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What is the purpose of the SPICES tool? - answer To efficiently and
effectively obtain the information necessary to prevent health alterations
in the older adult patient.
What does the S in SPICES stand for? - answer Sleep Disorders
What does the P in SPICES stand for? - answer Problems with Eating or
Feeding
What does the I in SPICES stand for? - answer Incontinence
What does the C in SPICES stand for? - answer Confusion
What does the E in SPICES stand for? - answer Evidence of Falls
What does the 2nd S in SPICES stand for? - answer Skin Breakdown
What is the 1st stage in Benner's Stages of Clinical Competence? - answer
Novice - The Novice or beginner has no experience in the situation in
which they are expected to perform. The Novice lacks confidence to
demonstrate safe practice and requires continual verbal and physical
cues. Practice is within a prolonged time period and he/she is unable to
use discretionary judgement.
What is the 2nd stage in Benner's Stages of Clinical Competence? - answer
Advanced Beginner - Advanced Beginners demonstrate marginally
acceptable performance because the nurse has had prior experience in
actual situations. He/she is efficient and skillful in parts of the practice
, area, requiring occasional supportive cues. May/may not be within a
delayed time period. Knowledge is developing.
What is the 3rd stage in Benner's Stages of Clinical Competence? - answer
Competent - Competence is demonstrated by the nurse who has been on
the job in the same or similar situations for two or three years. The nurse
is able to demonstrate efficiency, is coordinated and has confidence in
his/her actions. For the Competent nurse, a plan establishes a perspective,
and the plan is based on considerable conscious, abstract, analytic
contemplation of the problem. The conscious, deliberate planning that is
characteristic of this skill level helps achieve efficiency and organization.
Care is completed within a suitable time frame without supporting cues.
What is the 4th stage in Benner's Stages of Clinical Competence? - answer
Proficient - The Proficient nurse perceives situations as wholes rather than
in terms of chopped up parts or aspects. Proficient nurses understand a
situation as a whole because they perceive its meaning in terms of long-
term goals. The Proficient nurse learns from experience what typical
events to expect in a given situation and how plans need to be modified in
response to these events. The Proficient nurse can now recognize when
the expected normal picture does not materialize. This holistic
understanding improves the Proficient nurse's decision making. It
becomes less labored because the nurse now has a perspective on which
of the many existing attributes and aspects in the present situation are
the important ones.
What is the 5th stage in Benner's Stages of Clinical Competence? - answer
The Expert - The Expert nurse has an intuitive grasp of each situation and
zeroes in on the accurate region of the problem without wasteful
consideration of a large range of unfruitful, alternative diagnoses and
solutions. The Expert operates from a deep understanding of the total
situation. His/her performance becomes fluid and flexible and highly
proficient. Highly skilled analytic ability is necessary for those situations
with which the nurse has had no previous experience.
What is the purpose of The Epworth Sleepiness Scale? - answer The
effective measurement of average daytime sleepiness. It differentiates
between average sleepiness and excessive daytime sleepiness that
requires intervention. The client self-rates on how likely it is that he/she
would doze in eight different situations.