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While in graduate school at The Pennsylvania State University to become a nurse practitioner (NP), I received a certificate in gerontology from the Geriatric Center of Nursing Excellence and learned about geriatric syndromes and person-centered care For Gloria, instead of encountering more harm in the ED, we recognized all behavior has meaning, we detected delirium\'s rapid onset (versus dementia or other conditions), and treated it appropriately with best practices instead of inappropriate medications that would have made it worse (American Geriatrics Society Beers® Criteria Update Expert Panel, 2019) [ ]as a NP, I realize that Gloria would likely benefit from further follow up for her mental status with regular screening for cognitive impairment so we can support her at home if needed (Fick, 2018;Fick et al , 2015) Xenia Kugler, MS, CRNP Mount Nittany Physician Group, Internal Medicine Bellefonte, Pennsylvania American Geriatrics Society Beers Criteria®Update Expert Panel
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