NCM 114 - GERIATRICS NURSING
INTERVIEW GUIDE QUESTIONS
1. Demographic Profile
Name
Age
Gender
Civil Status
Address
Nationality
Religion
2. What is your usual 24-hour routine?
What time do you usually wake up?
What is your typical diet?
Breakfast, Lunch, Dinner, and Snacks
Number of glasses of fluid taken per day
Frequency of eating meat, fish, fruits and vegetable per week
How is your appetite and nutrition?
What are your activities on a daily basis? (From the time of waking up to going to
sleep)
Involvement in Housekeeping
Roles at Home
Ways for self-care or practicing personal hygiene
Who are the ones who do these activities for you?
Bathing
Full Body Bath
Sponge Bath
Oral Care
Hair Care
Foot/ Nail Care
Dressing
Toileting
Transferring
Food preparation
Feeding
Shopping
Housekeeping
Laundry
Medication Management
Do you still have the capability in performing exercise?
What kinds of exercise do you perform?
What is the usual time for your exercise?
How long does it typically take you to finish your exercise routine?
Do you experience any difficulty in fulfilling those activities? How do you
manage it?
If not, what alternative action do you execute as a substitute for exercise?
What time do you usually sleep?
Do you experience sleep disturbance?
3. How frequent is your body waste elimination? (Per day and week)
Urination (Usual approximate amount, color, difficulty encountered)
Defecation (Usual approximate amount, color, difficulty encountered)
4. How can you describe your present health condition?
Have you experienced any alteration in your sense of seeing, smelling, hearing,
and feeling?
Do you have any skin impairment?
Have you undergone any incident of fall, injury, or accident?
Do you notice any change/ problem in your cognitive ability?
How frequent do you visit your physician? When was your last consultation?
Do you have any existing disease condition?
What are your treatment regimens?
5. What are your current medications?
Do you comply with all the prescribed medication course requirements including
the time, dosage, route, and frequency?
6. How do you entertain yourself?
7. What makes you feel happy and sad?
8. Is there anything that causes you stress today?
9. How do you handle or overcome the problems coming in your life?