Sample Assignment - Geriatric Syndrome
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Geriatric Syndrome conceptual model
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use the term geriatric syndrome to understand the unique features of
certain health conditions that are common in elderly like delirium,
falls, frailty and incontinence. These syndromes are highly found
among aged people, is multi factorial and there is a substantial
level and there is substantial level of morbidity along with poor
outcomes. There is no particular conceptual model or series of
guidelines available for diagnosing geriatric syndrome, so as per the
article by Sharon Inouye, there are four risk factors that should be
tested for geriatric syndrome (Inouye, Studenski, Tinetti &
Kuchel, 2007). These factors are older age, cognitive impairment,
functional impairment and impaired mobility. But the major setback is
that focusing on one syndrome may result in wrong diagnosis and if
all syndromes are considered, there will be less focus.
client selection is of my friend’s grandfather who is a senior
citizen. From past few months he is finding problem in driving and
now from last 2 months he is not able to do his routine chores like
taking bath or eating food. For assessing whether he is suffering
from geriatric syndrome, instead of analyzing the syndromes, a
rolling approach is chosen (Elsawy & Higgins, 2011). In this
approach instead of treating a patient in one sitting, multiple
sittings will be arranged. The four important syndromes identified in
article by Sharon Inouye can be discussed in each sitting
respectively. Even a complete questionnaire will be made ready to
make the task speedy. The assessment for geriatric syndrome will
begin with the review of two important functional ability of an
individual. The first is daily living activities that are done by a
person like eating and dressing. The second is the instrumental
activities in daily living that an individual does like doing
housework and preparing meals.
second step is to analyze the physical health of an individual which
is very important where patient’s past and present physical
conditions is analyzed. The grandfather was not able to cleat both
the test and it seems both the symptoms showed he had geriatric
syndrome. The third step involves identification of other risk
factors. The final evaluation on mobility impairment showed that
though there were many syndromes of geriatric disease present in
patient, there was a sign that these may relate to some other disease
also. So the outcome came to be poor as it was confusing and showed
signs of depression due to which the patient was not able to perform
his routine activities.
improvement of geriatric syndromes, it is better to apply a holistic
approach and draw a well defined guideline that could help in better
application. Through following a better guideline for identification
so geriatric syndrome and a similar approach to it, current practices
can be improve in this field.
analysis for “Views of First Nation Elders on Memory Loss . . .”
loss is such a disease that having a study on that requires
understanding and interpreting what a patient with memory loss feels
rather than analyzing the facts and figures. Choosing the right
methodology is very important for undertaking a research as this
decides the level and authentication of research conducted.
the article “Views of First Nation Elders on Memory Loss . . .”,
an exploratory research is conducted to identify the gap that exist
between the theory and actual views of the patient. The research was
conducted on 21 patients using the grounded theory for research where
interviews of patients were taken and coded to interpret resuls
(Taylor, Hulko, Camille, Amouse,
& Antifeau, 2009).
grounded theory is used in this research as it is deemed to develop a
better understanding of conducting this research on actual patients.
Grounded theory is a general research method which does not belong to
any discipline. This method has strict procedure for data collection
and has well defined guides in place (Carmaz, 2006). Constant
comparison is the process used in this theory which enables to seek
and conceptualize the social patterns. Various components of grounded
theory in this research are:
Real time involvement in data collection: This is very
much visible as the samples are interviewed and constant analysis is
Construction of coding: data coding was done on concept
Constant comparative method: constant comparison is
done with theory, life circle and the responses.
If some other theory of research was used, then it could
have resulted in different outcome. If a quantitative theory was
used, it would have covered collecting data through closed end
questionnaires that could have restricted its results to just outcome
of those questions. Similarly, the recommendations would also depend
on the limited questionnaires provided and so the entire research
would be highly dependent on the researcher and the limited questions
are considered elderly due to their aging in the culture which
results in some disease that can be associated with their age. There
are various issues raised in dementia care. Once the aged are
diagnosed with dementia, the first thing that happens in culture is
the shock that comes to their family. Considering the culture and
care giving, there is a lot of stress related to care giving which
results in abuses and neglect. When care givers are pushed to meet
daily demands of older person without proper training, it results
into heavy frustration and anger which leads them to abusive
an older person is sick or not well, mentally challenged or
physically challenged, there are more chances of abuses by care
giver. In such situation, caregivers find them in very stressful
condition like being trapped. This results in them being unaware of
resources and assistance with proper training. Due to lack of skills
to handle such situation, caregivers feel being physically forced
especially when the resources are short which results into neglectful
situation. Sometimes it happens that the self image of a caregiver of
a “dutiful child” may increase the problem as they feel that it
is their duty to take care of elderly and any interval taken in it is
breach of elder’s trust.
this, even the societal attitudes make a contribution towards
violence against elders making an easy way for continuing of elderly
abuse without any intervention. In such cases, the elders are
devalued, demeaned and are not respected and it is the societal
thinking that what is going in a person’s house is private and
their family matter.
Nurse plays a very important role in diagnosis,
assessment and treatment of dementia. Once a person is identified
with dementia, family of the patient is the first to get affected.
Dementia is a very common disease among the elderly people; still it
lacks awareness which results in non caring attitude and shock from
the family (Michelle, 2009). There are many questions and queries
that could be asked by family regarding the disease and how to take
care of such patients. It is the nurse that comes to the rescue fo
family and patients in such atmosphere. Nurse is considered
responsible to ensure that family and patient both are at ease after
identification of dementia.
provide treatment, care and support with people suffering from
dementia. Assessments are carried out by nurse at their home. After
conducting assessment, they provide advise them on dementia and
advice their caregivers on methods of coping with such patients,
handling them and ways of improving the quality of life and health of
dementia patients. But considering the physical nursing tasks, the
nurses do not do them. Examples of such tasks are changing of
bandages or catheters.
assessment period, nurse remains with the patient round the clock to
observe and analyze the symptoms seen in them. Besides this, nurse is
the person who handles the patient, takes care and ensures all of
their needs are satisfied. Nurses are mentally and physically drained
while handling dementia patients. After assessment, even the work
plan for dementia patients is prepared by nurses who ensure the same
is implemented when the patient is staying at service centers and
even when they are home through involvement of family member.
nurse plays very important role in assessment, diagnosis and
treatment of dementia patients as they are with them and takes care
of their need including preparation of work plan.
Grounded Theory: A Practical Guide through Qualitative Analysis.
Thousand Oaks, CA: Sage Publications.
ELSAWY, B. & Higgins, K. (2011). The Geriatric
Assessment. [ONLINE]. Available on
[accessed 5 November 2014].
Inouye, S., Studenski, S. Tinetti, M. & Kuchel, G.
(2007). Geriatric syndromes: clinical, research and policy
implications of a core geriatric concept. The American geriatric
Michelle, S. (2009). Dementia From Diagnosis to
Management - A Functional Approach. Hoboken : Taylor & Francis.
D., Hulko, W., Camille, E, Amouse, M., Bachynski,
N. & Antifeau, E. (2009). Views of First Nation Elders on Memory
Loss and Memory Care in Later Life.
Science+Business Media, LLC