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8/13/2019 1A Curry, Tavolaro-Ryley and McLaughlin
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Recognizing Geriatric
Syndromes in Community
Based Older AdultsTamika Curry, MSN, RN
Laureen Tavolaro-Ryley, MSN, RN, CNS
Barbara McLaughlin, PhD, RN, CNE, ANEF
Community College of Philadelphia
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Weighing
Risks & BenefitsImproved Transitions
Recognizing & Managing
Geriatric Syndromes
8/13/2019 1A Curry, Tavolaro-Ryley and McLaughlin
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Reflection
What types of transitions haveyou seen in the older adults
around you?
8/13/2019 1A Curry, Tavolaro-Ryley and McLaughlin
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Home
Hospital
RehabAssisted
Living
Homewith Help
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CaregiverChanges
RoleTransition
CognitiveChanges
Perception ofHealth
PhysicalChanges
FunctionalChanges
Loss
FinancialChanges
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High stakes
risks duringtransitions in a
vulnerable
population
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GERIATRIC SYNDROMES:
A HIDDEN EPIDEMIC
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WHAT ARE GERIATRIC
SYNDROMES?
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Term used to capture clinical conditions in olderpersons that do not fit into discrete diseasecategories
Multifactorial health conditions that occur whenthe impairments of multiple systems overwhelmthe persons homeostasis
Specific signs and symptoms that occur moreoften in the elderly and contribute to mortality &morbidity.
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Classic Geriatric SyndromesDelirium
Falls
Incontinence
Eating and/or feeding problems
Sleep problems
Skin issues
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Evolving Geriatric Syndromes
Sarcopenia
PolyproviderPolypharmacy
Pain
Frailty
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SPICES
Mnemonic is not intended to be all inclusive
Tool to address the vital signs of an individualizedassessment
Provides an overall assessment of:
Care being given and patient response
Failure to progress in healing
It points to the need for further assessment.
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Remembering Geriatric Syndromes
Sleep disturbances
Problems with Eatingand /or feeding
Incontinence
Confusion
Evidence of Falls
Skin breakdown
S P I C E SFulmer SPICES is a
framework for
assessing older adults
that focuses on sixcommon marker
conditions
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Why is the Concept of Geriatric
Syndromes Important?
Presents an avenue to address common and oftendebilitating conditions leading to hospitalizations
Presence of these syndromes leads to:
FRAILTY Increased mortality
Longer hospitalizations
Increased use of resources
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GeriatricSyndromes
S P I C E S
Decline
Frailty
Poorer
OutcomesDisability-
Dependence
Alternative
living
arrangements
Death
Shared
Risk
Factors
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try this: Best Practices in Nursing
Care to Older Adults
The Transitional Care Model (TCM):
Hospital Discharge Screening Criteria for
High Risk Older Adultshttp://consultgerirn.org/uploads/File/trythis/try_this_26.pdf
http://consultgerirn.org/uploads/File/trythis/try_this_26.pdfhttp://consultgerirn.org/uploads/File/trythis/try_this_26.pdf8/13/2019 1A Curry, Tavolaro-Ryley and McLaughlin
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ACES website- www.nln.org/ACES
www.ConsultgeriRN
Hartford Institute for Geriatric Nursing
Want to know more about
Geriatric Syndromes?
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Questions?