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Hospitalizations in Older Adult

Terms in this set (10)

Describe SPICES
6 conditions that lead to longer hospital stays, higher medical costs, and death, but can be prevented or managed early
What are the 6 SPICES?
-sleep disorders
-problems with eating/feeding
-incontinence
-confusion and evidence of falls
-skin breakdown
How can you manage sleep disorders in the hospital?
-attempt to keep patients awake during the day to prevent insomnia
-identify contributing factors to insomnia
-manage the patient's pain by giving pain medication before bedtime
-postpone treatment if possible until waking hours or early morning
What are contributing factors to insomnia?
-pain
-chronic disease
-environmental noise and light
-caffeine
How can you manage problems with eating/feeding in the hospital?
-perform nutritional screenings on the 1st day of patient's admission
-collaborate with the RD about the pt's nutritional status
-consider cultural preferences and determine what foods the patient likes
-consider cultural preferences and determine what foods the patient likes
-manage sx
How can you manage incontinence In the hospital?
-identify causes
-place the patient on toileting schedule or a bowel/bladder training program
What can cause incontinence in the hospital?
-chronic or acute disease (dementia, incontinence disorder)
-ADL ability
-available staff
How can you manage confusion and evidence of falls in the hospital?
-avoid multiple drugs and promote adequate sleep can prevent acute confusion
-fall risk assessment on admission
-educate on falls
-ask for assistance when moving the patient
-assess for risk factors
What are risk factors for confusion and falls in the hospital?
-hx of falls
-older than 80
-multiple illnesses
-generalized weakness
-gait instability
-disorientation
-drugs
-incontinence
-communication impairments
-visual impairments
-alcohol or substance use
-nocturia
How can we manage skin breakdown in hospitals?
-prevent by repositioning q2h
-increase mobility and activity level to prevent skin breakdown
-use skin cleansing agent and moisture barrier agent
-provide patient with nutritional support
-use gentle touch
-report any open areas
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