the hospital setting. The Mini-Cog is an assessment of mental status. The NEECHAM Confusion Scale is used to assess for delirium.
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