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This article evaluates the impact of care transitions on the prevalence and stability of various geriatric syndromes among older adults at the point of discharge from hospital to skilled nursing facilities, to home. Polypharmacy, the topic chosen for this project, is identified in the study as a geriatric syndrome although this is not usually included. However, because of the prevalence of polypharmacy among older adult patients and the correlating risk factor that polypharmacy is known to play in the commonly accepted geriatric syndromes, it was included. Statistical data about the numbers of older adult patients who experience one or more geriatric syndromes is provided and roughly reflect data seen in other research on the prevalence of polypharmacy in this population. The geriatric syndromes assessed in the study included “cognitive impairment, depression, incontinence, unintentional weight loss, loss of appetite, pain, pressure ulcers, history of falls, mobility impairment, and polypharmacy” (p. 2027). There are studies with much greater reliability about the prevalence of polypharmacy as a stand-alone issue. The sheer nature of polypharmacy, often the consequence of two or more comorbidities, supports the importance of inclusion in this study and in this presentation. The authors identify the limitations of the study including the sample size being limited to one geographical area and including relatively small number. The data collection methods for each category were mostly strong and reliable sources, including admission and discharge records, direct patient interviews, and well-known, reliable assessment tools. The data collection and conclusions are important in bringing about awareness among health professionals about the often negative impact of polypharmacy as patients transition from one care setting to another. The Standards of Gerontological Nursing Practice Professional Performance Standard 13, calls for nurses to integrate research into practice, not only to seek out existing research to support nursing care practices, but to advocate for and participate in research when possible. This study has a lot of potential to be expanded on and implemented on a scale that would provide the statistical significance necessary for it to be a powerful tool in practice and policy development. These potential opportunities for the audience will be included in the in-service presentation.

Type of service: Academic paper writing
Type of assignment: Coursework
Subject: Nursing
Pages /words: 1/275
Number of sources: 2
Academic level: Sophomore(college 2nd year)
Paper format: APA
Line spacing: Double
Language style: US English