Case Study: Post Fall Reassessment

The practice project I have chosen to complete for my Capstone is preventing falls on a medical-surgical unit. “Even with fall reduction programs in place, falls continue to be a significant problem for hospitalized patients. Falls are a perennial top adverse event in inpatient settings, occurring more frequently than catheter-associated urinary tract infections” (Nolan 2016, Medscape Nurse, p.1). My unit has experienced an increase in the number of falls over this past year, which has resulted in an extended hospital stays. I will conduct chart audits over the past six month to determine which population has experienced the most falls. Also, at what times did the majority of falls occur. “Patient falls are widely regarded to be nurse-sensitive

After doing an assessment on our patient involved in the altercation, my RN identified the client’s problem and called the On-Call provider to report the signs/symptoms assessed. After obtaining

The strengths of UW-River Fall’s program offers many advantages such as The National Association of School Psychology (NASP) approval. The campus is a wonderful fit for me due to size and its community based school system. UW-River Falls values diversity, which I found very supportive and comforting. I picked MSUM, because it has the highest ratio of diversity of students in Minnesota’s universities. The integrity of the university to expect students to be open is important to me. I agree that learning is done best when the student is open-minded to new experiences. The faculty and staff of the university seem to be sensitive and responsive to their students since it’s expected of the students.

Your question is really difficult to answer, especially if you have never experienced living in a country during and after war. My decision will depend on my family and the situation that we are in. For instance, if I still have my parents and children of my own, I would probably flee with them. I do not want them to suffer anymore, and going to another country will give them a new hope in life. As what we have seen in the film, Journey from the Fall, Mai Nguyen escaped Vietnam with her son and mother-in-law in order to start a new life in America. I believe that her reason for escaping is to protect her son, who is very young. She is enduring all the pain; such as being separated from her husband just to make sure the safety of their son.

We need to measure the incidents then only we can improve it.so we need to counted and tracked falls rates for quality improvement program. Through tracking programs we know whether the care is improving, staying the same, or it worsening. Our unit is continuously assess our fall rates and fall prevention practice. Fall and fall-related injury rates can measure how well you are following in making patients safer related to falls. Compared to previous year we improved to prevent fall related

A patient that incurs a fall is described as an unanticipated plunge to a surface with the possibly of sustaining an injury. “Each year, between 700,000 and 1,000,000 people in the United States fall in the hospital” reports "A Toolkit for Improving Quality of Care," n.d.

Falls in acute care settings frequently occur regardless of the prevention measures used to eliminate the risk of falling and sometimes lead to fractures, hematomas, head injuries, and spinal cord. It can also lead to a decrease in confidence, independence, and mobility in elderly. However, to prevent a fall, risk factors must be accurately assessed in a hospital setting, in which the patient’s risk assessment information can translate into an action plan if this protocol is applied. Fall has a tremendous impact on the patient, but implementing an accurate assessment will help reduce the risk of falling and the hospital cost. These are just some potential results that could happen, and these results would be generalizable to the study population

The purpose of this study was to provide normative data on fall prevalence in US hospitals by unit type and to determine the 27-month trends in falls prior to the implementation of the Centers for Medicare and Medicaid Service (CMS) rule which does not reimburse hospitals for care related to injury resulting from hospital falls. Does the fact that Medicare will not pay for hospital stays affect the attention nursing staff pay to patients who are fall risks.

Fall prevention is a vital aspect of a nurse’s job in the hospital. In this article, it explains hospitals having fall risk assessment tools, but many of them have not implemented interventions to mitigate patient-specific fall risk to these tools. The research problem addressed even though fall prevention should be modified to the individuals risk factors. Hospitals have not implement the use of fall prevention intervention to targeted patient with specific risk factors. Each patient is an individual and may have different risk factors than the patient in the next bed. The gaps in knowledge for fall risk patient are medical personnel don’t consider patient specific fall risk factors in the hospital setting. This study understands little research

In the opening scene of Survive the Fall by Julia Bright, Kelsey finds herself in Wyoming for the funeral of her brother and father who are killed in an explosion overseas. The alcohol on tap at the hotel bar isn’t doing enough to dull the pain, but it is effectively lowering her inhibitions. She spies a handsome stranger and propositions him to spend the next few hours distracting her from the pain of her loss. Adam’s reluctance turns to enthusiasm as he obliges her request. Under the guise of anonymity, they refer to each other as Angel and Brick and assume they will never see each other again.

To prevent falls, patients should be taught simple interventions that decrease their risk of falls. This applies to their stay in the hospital, as well as when they go home. While planning what the patient should be taught, the nurse should consider the risk factors and circumstances surrounding the patient’s needs (Quigley 2015). Medications are one of the risk factors to consider. The elderly, in particular, are more sensitive to a drug’s effects (Savita et al 2015). Many medications cause dizziness or orthostatic hypotension, while others like antidepressants have a sedating effect. (Savita el al 2015). Patients should be instructed to move slowly when going from a sitting to a standing position. It is a good idea to teach them to stand for at least one minute before beginning to walk. They also need to understand which medicines have a sedating effect, so they could plan their activities around their medicine regimen.

Lynn Haven Ladder was dispatched to the listed location for a routine medical call in reference to a ground level fall. U/A FD was met by Mrs. Terri and led to the back room where her mother was lying prone, with her right arm pin behind her back, with complaint of minor hip and back pain. FD performed a rapid trauma assessment and found no noticeable abnormalities, no complaint of neck or back pain. Mrs. Terri advised that her mother has a Hx of dementia and liver cancer w/ associated symptoms of abnormal weakness. FD assisted Ms. Montgomery off the floor and into the living room. U/A of EMS, FD informed them of patient’s condition and turned over care. Ms. Montgomery was assisted to the ambulance and loaded for transport to Bay Medical

These facts will help people to enlighten about slip and fall injury cases. Most people are not aware that if a person is injured as a result of unsafe conditions on someone else’s property, the landowner or business proprietor may be held legally responsible. The victim should seek help from a slip and fall injury lawyer to evaluate the case to calculate also the demand for damages.

Now, I am aware about the significance of safety measures to avoid falls and have been applying the measures to promote safety to the patients. “Injury preventation is a major concern for older adult. For some, vision is limited, reflexes are slowed, or bone are brittle “(Kozier et al, 2014). It clearly depicts the facts that falls is a major problem in elderly and health care professional need to apply each and every possible safety measures in the health care facility to minimise the incident of fall. It is clear that the bed rails will provide support and act as a barrier that prevents older adults from falling out of bed. In long term care disorder of gait and balance is the main problem of fall for older people. Because of that older

In the next section of the paper, retrospective secondary data from fall investigations done using the Swiss cheese model (SFIM-senior fall investigation methodology) (Zecevic, 2013) are used. Two cases from this data base will be discussed to exemplify the potential importance of TSA to falls prevention in hospitals.