Geriatric Outcome Measures Cheat Sheet

A Home & Health › Health cheat sheet in English by datamansam

Outcome Measures evaluating balance in Geriatric Theray

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PRs

	SITTING TO STANDING INSTRUCTIONS: Please stand up. Try not to use your hands for support.	STANDING TO SITTING INSTRUCTIONS: Please sit down.	TRANSFERS INSTRUCTIONS: Arrange chairs(s) for a pivot transfer. Ask subject to transfer one way toward a seat with armrests and one way toward a seat without armrests. You may use two chairs (one with and one without armrests) or a bed and a chair.
4	able to stand without using hands and stabilize independently	sits safely with minimal use of hands	able to transfer safely with minor use of hands
3	able to stand independently using hands	controls descent by using hands	able to transfer safely definite need of hands
2	able to stand using hands after several tries	sits independently but has uncontrolled descent	able to transfer with verbal cueing and/or supervision
1	needs minimal aid to stand or to stabilize	sits independently but has uncontrolled descent	needs one person to assist
0	needs moderate or maximal assist to stand	needs assistance to sit	needs two people to assist or supervise to be safe

Think:
- Hands
- Stability
- Assistance
- Supervison

What is your age?

. Give the patient an address, and ask him or her to repeat it at the end of the test e.g. 42 West Street

What is the time to the nearest hour?

What is the year?

What is the name of the hospital or number of the residence where the patient is situated?

Can the patient recognize two persons (the doctor, nurse, home help, etc.)?

What is your date of birth? (day and month sufficient)

. In what year did World War 1 begin?

Name the present monarch/prime minister/president.

Count backwards from 20 down to 1

A score of 6 or less suggests delirium or dementia, although further tests are necessary to
confirm

Transfers	Independent
	Needs minor help
	Needs major help
	Unable
Mobility	Independent (may use a stick) >50 yards
	Walks with physical or verbal help of one other > 50 yards
	Wheelchair independent > 50 yards
	Immobile < 50 yards
Stairs	Independent
	Needs help (other person, aid)
	Unable

	STANDING UNSUPPORTED	SITTING WITH BACK UNSUPPORTED BUT FEET SUPPORTED	STANDING UNSUPPORTED ONE FOOT IN FRONT	STANDING ON ONE LEG
4	able to stand safely 2 minutes	able to sit safely and securely 2 minutes	able to place foot tandem independently and hold 30 seconds	able to lift leg independently and hold >10 seconds
3	able to stand 2 minutes with supervision	able to sit 2 minutes with supervision	able to place foot ahead of other independently and hold 30 seconds	able to lift leg independently and hold = or >3 seconds
2	able to stand 30 seconds unsupported	able to sit 30 seconds unsupported	able to take small step independently and hold 30 seconds	tries to lift leg unable to hold 3 seconds but remains standing independently
1	needs several tries to stand 30 seconds unsupported	able to sit 10 seconds unsupported	needs help to step but can hold 15 seconds	tries to lift leg unable to hold 3 seconds but remains standing independently
0	unable to stand 30 seconds unassisted	unable to sit without support 10 seconds	loses balance while stepping or standing	tries to lift leg unable to hold 3 seconds but remains standing independently

Vision	Dificulty seeing or finding way around
Mobility	Unsafe, impulsive, forgets aid
Transfers	Over=reaches, impusive
Behaviours	Agintation, confusion or non-compliant
ADLs	Riskptaking, unsafe equiment or footwear
Environment	Diffculties with orientation
Nutrition	Underweight/low appetite
Contience	Urgency, nocturia, accidents

	REACHING FORWARD WITH OUTSTRETCHED ARM WHILE STANDING	PICK UP OBJECT FROM THE FLOOR FROM A STANDING POSITION
4	can reach forward confidently >25 cm (10 inches)	able to pick up slipper safely and easily
3	can reach forward >12 cm safely (5 inches)	able to pick up slipper but needs supervision
2	can reach forward >5 cm safely (2 inches)	unable to pick up but reaches 2-5cm (1-2 inches) from slipper and keeps balance independently
1	reaches forward but needs supervision	unable to pick up and needs supervision while trying
0	loses balance while trying/requires external support	unable to try/needs assist to keep from losing balance or falling

	TURN 360 DEGREES	TURNING TO LOOK BEHIND
4	able to turn 360 degrees safely in 4 seconds or less	looks behind from both sides and weight shifts well
3	able to turn 360 degrees safely one side only in 4 seconds or less	looks behind one side only other side shows less weight shift
2	able to turn 360 degrees safely but slowly	turns sideways only but maintains balance
1	needs close supervision or verbal cueing	needs supervision when turning
0	needs assistance while turning	needs assist to keep from losing balance or falling

Have you had a fall in the previous year?	Are you taking four or more medications per day? Out of sedatives, anti-depresssants, parkinson's, diuretics, anti-hypertiensives and hypnotics	Psycological (Anexity, depression, stroke, Parkisons, cooperation, insight or judgement)	Have you had a stroke? Have you been diagnosed with Parkinson’s disease?	Are you unable to stand up from a chair of knee height without using your arms?
0 in last 12	0	0
0 or more in last 3 months	1	mildly by 1 or more
one or more in last 3 months	2	moderately by one or more
3 or more whilst ination	>2	sever in one or more

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