Geriatric Syndromes & Assessment Questions With Complete Solutions
8 views 0 purchase
Course
Geriatric Syndrome
Institution
Geriatric Syndrome
Geriatric Syndrome (definition) - ANS A symptom, or a complex of symptoms, resulting from multiple diseases and risk factors
Geriatric Syndrome (causes) - ANS - Multiple medications, reactions
- Multiple diseases
- Environmental conditions
- Age-related changes
Geriatric ...
"SPICES" Framework (Fulmer) for assessing for Geriatric Syndromes - ANS S - Sleep
disorders/disturbance
P - Problems eating or feeding
I - Incontinence
C - Confusion
E - Evidence of falls
S - Skin breakdown
, Sleep efficiency (definition) - ANS - A ratio of the amount of time spent sleeping compared
to the amount of time spent in bed (time sleeping / time in bed)
- Sleep efficiency decreases with age
- In older adults, sleep efficiency drops below 0.8 to as low as 0.4 and people spend less time in
later stages of sleep
Pittsburg Sleep Quality Index (PSQI) - ANS - A self-rated questionnaire that assesses
sleep quality and disturbances over 1-month
- Seven "component" scores generated:
(1) subjective sleep quality
(2) sleep latency
(3) sleep duration
(4) habitual sleep efficiency
(5) sleep disturbances
(6) use of sleeping medication, and
(7) daytime dysfunction
- Sum the seven components yields one global score
Epworth Sleepiness Scale (ESS) - ANS - A scale intended to measure *daytime
sleepiness*, by administration of short questionnaire
- Subjects rate their probability of falling asleep on a scale of increasing probability from 0 to 3
for eight different situations
Sleep Disturbance - Nursing Interventions - ANS - Avoid chemicals, especially ETOH &
caffeine before bed
- Avoid heavy meals & fluids before bed (nocturia is common)
- Avoid activity/excitement after 17:00
- Encourage a regular schedule - going to bed and waking at the same time everyday
- Alternative therapies - guided imagery aromatherapy, relaxation
S*P*ICES - Problems with Eating and Feeding - ANS Problem: inadequate feeding
Contributing factors:
- inability to feed self
- bedside table out of reach, poor positioning
- food gets cold
- IV lines/equipment in the way
- poor appetite, nausea r/t medications, worry/anxiety, pain
Implications: malnutrition, prolonged illness
Assessment tools: *The Mini Nutritional Assessment*
Problems with Eating & Feeding - Nursing Interventions - ANS - Identify food preferences
- Position OOB in chair, upright
- Make meal time as normal as possible, avoid interruptions
- Encourage significant others to be there when eating (socialization)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DocLaura. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.89. You're not tied to anything after your purchase.
