Author Question: A nurse completes a functional status assessment of an older person using the Lawton IADL ... (Read 34 times)

sarasara · **on:** Jul 11, 2018

A nurse completes a functional status assessment of an older person using the Lawton IADL in-strument, a self-reported instrument. The nurse knows that limitations of self-reported measures include that: (Select all that apply.)

a. individuals tend to overestimate their functional ability.
b. self-reports often differ from that of proxy reports.
c. self-reports are not indicative of small changes in function.
d. self-reports do not provide a valid meas-urement of function.
e. older adults are not able to complete self-reported measurements.

Question 2

Factors that complicate assessment of older adults include: (Select all that apply.)

a. presence of multiple comorbid conditions.
b. atypical presentation of illness.
c. difficulty in differentiating symptoms of disease from normal age-related changes.
d. increase in iatrogenic illness.
e. lack of assessment instruments specific for the older adult population.

Ahernandez18 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, B
Individuals tend to overestimate their functional ability and often self-reported measures differ from proxy reports. Self-reported measures are a valid measurement of function, and older adults are able to complete them. The choice of tool and the type of scoring of the tool is the factor that determines if the small changes in function can be detected.

Answer to Question 2

ANS: A, B, C, D
Factors that complicate assessment of older adults include difficulty differentiating disease symptoms from normal age-related changes, the presence of multiple comorbidities, atypical presentations of illness, and the presence of iatrogenic illness. There are many assessment tools that are designed specifically for use in the older adult population.