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Fulmer SPICES: Overall Assessment Older Adults Cheat Sheet by

Overall Assessment of Geriatric Person
assessment     healthcare     spices     geriatric     tool     fulmer

Introd­uction

Normal aging brings about inevitable and irreve­rsible changes. These normal aging changes are partially respon­sible for the increased risk of developing health­-re­lated problems within the elderly popula­tion. Prevalent problems experi­enced by older adults include: sleep disorders, problems with eating or feeding, incont­inence, confusion, evidence of falls, and skin breakdown. Famili­arity with these common­ly-­occ­urring disorders helps the nurse prevent unnece­ssary iatrog­enesis and promote optimal function of the aging patient. Flagging conditions for further assessment allows the nurse to implement preven­tative and therap­eutic interv­entions (Fulmer, 1991; Fulmer, 1991)
Credit: The Hartford Institute for Geriatric Nursing, New York Univer­sity, College of Nursing is cited as the source.

SPICES Assessment

SPICES
Yes
No
S - Sleep Disorders
[__]
[__]
P - Problems with Eating or Feeding
[__]
[__]
I - Incont­inence
[__]
[__]
C - Confusion
[__]
[__]
E - Evidence of Falls
[__]
[__]
S - Skin Breakdown
[__]
[__]
Fulmer SPICES is an efficient and effective instrument for obtaining the inform­ation necessary to prevent health altera­tions in the older adult patient (Fulmer, 1991; Fulmer, 1991; Fulmer, 2001). SPICES is an acronym for the common syndromes of the elderly requiring nursing interv­ention:
 

SPICES

TARGET POPULATION

The problems assessed through SPICES occur commonly among the entire older adult popula­tion. Therefore, the instrument may be used for both healthy and frail older adults.

VALIDITY AND RELIAB­ILITY

The instrument has been used extens­ively to assess older adults in the hospital setting, to prevent and detect the most common compli­cations (Fulmer, 2001; Lopez et al., 2002; Pfaff, 2002; Turner, J. et al., 2001; NICHE). Psycho­metric testing has not been done.

STRENGTHS AND LIMITA­TIONS

The SPICES acronym is easily remembered and may be used to recall the common
problems of the elderly population in all clinical settings. It provides a simple system for flagging areas in need of further assessment and provides a basis for standa­rdizing quality of care around certain parame­ters. SPICES is an alert system and refers to only the most freque­ntl­y-o­ccu­rring health problems of older adults. Through this initial screen, more complete assess­ments are triggered.
It should not be used as a replac­ement for a complete nursing assess­ment.

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