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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

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Reflection

What types of transitions haveyou seen in the older adults

around you?

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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.pdf

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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?