Built for one long-stay resident, NU585's Unit 2 assessment moves through every domain in fixed order, marking which findings came from direct testing and which from facility records. Searches like "nu 585 unit 2 assignment example", "nu585 unit 2 sample" and "nu585 unit 2 example" land here.
Eleven Domains in the Same Order Every Time: A Comprehensive Geriatric Assessment of a Long-Stay Resident Eight Months After a Hip Fracture
[Student Name]
Purdue University Global
NU585: AGNP II Clinical - Frail Elderly Focus
Unit 2 Comprehensive Geriatric Assessment
[Instructor Name]
[Date]
The resident is a composite; scores are bracketed, and no test items are reproduced.
Identification
Mrs. [L.], 89, long-stay resident since a right hip fracture repaired [eight] months ago. Diagnoses: dementia, hypertension, osteoarthritis, hypothyroidism.
Domain Table
1. Physical health. Instrument: problem list and examination. Result: stable; right hip healed. Source: record and tested. Consequence: none new.
2. Function. Instrument: Barthel Index. Result: [45] of 100; dressing and transfers weakest. Source: observed, from aides' reports across three shifts. Consequence: therapy review for transfers.
3. Cognition. Instrument: Saint Louis University Mental Status examination (Tariq et al., 2006). Result: [17] of 30. Source: tested. Consequence: consistent with her known dementia; no change from six months ago.
4. Mood. Instrument: Cornell Scale for Depression in Dementia, which combines a caregiver interview with a resident interview (Alexopoulos et al., 1988). Result: [11]. Source: proxy and tested. Consequence: suggests depressive symptoms; see summary.
5. Nutrition. Instrument: Mini Nutritional Assessment short form (Kaiser et al., 2009). Result: [6] of 14, malnourished range. Source: tested and record; weight down [2.5] kg in three months. Consequence: dietitian referral.
6. Mobility and falls. Instrument: Tinetti balance and gait assessment. Result: [14] of 28, high fall risk. Source: tested. Consequence: fall precautions reviewed; therapy.
7. Pain. Instrument: PAINAD, for residents who cannot reliably self-report (Warden et al., 2003). Result: [3] of 10 during transfers; [0] at rest. Source: observed. Consequence: see summary.
8. Skin. Instrument: Braden Scale. Result: [13], moderate risk. Source: observed. Consequence: pressure-relief plan continued.
9. Continence. Instrument: bladder and bowel record. Result: urinary incontinence twice daily; bowel continent. Source: record. Consequence: prompted voiding schedule.
10. Hearing and vision. Instrument: whisper test; examination with glasses. Result: hearing reduced on the left; vision adequate with glasses. Source: tested. Consequence: audiology referral.
11. Social support and goals. Instrument: interview with resident and daughter; advance directive review. Result: daughter visits weekly; goals of comfort and staying in the facility; POLST on file, DNR. Source: proxy and record. Consequence: none new.
Summary: Four Findings for the Next Visit
Pain on transfer is ranked first because it plausibly depresses her mobility, mood and appetite at once, and treating it is the cheapest test of that idea.
1. Pain during transfers, PAINAD 3. Plan: scheduled [acetaminophen] before morning care and therapy; reassess PAINAD in [two] weeks.
2. Depressive symptoms, Cornell 11. Plan: recheck after pain is treated; if still raised, discuss treatment with her daughter.
3. Malnutrition risk, MNA-SF 6, with weight loss. Plan: dietitian; offer preferred foods; check dentures; weekly weights.
4. High fall risk, Tinetti 14. Plan: therapy for transfers and balance; review of sedating medicines.
Domains to Repeat at the Quarterly Review
Function, mood, nutrition, pain and mobility, since each may change with the pain plan.
Why the Order and the Sources Matter
Taking the domains in the same order every time keeps any one from being skipped, and it lets the quarterly review compare like with like. Naming the source for each result matters in a facility, where the resident may not be able to report reliably and the people who know her best work different shifts. A Barthel built from three shifts' observations is more accurate than one built from a single morning. Interpretation is kept to one sentence per row so that no screen is mistaken for a diagnosis; the Cornell score, for instance, suggests depressive symptoms, and the summary asks whether pain explains them before labeling depression.
References
Alexopoulos, G. S., Abrams, R. C., Young, R. C., & Shamoian, C. A. (1988). Cornell scale for depression in dementia. Biological Psychiatry, 23(3), 271-284. https://doi.org/10.1016/0006-3223(88)90038-8
Kaiser, M. J., Bauer, J. M., Ramsch, C., Uter, W., Guigoz, Y., Cederholm, T., Thomas, D. R., Anthony, P., Charlton, K. E., Maggio, M., Tsai, A. C., Grathwohl, D., Vellas, B., & Sieber, C. C. (2009). Validation of the Mini Nutritional Assessment short-form (MNA-SF): A practical tool for identification of nutritional status. Journal of Nutrition, Health and Aging, 13(9), 782-788. https://doi.org/10.1007/s12603-009-0214-7
Tariq, S. H., Tumosa, N., Chibnall, J. T., Perry, M. H., & Morley, J. E. (2006). Comparison of the Saint Louis University Mental Status examination and the Mini-Mental State Examination for detecting dementia and mild neurocognitive disorder: A pilot study. American Journal of Geriatric Psychiatry, 14(11), 900-910. https://doi.org/10.1097/01.JGP.0000221510.33817.86
Warden, V., Hurley, A. C., & Volicer, L. (2003). Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. Journal of the American Medical Directors Association, 4(1), 9-15. https://doi.org/10.1097/01.JAM.0000043422.31640.F7
How this NU585 Unit 2 example is structured
Order is the document's discipline. Domains run from physical health through function, cognition, mood, nutrition, mobility, pain, skin, continence and senses, to social support and goals, so a reader can find any finding in the same place across residents. Each row names its source in a word: tested, observed, record or proxy. That column matters in a facility, where the Barthel draws on aides' reports across three shifts and the Cornell Scale combines a caregiver interview with a resident interview. Interpretation stays brief, one sentence per row, and it never turns a screen into a diagnosis. The ranked summary is where judgment appears: pain on transfer is placed first because it plausibly depresses her mobility, mood and appetite at once, and treating it is the cheapest test of that idea. The last line lists the domains to repeat at the next quarterly review.
Get an NU585 Unit 2 example written to your instructions
Paste the resident scenario from your Unit 2 prompt, list the instruments your section expects, and add the rubric. Every domain is covered in order, each score carries its source, and the four findings that matter most are ranked with a reason. The first sample costs nothing and comes back within 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
NU585 Unit 2 questions, answered
Which instruments suit a nursing facility resident?
Tools that can draw on observation as well as interview often work better than clinic standards. The Cornell Scale for Depression in Dementia and PAINAD are two examples, and the Barthel Index can be completed from staff report. Use whatever your section names first. Whatever the choice, give the score range, the cutoff and a sentence on why the tool fits this resident.
Can facility records supply some of the data?
Usually, yes, as long as the write-up says so. Weights, intake records, continence charting and MDS items are legitimate sources in long-term care. Label each score by where it came from, tested, observed, record or proxy, so a grader knows what you measured yourself. Never copy a real resident's record into coursework; the sample uses invented values throughout.
How long does a finished comprehensive geriatric assessment run?
Often three to five pages, though sections set their own limits. A domain table keeps length under control, since each row carries a score and one sentence rather than a paragraph. Space saved there goes to the ranked summary, which is where the assessment shows judgment. Check the rubric for required domains, because some sections add spirituality or the home environment.