Ability assessment criteria for the elderly, why a comprehensive assessment of the ability of the el

1. Cognitive function.

Cognitive function is one of the most important processes in human higher-order neural activity. The human brain receives external information, processes it, and converts it into internal mental activities, so as to obtain knowledge or information and then apply knowledge or information. It mainly involves memory, visuospatial, attention, thinking, execution, imagination and other abilities.

The process of cognitive decline in the elderly is highly variable, with physiological and slow progress that does not affect daily life, while pathological decline is enough to affect their normal life.

Evaluation criteria. 0 points: Draw the clock correctly (draw a circle, the position of the pointer is accurate) and be able to recall 2-3 words;

1 point: Wrong clock drawing (irregular drawing, inaccurate position of the pointer), or only 0-1 words can be remembered;

Score 2: Diagnosed with cognitive impairment.

For example, Alzheimer's disease, unable to recall an entry, failing to draw a clock, failing to imitate gestures, combined with actual ability in life, are also rated as 2 points.

2. Aggressive behavior.

Aggressive behaviour is an act with the physical or psychological purpose of harming another life, i.e. hostile, injurious or destructive behaviour towards another person. This includes physical, mental, or linguistic aspects.

Evaluation criteria. 0 points: no physical aggression (such as kicking, pushing, biting, grabbing, throwing) and verbal aggression (such as swearing, verbal threats, screaming, etc.);

1 point: 4 physical assaults per month, or 7 verbal assaults per week;

2 points: 4 times a week of physical aggression, or daily verbal aggression.

There are four main criteria for assessing the ability of the elderly.

Activities of daily living (including eating, bathing, grooming, dressing, stool control, urination control, toileting, bed and chair transfer, walking on flat ground, going up and down stairs).

Mental state (including cognitive function, aggressive behavior, depressive symptoms), perception and communication (level of consciousness, vision, hearing, communication), social participation (life ability, work ability, time and space orientation, character orientation, social communication ability).

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Due to the particularity of the health problems of the elderly, a large part of them have memory function and cognitive function decline; Therefore, in the routine medical model focusing on disease, it is often easy to ignore the geriatric syndrome, mental psychology, life ability, social support and environmental problems of the elderly.

Therefore, the introduction of comprehensive health assessment in the health management of the elderly can improve routine diagnosis, improve the comprehensiveness, systematization and accuracy of health care diagnosis and treatment, and improve the health level and quality of life of the elderly.

The purpose of the comprehensive assessment of the elderly is to maintain and restore the functional status of the elderly to the greatest extent and improve their quality of life. If the elderly with related problems are found as early as possible in life, and actively provide emotional counseling and resume daily life, their prognosis can be significantly improved and their quality of life can be improved.

The comprehensive assessment of the ability of the elderly is to meet the needs of the elderly care services, and to develop a system for the ability assessment of the elderly.

1. Standardized and operable assessment tools to scientifically divide the ability level of the elderly, as the basis for formulating pension policies and providing appropriate pension services for the elderly.

The comprehensive assessment of the elderly is to give targeted and comprehensive intervention through the assessment of the disease status, physical function, nutritional status, social support, cognitive function, psychological function, pain, sleep and other comprehensive functions of the elderly.

The assessment objects are those who apply for the city's pension services or care service policies and other needs to be assessed, as well as the elderly who take the initiative to apply for assessment. The key targets are those who are unable to take care of themselves due to injury, illness, disability, frailty and other reasons, as well as those who have a clear medical diagnosis certificate and are still unable to take care of themselves after more than six months (inclusive).

Considerations for a comprehensive assessment of the ability of the elderly:The sub-district (township) selects and dispatches the order in the list of the district, and the assessment agency will send an assessor to the household or the applicant will choose to arrive at the assessment agency in person, and conduct a pre-assessment in accordance with the "Beijing Comprehensive Assessment Scale for the Ability of the Elderly". For those who meet the requirements after the pre-assessment, the assessment agency will evaluate the applicant.

Based on the assessment conclusions, all relevant departments shall handle disability care subsidies for the disabled elderly in their jurisdictions, arrange home care services for the elderly, wait for admission to public elderly care institutions, allocate ** assistive devices, provide ** nursing services, issue operating subsidies for elderly care service institutions, implement ** purchase service projects, and other situations where the assessment conclusions should be used in accordance with regulations.

The assessment fee shall be paid by the applicant, and the assessment fee of the city's urban and rural extremely poor persons, persons from subsistence allowance, low-income and special family planning families, as well as the assessment fee of the continuous assessment personnel initiated by the ** department, shall be borne by the district where the household registration is located, and the required funds shall be arranged by the financial funds.

With the intensification of population aging and the development of old-age care services, it has become an urgent need for society, the elderly and the elderly to carry out mobility assessment and determine the level of care for the elderly. Elderly care institutions need to formulate care plans according to the different mobility of the elderly, ** need to determine the subsidy standard according to different levels of care, and formulate response policies in a timely manner according to the number of disabled elderly people. Therefore, carrying out the ability assessment of the elderly has become an urgent task in the work of pension services.

The elderly go to the nursing home for assessment, which can avoid some disputes.

Vocational Skills Training Enrollment.

Geriatric comprehensive assessment is an important research method to comprehensively pay attention to and deal with the problems related to the health and functional status of elderly patients. It includes not only general medical evaluation (diagnosis), but also assessment of the physical functioning, psychiatric, socio-economic, living environment and quality of life of the elderly. This article introduces the concept, target population, assessment content and implementation methods of geriatric comprehensive assessment, as well as the application of geriatric comprehensive assessment in the elderly.

The division of the age of old age has different divisions according to different criteria.

1. Segment according to the new age.

Divided, under 45 years old is young, 45 59 years old is middle-aged, 60 74 is young old or pre-old, 75 89 years old is old, and over 90 years old is long-lived.

2. According to international regulations, people over the age of 65 are determined to be elderly.

3. In China, citizens over the age of 60 are elderly.

1.Level 1 indicator Activities of daily living.

2.Mental status Perceptual perception and communication Social participation Age.

3.Indicators of ability assessment in older adults.

4.Secondary indicators Eating, bathing, grooming, dressing, stool control, urination control, toileting, bed and chair transfer, walking on flat ground, going up and down stairs Cognitive function, aggressive behavior, depressive symptoms Level of consciousness, visual acuity.

The ability assessment of the elderly is to provide the elderly with the ability of life activities and cognitive ability for the elderly in need.

Mental status and other health status are measured and evaluated, and the physical ability level of the elderly is determined based on the assessment results.

According to the data of "Seven Censuses", the population of Nan is usually inhabited.

Nearly 10,000 people, including the elderly population over 60 years old.

10,000 people, accounting for the total number of permanent residents.

In the face of the continuous growth of the elderly population and the complex and diverse needs of elderly care, the ability assessment of the elderly, as a basic work, can scientifically divide the ability level of the elderly, consolidate the foundation of refined services, and promote the healthy and sustainable development of the city's elderly care service industry.

Yu Hao, director of the Pension Service Division of the Civil Affairs Bureau, introduced that since 2016, Nantong has taken the lead in exploring and carrying out the ability assessment of the elderly, scientifically determining the type of service for the elderly, the level of care and the eligibility for pension service subsidies, etc., so as to better grasp the needs of the elderly and accurately formulate service policies.