Functional Assessment in the Older Adult


Nursing Diagnosis

Alteration oral mucosa r/t impaired hygiene, decrease fluid intake, etc
Fluid volume deficit r/t decrease fluid intake, absolute loss,
Excessive fluid volume r/t inability for body to regulate self, kidney dysfunction
Impaired skin integrity r/t immobility, bedrest,  patient unable to sit stand, etc
Impaired tissue integrity r/t immobility, bedrest, illness
Hypothermia r/t decrease in bodies ability to auto-regulate due to aging
Hyperthermia r/t decrease in bodies ability to auto-regulate due to aging
Impaired swallowing r/t  neuromuscular impairment, fatigue, and limited awareness
Constipation r/t immobility, decrease dietary needs for body, medication regimen
Diarrhea r/t immobility, dietary change, medication regimen
Bowel incontinence r/t poor bowel control, bowel muscle weakness. 
Urinary incontinence r/t poor bladder control, bladder muscle tone. 
Urinary retention r/t illness status, kidney dysfunction, etc
Activity intolerance r/t cardiopulmonary dysfunction, etc
Imbalanced nutrition:  Less than Body Requirements r/t inability to perform daily task of cooking, lack of exogenous nutrients and increase metabolic demand
Impaired physical mobility r/t stiffening, muscle weakness, 
Fatigue r/t immobility,  decrease load balance, illness status
Self care deficit: Bathing/hygiene; dressing/under; feeding; evacuation r/t decline in strength, loss of muscle control
Altered household r/t change in mobility status, functional status, or illness status. 
Altered gas exchange r/t decrease lung expansion, immobility, recently diagnose illness, alteration in ventilation/perfusion mismatch,  etc 
Decrease cardiac output r/t alteration in preload
Altered tissue perfusion, ineffective tissue perfusion r/t decrease peripheral blood flow
Altered sleep pattern r/t altered functional status
Knowledge deficit r/t Discharge regimen related to lack of information, lack of information about functional status, fluid retention, medication administration, IADL's. 
Fear r/t change in surroundings, caretaker, or activity status
Anxiety r/t threat of biologic, psychological or social changes
Powerlessness r/t health care environment or illness-related regimen
Caregiver strain r/t immobility of family member, increase responsibility due to illness, etc 
Social isolation r/t change in activity status, illness, mobility
Impaired verbal communication r/t decline in speech and muscle atrophy
Sexual dysfunction r/t decrease socializing, decrease mobility. 
Ineffective individual coping r/t situational crisis and personel vulnerability
Compromised family coping r/t illness of family member
Spiritual distress r/t  change in mobility status, family coping, or 
Unilateral neglect r/t perception disturbance
Acute pain r/t transmission and perceptional changes of body impulses
Disturbed body image r/t functional dependence for activity of daily living. 

Risk for Diagnosis

Risk for fall r/t immobility, poor gait, poor muscle tone, bedrest, etc
High risk for fluid volume deficit r/t inconsistant hygiene regiman, immobility
High risk for activity intolerance r/t to immobility
Risk for trauma r/t immobility, age, fall, etc 
Risk for infection r/t to immobility, protein calorie malnutrition, invasive procedures

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