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AJN The American Journal of Nursing. 107(10):40-48, October 2007
Fulmer SPICES, developed by Terry Fulmer, PhD, APRN, FAAN at New York University College of Nursing, is an efficient and effective tool for obtaining the information necessary to prevent health alterations in the older adult patient. This program demonstrates the SPICES assessment process, and describes how this framework translates across settings and can even be used after discharge to home. In addition, Dr. Fulmer provides some historical insight as to how our approach to care of older adults is moving from treating symptoms to preventing problems.
For you, the thought of a warm bath or shower is probably a treat anticipated to provide comfort and relaxation. How unfortunate that for those with dementia, the bathing experience may be a painful, frightening, and humiliating procedure.
With planning and a process customized to address each person’s unique needs, or a person-centered approach, older adults with dementia can be spared a negative experience. This 30-minute program is based on the April 2006 New Look at the Old AJN article by Joanne Rader MN, RN, et al, titled: The Bathing Of Older Adults with Dementia. The video outlines cutting-edge research and presents best practices in bathing from researchers and practitioners, as well as guidance from the perspective of a state regulatory agency on what actually constitutes compliance with relevant standards of care.
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