Fall Prevention: A Workplace Overview According to Zhani (2015), the Joint Commission describes falls with serious injury as one of the top sentinel events reported; defining a sentinel event as, “a patient safety event (not primarily related to the natural course of the patient’s illness or underlying condition) that reaches a
HSC 3003: Provide support to maintain and develop skills for everyday life 1.1. Compare methods for developing and maintaining skills for everyday life. Within my work setting of the nursing home, we have several ways we help develop skills for every day life. Within the home we have a physiotherapist, who works with residents to help them get better mobility by helping them move their arms and legs better as an example and encouraging them to attempt the exercises when alone also.
He wants to become independent in ADLs such as bathing, toileting, dressing, transfers and IADLs such as caring for his grandchildren and home management. CP is successful in communication, feeding, grooming, hygiene, and bowel/bladder management. He is contact guard for transfers, mobility and bathing. CP currently struggles to shower and dress his lower body, transfer from bed to wheel chair and wheelchair to toilet/shower bench.
Applying Standardized Terminologies in Practice Many patients admitted to the stroke and orthopedic rehabilitation unit have impaired physical mobility. The length of time in rehabilitation is ten to fourteen days. Many times nurses, patients and family members form bonds that last long after the discharge. I recently had the opportunity to take care of a patient I will never forget. Mrs. C was admitted to the rehabilitation unit following recent hip surgery. She is eighty years old and had fallen raking leaves in her front yard. Mrs. C has a history of hypertension, arthritis and gout. Medications include aspirin, metoprolol and allopurinol as needed. Prior to admission Mrs. C lived independently and has two children who checked on her routinely. No cognitive or mental deficits are noted. Key parts of this paper include the introduction, NANDA, NIC and NOC elements, data, information, knowledge and wisdom and the conclusion.
7. Generally, PD causes anorexia, decreased sense of smell, constipation, dry mouth, difficulties chewing and swallowing. What interventions are used to address these issues?
Falls are highly common amongst the elderly, particularly those who lack mobility, are in hospital, or are living in a nursing home. When an elderly person falls, their activities of daily living may be impacted due to injuries sustained from the fall. It is essential that precautions are put in place to prevent falls in all settings. This essay will discuss the statistics surrounding falls, prevention strategies, and the impacts of a fall on a patient’s ability to complete activities of daily living.
The efficacy of these interventions must constantly remain under scrutiny by maintaining surveillance of statistical evaluations. In addition, as a profession nursing must take into account practices that are working and those that are not based on evidence based practices and continue learning from past mistakes. It is also important not to overlook or take for granted even the slightest possible interventions for fall prevention. For example, although the CDC has ambiguously concluded that exercise programs can improve physical functioning but does not appear to reduce falls in nursing home patients, there is ongoing research that may conclude differently. The changes to current nursing practice are two-fold: 1) be open to change, 2) accept the challenge to analyze the data, learn from successes and failures, and seek to do away with unsustainable ineffective practices to reduce patient
Ms.D. is independent and lives alone in her home, however, she reports difficulty remembering to carry out or terminate activities. She reports that she has forgotten to turn off the sink twice this year and flooded her apartment both times. The Functional Activities Questionnaire was chosen to inquire about her safety and the other activities in her life. Next, the Berg Balance Scale was used to highlight Ms. D.’s risk of falling noted by her “furniture-walking”, foot drop, and failed hip replacement. She carries a cane with her but often walks in the senior center without using it. Also, Ms. D. reports difficulty walking in the community and states that she needs a break every five steps due to fatigue. Lastly, the Modified Mini-Mental State Exam was chosen to determine Ms. D.’s cognitive impairment level, if any, and to rule-out Alzheimer’s Disease. As her chief complaint, Ms. D. reports often forgetting the names of people, places, and things. As mentioned before, she has forgotten to turn off her sink and flooded her apartment
ORAL PERIPHERAL SPEECH SYSTEM: At rest and during speech, X showed symmetry in her lips and face. She was a nose breather and showed adequate range of motion for lips and jaw during speech. X demonstrated adequate tongue-jaw and lip-jaw dissociation. She demonstrated sufficient lip strength and was able to produce a tight labial seal. X presented with adequate range of motion of her tongue as noted by her ability to protrude and retract the tongue, create lateral tongue wags, and elevate the tongue tip. She presented with difficulty when fully encircling her lips with her tongue. The client’s dentition was unremarkable.
Current Nursing Care Balance, strength, and mobility are used in day to day for activity of daily living that are used by both independent and dependent adults. Mobility is defined as “the
Conclusion/Priorities: The individual has been ordered several alarms to alert staff anytime he attempts to stand up from his WC or bed unassisted. Due to his inability to properly ambulate, checking on him regularly after meals to see if there is a need to toilet has decreased the amount of times he has attempted to ambulate unassisted, therefore decreasing fall risk. I have also noticed that the resident enjoys coffee, and by getting him a cup he is content with staying seated in his WC and it appears to alleviate the desire to leave for a
Meijers et al (2012) secondary analysis shows that there is a link between falls and malnourishment in the home care setting but it also took into account comorbidities and the mobility of the participants.
● Activities of Daily Living/Instrumental ADL –self-care activities due to lack of interest or pleasure, home-making, driving, dressing, and eating Addressing functional use of her right hand will optimize independence with ADLS
Stage three: Stage three symptoms of Parkinson's disease can be rather severe and include the inability to walk straight or to stand. There is a noticeable slowing of physical