5. Geriatrics Nursing Practice

Program Overview

Immersive Geriatric Care Practical Training | Integrated Training of Empathy, Assessment and Safe Care

The Geriatric Nursing Workshop at the First Affiliated Hospital, Zhejiang University School of Medicine, is dedicated to advanced training in comprehensive geriatric care. Equipped with a specialized CGA Room, the workshop offers each patient a systematic, multidimensional evaluation, with particular emphasis on objective assessments of sarcopenia and body composition. Building on these findings, our team provides individualized, person-centered care guided by the 4Ms Framework (What Matters, Medication, Mentation, and Mobility) and the SPICES bundle (Sleep, Pain, Immobility, Cognition, Eating, and Sensory), with a particular focus on delirium prevention—ultimately enhancing the patient experience.


Program Highlights

· Multidisciplinary Expertise — Learn from an integrated team of geriatricians, nurses, rehabilitation therapists, psychologists, nutritionists, and pharmacists.

· Comprehensive Geriatric Assessment — Master a complete assessment battery and standardized workflow.

· Immersive Aging Simulation — Step into the shoes of older adults through experiential simulation, fostering empathy and a truly person-centered approach to care.

· 4Ms Age-Friendly Care Framework — Gain hands-on experience with the internationally recognized 4Ms framework: What Matters, Medication, Mentation, and Mobility.

· Aspiration Risk & Swallowing Safety — Practice standardized screening protocols and evidence-based strategies for safe swallowing management.

· SPICES Bundle in Acute Care Planning — Develop tailored strategies for delirium prevention and patient safety management, guided by the SPICES framework.

· Active Screening and Non-Pharmacological Interventions for Orthostatic Hypotension in the Elderly


Training Objectives

· Master the principles of comprehensive geriatric care

· Apply the 4Ms Framework to individualized nursing practice

· Implement the SPICES framework for delirium prevention

· Perform standardized assessments of frailty, fall risk, and mobility

· Ensure swallowing safety through standardized aspiration risk screening

· Strengthen multidisciplinary collaboration and person-centered communication

Program Duration

Four weeks of full-time training; customized arrangements may be considered in special circumstances.

Target Audience & Qualifications

Registered Nurse Eligibility

College degree or above, at least 3 years of clinical nursing experience, a valid nursing license, and sound professional ethics.

Nursing Student Eligibility

Final-year nursing student who has completed required core clinical placements and can provide a letter of good standing from the nursing school.


Focus Areas & Skills

· Comprehensive Geriatric Assessment — BIA, sit-to-stand, TUG, gait speed, grip strength, balance & reaction time

· Inpatient Physical Activity Programs — Passive exercises, in-bed aerobic/resistance training, and BMAT-guided activities

· Perioperative Care — Individualized management from pre-op to post-op

· Delirium Bundle Care — SPICES framework (Sleep, Pain, Immobility, Cognition, Eating, Sensory)

· Aspiration & Swallowing Safety — Standardized screening and management

· Multidisciplinary Collaboration & Nursing Innovation


Evaluation and Feedback

Professional knowledge assessment, geriatric assessment skills, aspiration screening, nutrition management, common nursing skills, clinical participation, and reflective learning.

Faculty