Areas that can help to maintain health should also be assessed, including nutrition,
tobacco and alcohol use, exercise, and inoculations. These are discussed briefly below:
Nutrition. Even though nutritional status is widely recognized as significant
factor in health outcomes, only one assessment included a brief item regarding
whether the policyholder had experienced, or consulted a doctor, or had been had
been diagnosed or treated for “appetite, weight loss or gain” in the past five years.
We recommend that nutritional status be routinely assessed, including questions
related to current intake of fluids and food, and use of dentures and any dental
problems which affect capacity to eat.
Tobacco and Alcohol Use. Because of the interaction of alcohol with
medications, its impact on functional abilities, and increased incidence of falls
and other injuries associated with excessive alcohol intake, assessment of alcohol
use should be routinely included in assessments. At minimum, this might include
frequency, amount, and type of alcohol use, with a note to compare this with any
history of falls or injury, and adverse medication reactions. Smoking can also
pose a potential safety hazard if there is a pattern of dropping lighted cigarettes or
if oxygen equipment is nearby, and should also be routinely assessed.
Exercise. Regular exercise is essential to maintaining optimal health. A brief
review of the level and type of exercise performed prior to the recent illness or
injury can serve as helpful goals for recovery and/or as indicators that instruction
or referral might be useful in order to introduce the client to the benefits of
Vicky, try not to put too many questions on the site at once! Also in the additional information box give more information if possible....
Jan 22, 2012 10:40 AM