Improving Care for Geriatric Syndrome Based on S-P-I-C-E-S Framework

Abstract

Objective : The Action research aims to development assessment tools and plan of care for geriatric syndrome base on    S-P-I-C-E-S framework.

Material and Methods : There were 4 phases using for improving care: 1) Problem and situation analysis, 2) Development assessment tools and plan of care base on S-P-I-C-E-S framework , 3) Try out the model and 4) Applying and evaluating the model. Study subjects were 15 nurse and 60 elderly patients in medical ward (4-7) at Maharaj Nahkon Si Thammarat hospital between January 2016 to May 2016. Descriptive statistics were used for data analysis.

Results : It was found; six syndromes are captured by S-P-I-C-E-S. Patients admitted presented with 1-3 syndrome (75.0%). The most common syndrome present an admission were evidence of fall (63.3%). The assessment and plan of care in geriatric syndrome for nursing practice improved the quality of care in three aspects including the process, patients and nurses. For the process, the participating nurses were able to increase assessment and to initiate care plan to cover 6 marker of S-P-I-C-E-S in 24 hours after admission (84.4 %). In the term of patient aspect, the assessment and plan of care in geriatric syndrome for medical nursing practice improved the quality of care had resulted increase in rate of prevention of fall (100.0%). Majority of the participation nurses reported that the assessment tools and plan of care were considerably appropriate and important key to improving quality of care.

Conclusions : the assessment tools and plan of care base on S-P-I-C-E-S concept was successfully, and easy to used, it is a realistic model for assessment geriatric syndrome in elderly. Moreover, it became a practical guideline for healthcare professional regarding they can give older patients a standard care cover the whole system in next phase.