Geriatric Patient Interview Project

Geriatric Patient Interview Project   (100 pts)

You will interview a non-family member, geriatric patient age 65 years or older. You can interview a patient at clinical, a neighbor, someone from church, the local nursing home or Assisted Living facility.

You will need to:

· Obtain verbal permission from your interviewee

· Complete the interview packet.

·  complete 3 nursing diagnoses, SMART goals/outcomes (1 each short/long term) and 3 Individualized nursing interventions for goals

· Write a reflective paper about your interview and experience less than 3 pages.

· Perform a minimum of 2 geriatric assessment tools during your interview and include the results in your paper.

 

Patient Interview worksheet

 

Present Health and concerns (important to obtain any current expressed health concern in the client’s own words. If the illness is chronic, ask if there have been any recent changes and what was done)

___________________________________________________________________________________________________________

____________________________________________________________________________________________________________

___________________________________________________________________________________________________________

____________________________________________________________________________________________________________

 

Past Health

History of illnesses/injuries/fractures past history of serious injuries and fractures ___________________________________________________________________________________________________________

_________________________________________________________________________________________________________

 

Describe general health (obtain any current expressed health concern in the client’s own words.

If the illness is chronic, ask if there have been any recent changes and what was done)

 

__________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

 

Major illnesses (ask about any major illness(es) ________________________________________________________________________

 

Childhood illnesses/diseases (measles, mumps, rubella) __________________________________________________________________

 

Accidents or injuries (include age/year) ____________________________________________________________________________________________________________

___________________________________________________________________________________________________________

 

Serious or chronic illnesses (include age/year) ____________________________________________________________________________________________________________

___________________________________________________________________________________________________________

Hospitalizations (what for?) __________________________________________________________________________________________________________

____________________________________________________________________________________________________________

 

Past surgeries (name procedure, age) ___________________________________________________________________________________________________________

____________________________________________________________________________________________________________

 

Obstetric history (# pregnancies) _______________ Children presently living ____________

Family History—Specify Which Relative(s) health status of the client’s siblings, parents, grandparents, spouse, and children

Heart disease___________________________ High blood pressure______________________ Stroke________________________________ Diabetes_______________________________

Blood disorders________________________ Breast or ovarian cancer___________________

Cancer _______________________________ Sickle cell _____________________________

Arthritis______________________________ Asthma _______________________________ Obesity_______________________________ Alcoholism or drug addiction ______________

Mental illness __________________________ Suicide ________________________________

Seizure disorder ________________________ Kidney disease __________________________

Tuberculosis ____________________________

 

Activity and Exercise: Daily profile, usual daily activity

Independent (I), needs assistance (A) or totally dependent (D) with the following ADLs:

Feeding _____________

Bathing _____________

Hygiene, dressing, toileting __________

Transferring _____________

Walking (assistive devices) _____________

Standing _____________

Climbing stairs __________

 

Leisure activities___________________________________________

Exercise pattern (type, amount per day or per week) __________________________________________

Sleep and Rest: Sleep patterns, daytime naps, any sleep aids used _______________________________

 

Nutrition

Diet _______________________________________________________________

Do you need assistance with meals ______________________________________

How many meals do you eat/day ________________________________________

What food do you enjoy to eat __________________________________________

Who is present at mealtimes? ___________________________________________

Have you had any recent weight loss/gain in the past month? __________________

 

Interpersonal Relationships and Resources:

Describe your role in the family ________________________________________________________________________

Do you have a good relationship with family and friends ____________________________________________________

Who is your support when you encounter a problem or issue _________________________________________________

How much time do you spend alone in a day? _____________________________________________________________

Is this pleasurable or isolating? _________________________________________________________________________

 

Coping and Stress Management:

Describe stresses in life now __________________________________ _______________

Change(s) in past year_______________________________________________________

Methods used to relieve stress ________________________________________________

Are these methods helpful? __________________________________________________

 

Personal Habits:

Daily intake caffeine (coffee, tea, colas) ___________________________________________

Smoke cigarettes? ____________________________ Number packs per day _____________

Daily use for how many years __________________ Age started ______________________

Ever tried to quit? ____________________________ Were you successful? _____________

Drink alcohol ______________ Amount of alcohol (per day/week) ____________________

 

 

 

Perception of Own Health:

How do you define your present health? ______________________________________________________________________

How do you view of own health now ________________________________________________________________________

Do you have any concerns with your health? __________________________________________________________________

What do you expect will happen to your health in future? ________________________________________________________

_______________________________________________________________________________________________________

Do you have any health goals _______________________________________________________________________________

What are your expectations of your nurses and physicians ________________________________________________________

 

Daily Medications

Inquire with your client what medications they are presently taking. Ask the client why he/she is taking the medication(s).

 

Name	Dose	Frequency	Why are you taking the medication?

 

Was the patient knowledgeable of their daily medications?

 

 

 

 

Will your patient require any education on their medications?

 

 

 

Conclude how your patient interview was conducted. (in their room, public sitting area, in the am, etc)

Include a summary of your interview with your client. What went well? What are some areas to improve upon?