IndexSenior RatingsSPICESKatzLawtonMMSEConclusionWith increasing life expectancy, there is a high demand for healthcare needs for older Americans. According to the Population Reference Bureau (PRB), aging Americans are expected to increase to more than 98 million by 2060 (Mather, 2016). The growing number of older adults face the normal challenges of aging that put them at high risk of developing health-related problems such as chronic and acute diseases, cognitive health, mental health, physical injuries, malnutrition, sensory impairments, self-care and incontinence (Smith, 2016 ). It is important to continuously evaluate the elderly population and identify their needs to “improve health, functionality and quality of life” (HealthyPeople2020). Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay Elderly Assessments On September 27, 2018, I conducted an assessment interview alongside two of my colleagues at Warwick Forest using specialized tools to address and identify older adults' healthcare needs. Our client was an older man who had lived in the facility for almost 3 years.SPICESWe began our interview with the SPICES assessment tool. The acronym SPICES identifies each category that addresses the topics of sleep disorders, eating disorders, incontinence, confusion, falls and skin lesions. The tool can be used to assess healthy and frail older adults who require nursing interventions (Fulmer & Wallace, 2012). Our client denied any category except drop testing. He stated a history of falls and uses a walker. When we reviewed his medical history, we found several histories of falls, but the client appears to remember only the most recent fall. Katz The second assessment tool is the Katz Index of Independence in Activities of Daily Living (ADL). The tool assesses functional status to evaluate the client's ability to perform ADLs such as bathing, dressing, toileting, moving in and out of bed or chair, completing self-monitoring with urination, defecation, and feeding. Each activity is given a score of 1 for independent activities and 0 for activities requiring supervision, direction, personal assistance, or total care (Shelkey ​​& Wallace, 2012). The client was able to perform all tasks without assistance and achieved a total score of 6 which identifies the client as independent. Lawton Another functional status assessment tool is the Lawton Instrumental Activity of Daily Living (IADL) scale. This particular assessment is useful in identifying the needs of older adults in maintaining their finances, managing medications, preparing food, cleaning, and washing clothes (Graf, 2013). According to the client, almost every day he is able to use landlines and call his cousin, who helps him with his finances. He knows the number to dial but finds it difficult to use smart portable phones. He also stated that he was able to perform all instrumental activity without assistance. But because he lives in an assisted living facility, the client receives some assistance with housekeeping and transportation and has full assistance with shopping, food preparation, laundry and medication management. The client scored a 1 in each category for ability to use the telephone, housekeeping, transportation, and ability to manage finances. It scored 0 in each of the shopping, food preparation, recycling and management categories.