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Holistic Assessment

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The purpose of this paper is to perform a holistic assessment of the older adult using the SPICES tool.
What is SPICES?
The acronym SPICES stands for Sleeping disorder, Problems with eating and feeding, Incontinence, Confusion, Evidence of falls, and Skin breakdown (Fulmer & Wallace, n.d.). Each area of the tool is important to assess in order to address problems and develop interventions or solutions to the problems to ultimately provide quality patient care.
Sleep is important not only for promoting healing, but also for the overall well-being of the individual. When there are problems with the sleeping pattern, it impacts the overall health and safety of the older adult. The person will not have enough rest and too tired to perform …show more content…
Prior to the assessment, I have explained to Ken the purpose of the said interview assessment and he was glad to be of help. Ken has no problem with his sleeping pattern as he sleeps at least 8 hours a night. He does not take medications for sleep. He does not have problem with eating as he eats a variety of food. The main concern is that he has trouble swallowing at first due to his myasthenia gravis, otherwise, he has no problem swallowing once he gets over the first bite. He reported that he had weight loss when he fractured his hips a year ago but that was now resolved. He is able to maintain weight for his age. He answered “yes” to problem with incontinence. He reported that he has stress incontinence but is getting better. He is able to control his bladder and he only wears an incontinent pad when going out with friends. The complained he had regarding confusion was having short-term memory loss when it comes to names. But he does not let that impede him from socializing. He is active in his church and he regularly bowls with his friends. Ken had fallen twice a year ago and obtained hip fracture each time. The main risk factor for him is his poor vision with depth perception problems. He is legally blind. Ken has skin cancer, but he was eager to tell me that his dermatologist was impressed about the status of his skin when he saw him on September 19, 2016. The …show more content…
Although he has problems in some areas, these did not impede him from enjoying his day-to-day activities and socialization. I discussed with Ken about different interventions he could adopt to keep healthy. The main concern with him is his poor vision and depth perception, which make him at risk for recurrent falls. The interventions suited for him are the use of adaptive mobility devices, such as a walker, to maintain balance and gait. He continues to wear glasses when going out. He does use medical alert necklace, which I encourage him to continually use. See Appendix A for the Patient Education for

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