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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Updated: Sep 17, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Comprehensive geriatric assessment in clinical nursing practice.

Wiesław Fidecki1, Robert Ślusarz2, Zofia Sienkiewicz3

  • 1Laboratory of Clinical Skills, Chair of Nursing Development, Faculty of Health Sciences, Medical University, Lublin, Poland.

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Summary

This study assessed the functional capacity of 264 elderly individuals in Poland using the Nurses

Keywords:
NOSGER scalecomprehensive geriatric assessmentfunctional capacitythe elderly

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Area of Science:

  • Gerontology
  • Public Health
  • Nursing Research

Background:

  • Comprehensive geriatric assessment is a multi-dimensional process for evaluating elderly individuals' capacities.
  • It aims to develop integrated treatment and care plans for older adults.
  • Understanding functional capacity is crucial for effective geriatric care.

Purpose of the Study:

  • To determine the functional capacity of elderly individuals in the Lublin Province of eastern Poland.
  • To identify specific areas of functional deficit in the geriatric population.
  • To explore factors influencing elderly functional performance.

Main Methods:

  • A study was conducted with 264 elderly participants (aged 65-92 years).
  • The Nurses' Observation Scale for Geriatric Patients (NOSGER) was utilized for assessment.
  • Data was collected from seniors in the Lublin Province, Poland.

Main Results:

  • The mean functional performance score for the group was 57.56 points on the NOSGER scale.
  • The most significant deficits were observed in social behavior (12.27 points) and instrumental activities of daily living (11.70 points).
  • Moods and emotions (10.07 points), activities of daily living (8.50 points), disruptive behaviors (7.63 points), and memory (7.73 points) also showed deficits.

Conclusions:

  • The study group exhibited generally good functional performance.
  • Key areas requiring attention include social relations and instrumental activities of daily living.
  • Marital status and place of residence were significant factors affecting elderly fitness.