Fall And Fall Prevention Case Study

Inpatient falls after joint replacement surgeries can cause many complications, prolong hospitalizations and increase healthcare costs. These falls can lead to things such as wound infections and sometimes falls can even require a patient to have a revision surgery. This is especially true in postoperative joint replacement surgical patients. While assessing the orthopedic surgical unit where I work, gaps were found in completing fall risk assessments on patients, which is a requirement. Strategies to prevent falls were not always being followed. Things like a postoperative patient that may require two people to help while ambulating at least for the first day or so was not being done. If the requirement for a two person assist is not

Thank you for your information. I total agree evidence-based practice in fall prevention has improved patients' outcome. In my hospital, we did have 75 patients fall last year and one of them even caused the fracture which cost an arm and a leg. Therefore, the manager searches the evidence -based research and try to prevent these accidents. After implementing the fall prevention protocol with evidence-based practice, we have decreased our fall to 7 from the beginning of this year to the present. The real example can be the strong evidence to support that evidence-based practice can benefit from patients,

An hourly rounding is an excellent precaution strategy to make sure that patients’ alarms, call lights, and personal belongings are within reach. One benefit of hourly rounding is that it is pro-active. It reduces patients’ need to get up, thus reduced falls. In Kamehameha Nursing Home, hourly round is required, but because nurses are most of the time busy, they often forget to implement it. This needs to be addressed in order to reduce the number of falls in the facility (Agency for Healthcare Research and Quality, 2013). If Universal Precautions is effectively implemented, Kamehameha Nursing Facility’s fall incident will decrease.

Brittany Nix- This writer believes a key point or concern for health care professionals is how to keep the middle age group safe while maintaining privacy and independence. In comparing the first research to the current, data findings revealed the incidence of falls in middle-aged inpatients were similar to older inpatients. Far too often this writer feels the nursing profession stereotypes the older population while overlooking the risk in middle aged adults. This writer believes this research challenges nursing professionals to implement individualized fall prevention for patients, regardless of

The nursing process has been improved along the way, from Orlando’s original four step process in the late 1950’s, then, a separate step of a nursing diagnosis was added. As to the American Nurses Association Scope and Practice (2nd Edition, 2010), there was another important step of expected outcomes to identify patient goals. So, as the nursing process has been re-evaluated and improved the patient is re-evaluated and improved by the improved nursing process-problem solver. My fall prevention project has revealed to me and my readers there are vast numbers of risk factors that are involved in falls including medications, nutrition, cultures (beliefs), mental status and a history of falls. The nursing process has been and will always be used

There has been a significant increase in the numbers of fall the past two weeks. Many resulted in serious head injuries. Please meet with the staff on your unit/shift to identify possible cause and develop strategies to prevent falls. Here are some suggestions:

In the healthcare system, Core Measure sets are used to measure quality care. It consists of pneumonia, heart attack, immunizations, emergency department, sepsis, for infection prevention, and others. Evidence-based treatments are used to prevent occurrences using structures, processes, and outcomes. In nursing, they have adopted a similar method of performance measures, known as nursing-sensitive indicators. It includes falls, and this indicator is implemented in each unit of the hospital and managed by the manager and educator along with others like CAUTI and CALBSI. According to the American Hospital Association article (2015) “Falls with Injury,” Patient falls-an unplanned descent to the floor with or without injury to the patient affects between 700,000 and 1,000,000 patients each year.”

The following paper is a written critique of the following research article “Improving the evaluation of risk of fall through clinical supervision: an evidence” (Cruza, Carvalhoa, Lopesb, 2016). The purpose of this critique is to analyze, evaluate, and review each section of the above stated quantitative research article. This quantitative, descriptive and correlational study focuses on improving patient safety and quality of nursing care by improving the evaluation of a patients' fall risk using the Morse Fall Scale (MFS) assessment tool in practice under the implementation of a clinical supervision model. (CS)

Great job with this week post. I especially like the point that fall prevention policy and procedure should be on the units in the facility. But, do you think that having the policy and procedure on the units is the only action needed to help prevent falls in the setting. Identify the factors that contribute fall in the OB setting, such as, epidural hypotension, maternal sedation, early ambulation, fatigue, and hemorrhage. According to Lockwood and Anderson, woman is at risk for falling following vaginal or cesarean birth, especially, during the initial attempts at ambulation. Patient education is very important in preventing falls for instance, the RN should caution the new mother not to attempt to walk or carry her newborn until her

Qualitative data analysis was obtained in this study in which eight major themes were revealed. The overall perception includes past falls, fall risks, and fear of fall-related injuries. (Shuman, 2016). Overall, the initial perception of the patients was they did not receive fall prevention information. As the interview continues the participants were able to give examples of fall preventions given to them by the healthcare providers’. The data analysis supports the conclusion that healthcare providers need provide clarity to patients and family member in order to prevent falls.

At the center of a successful falls prevention program is an organizational culture that values safety for both patients and associates. Creating a culture of safety is one of the key interventions that reduce harm for patients in a heath care setting (Quigley & White, 2013). If a health care organization fails to protect patients from harm, there are both legal and financial implications. In the effort to prevent harm to patients and hospital acquired injuries, the Centers for Medicare and Medicaid Services (CMS) introduced pay-for-performance and the value-based purchasing program in 2008. These non-payment programs, withhold payments to organizations that report hospital acquired injuries such as falls (Rheaume & Fruh, 2015). A reduction is reimbursements leaves a health care organization vulnerable to financial instability. A lack of financial resources can lead to staffing reductions and lack of investment in patient safety interventions; both have been shown to lead to poor patient outcomes (Trepanier & Hilsenbeck, 2014).

As a nurse we want to ensure that our patients receive a high quality of care. Patients should feel safe and satisfied while hospitalized. Many hospitals are continually looking for answers and implementation to significantly reduce the inpatient fall incidents. According to Bechdel et al (2014), the top priority of health care organizations nationwide is to reduce and eliminate falls within the clinical care settings. One of the serious problems in acute care hospital is the patient’s fall. The unfamiliar environment, acute and co-morbid illnesses, prolonged bedrest, polypharmacy, and the placement of tubes and catheters are common challenges that place patients at risk of falling. Most of the falls that I have encountered while working involves

I am going to focus on a particular and an effective intervention for fall prevention in aged care facilities, which is medication review. According to Australian Commission on Safety and Quality in Health Care (2009, p. 72), almost all of residents in aged care facilities are prescribed one medication and more than 60% of residents are prescribed 4 or more medications, 47% taking psychoactive drugs regularly, 11% taking sedatives regularly and 21% taking antidepressants regularly. Polypharmacy is highly common in aged care facilities in this country and has been proven as one of the main factors for falls (Baranzini et al. 2009, p. 228). Certain types of medications are strongly associated with the negative outcomes, such as diuretics, antiarrhythmics,

Falls are considered a leading cause of mortality and injury among older adults and majority of the falls occurs while hospitalized. One would think being in the hospital would be one of the safest places for older adults as far as fall prevention is concern due to the fact that hospitals provide staffing around the clock for patients but more and more falls have been occurring in the hospital especially in the older adult population. Fall is an unintended descent to the ground. It raises public and family care liability; it also decreases patient’s functioning because it causes pain and suffering, and increases medical costs (Saverino et al, 2015). The Center for Disease Control

Problem: Patient falls have long been a common and serious problem in hospitals across the nation, causing