Geriatric Institutional Assessment Profile (Brazilian version) |
• As regards the hospital you work in, how satisfied are you with the following: |
Individualized care provided by staff. |
LU |
U |
LS |
S |
VS |
DNA |
Elderly patients receiving necessary care. |
LU |
U |
LS |
S |
VS |
DNA |
The way the team addresses issues on geriatric care. |
LU |
U |
LS |
S |
VS |
DNA |
The team's familiarity with the effects of aging on treatment. |
LU |
U |
LS |
S |
VS |
DNA |
Aging being considered as a factor in planning and evaluation. |
LU |
U |
LS |
S |
VS |
DNA |
Older adult patients receiving the information they need to make decisions about their care and treatment. |
LU |
U |
LS |
S |
VS |
DNA |
Families receiving the information and support they need to help seniors in their families. |
LU |
U |
LS |
S |
VS |
DNA |
Staff obtaining the information and data from patients' previous hospitalization. |
LU |
U |
LS |
S |
VS |
DNA |
Continuous care between your institution and different health services. |
LU |
U |
LS |
S |
VS |
DNA |
Adequate continuity between all hospital departments. |
LU |
U |
LS |
S |
VS |
DNA |
• When making decisions elderly care, the following obstacles are encountered. To what extent does each one of them interfere with the care in your hospital? |
Lack of knowledge/familiarity about care for the elderly. |
DNI |
L |
I |
V |
EI |
DNA |
Lack of (or inadequate) written geriatric policies and procedures. |
DNI |
L |
I |
V |
EI |
DNA |
Differences of opinion between professionals (between sectors) about common geriatric problems. |
DNI |
L |
I |
V |
EI |
DNA |
Lack of specialized services for the elderly (such as oral care, podiatry). |
DNI |
L |
I |
V |
EI |
DNA |
Lack of special equipment (e.g. raised toilet seats/special mattresses). |
DNI |
L |
I |
V |
EI |
DNA |
Exclusion of nurses from the decisions of geriatric care. |
DNI |
L |
I |
V |
EI |
DNA |
Economic pressure to limit the treatment or duration of stay. |
DNI |
L |
I |
V |
EI |
DNA |
Lack of staff or time limitations. |
DNI |
L |
I |
V |
EI |
DNA |
Communication difficulties with seniors and their families. |
DNI |
L |
I |
V |
EI |
DNA |
Exclusion of the elderly from their own care decisions. |
DNI |
L |
I |
V |
EI |
DNA |
Confusion about who is responsible for the appropriate decisions. |
DNI |
L |
I |
V |
EI |
DNA |
• How often do you use these geriatric services? |
Specialized nurse in geriatrics or geriatric nursing. |
DL |
W |
M |
LM |
R |
NA |
Geriatrician. |
DL |
W |
M |
LM |
R |
NA |
Geriatric social worker. |
DL |
W |
M |
LM |
R |
NA |
Geriatric psychologists or psychiatrists. |
DL |
W |
M |
LM |
R |
NA |
Patient transfers and internal geriatric services. |
DL |
W |
M |
LM |
R |
NA |
Geriatric texts and magazines. |
DL |
W |
M |
LM |
R |
NA |
Geriatric, conferences/workshops, regional or national. |
DL |
W |
M |
LM |
R |
NA |
• How vulnerable do you feel with respect to legal responsibility for: |
Development of pressure ulcers in the elderly. |
VV |
V |
LV |
NVV |
NV |
DNA |
Elderly patients falling. |
VV |
V |
LV |
NVV |
NV |
DNA |
Accusations of illegal restraints. |
VV |
V |
LV |
NVV |
NV |
DNA |
Injuries resulting from use of restraining devices. |
VV |
V |
LV |
NVV |
NV |
DNA |
Nosocomial infection from the use of a catheter. |
VV |
V |
LV |
NVV |
NV |
DNA |
Lesions resulting from use of sedative medication. |
VV |
V |
LV |
NVV |
NV |
DNA |
• Some older adults may exhibit disruptive behaviour. How often do elderly patients under your care: • To what extent does it disturb or bother you when elderly patients: [F - frequent (5 or more times per week); S - Sometimes (1-4 times a week); N - Never; DNA - Does Not Apply] |
Get picky/demanding. |
F |
S |
N |
DNA |
Get argumentative/critical. |
F |
S |
N |
DNA |
Become uncooperative. |
F |
S |
N |
DNA |
Request guarantees or reaffirmation/attention / assistance/support in decision-making. |
F |
S |
N |
DNA |
Stay awake at night. |
F |
S |
N |
DNA |
Wander about during the day. |
F |
S |
N |
DNA |
Get confused or agitated. |
F |
S |
N |
DNA |
• How strongly do you agree or disagree with the following statements about your hospital: |
Doctors and administrators work together to resolve problems for elderly patients. |
SA |
A |
NAND |
D |
SD |
DNA |
You are allowed to disagree with your supervisor about the care of seniors. |
SA |
A |
NAND |
D |
SD |
DNA |
The employee's participation is sought in setting policies and guidelines for geriatric care. |
SA |
A |
NAND |
D |
SD |
DNA |
Elderly patients are always treated with respect. |
SA |
A |
NAND |
D |
SD |
DNA |
Qualified employees are involved in the decisions about geriatric care. |
SA |
A |
NAND |
D |
SD |
DNA |
Personal growth is encouraged. |
SA |
A |
NAND |
D |
SD |
DNA |
Rights of elderly patients are protected. |
SA |
A |
NAND |
D |
SD |
DNA |
• How strongly you agree or disagree with the following statements: |
The majority of pressure ulcers are preventable. |
SA |
A |
NAND |
D |
SD |
Pressure ulcers occur in about half of elderly hospital patients. |
SA |
A |
NAND |
D |
SD |
It is almost always possible to avoid skin lesions. |
SA |
A |
NAND |
D |
SD |
The heels are one of the regions most susceptible to skin breakdown in bedridden elderly patients. |
SA |
A |
NAND |
D |
SD |
Pressure ulcers can lead to osteomyelitis. |
SA |
A |
NAND |
D |
SD |
Regular massage of prominent bones can help reduce skin lesions. |
SA |
A |
NAND |
D |
SD |
The hospital appreciates the time spent with prevention of pressure ulcers. |
SA |
A |
NAND |
D |
SD |
I don't have time to do daily skin evaluations of my elderly patients. |
SA |
A |
NAND |
D |
SD |
Adequate nutrition is the most essential element to the prevention of skin lesions. |
SA |
A |
NAND |
D |
SD |
Sleeping problems in elderly hospital patients contribute negatively to the hospital's results. |
SA |
A |
NAND |
D |
SD |
Sedatives get rid of hallucinations and agitation in elderly patients with sleeping disorders. |
SA |
A |
NAND |
D |
SD |
The majority of sleeping problems in elderly patients requires the use of sedatives. |
SA |
A |
NAND |
D |
SD |
Sleeping problems should always be treated aggressively. |
SA |
A |
NAND |
D |
SD |
We do a good job identifying and preventing sleeping disorders. |
SA |
A |
NAND |
D |
SD |
The time spent in prevention of sleeping problems is valued in this hospital. |
SA |
A |
NAND |
D |
SD |
Without the aid of sedatives, I don't have time to help prevent sleeping problems. |
SA |
A |
NAND |
D |
SD |
The prevalence of incontinence in elderly patients is close to 20 percent. |
SA |
A |
NAND |
D |
SD |
Problems with urinary continence are a normal part of aging. |
SA |
A |
NAND |
D |
SD |
Kegel exercises are good for all types of incontinence. |
SA |
A |
NAND |
D |
SD |
Constipation can lead to urinary incontinence. |
SA |
A |
NAND |
D |
SD |
The hospital values the time spent managing urinary continence without the use of catheters or incontinence. |
SA |
A |
NAND |
D |
SD |
I try to avoid the use of long-term indwelling catheters in elderly patients, even if that means they occasionally wet themselves. |
SA |
A |
NAND |
D |
SD |
• How strongly you agree or disagree with the following statements: |
We use adult incontinence clothing at night for most of our elderly patients |
SA |
A |
NAND |
D |
SD |
Urinary catheters are adequate in incontinence treatments as long as they are discontinued after 10 days |
SA |
A |
NAND |
D |
SD |
Reducing the use of catheters creates significant demands of the team's time |
SA |
A |
NAND |
D |
SD |
Permanent catheters are the principal cause of sepsis in older hospitalized adults. |
SA |
A |
NAND |
D |
SD |
Bed or chair restraints bring more security to confused elderly patients. |
SA |
A |
NAND |
D |
SD |
Nerve damage may result from the use of restraint devices. |
SA |
A |
NAND |
D |
SD |
Utilizing restraints often contributes to confusion of elderly patients. |
SA |
A |
NAND |
D |
SD |
I check on elderly patients at least once an hour. |
SA |
A |
NAND |
D |
SD |
When the use of mechanical restraints is decreased, the use of sedative drugs increases |
SA |
A |
NAND |
D |
SD |
In this hospital, all reasonable alternatives are attempted before restraining elderly patients. |
SA |
A |
NAND |
D |
SD |
Doctors need better guidelines to help determine what is appropriate care for the elderly. |
SA |
A |
NAND |
D |
SD |
Many elderly patients prefer to let their caretaker make the decision about the what the best treatment is. |
SA |
A |
NAND |
D |
SD |
My colleagues value my opinion about adequate care of elderly patients. |
SA |
A |
NAND |
D |
SD |