Reflection Paper For Tina's Discharge Plan

The learning outcomes for this client are, defining type 1 diabetes, ways to monitor blood sugar, factors

increase. The purpose of this paper is to improve patient’s safety examining risk factors for falls using evidence based practice research studies. The studies suggested that falls are associated with many factors like impairments, medication, lack of exercise, and nursing intervention. Strategies for implementation of a fall prevention are listed, along with current nursing practice. Another essential step is to have a completed risk assessment of resident upon admission, modification of the environment assessment and implementing strategies to identified any potential risks.

This article discusses such preventative measures such as visual cues that show a patients risk for falling. Having the fall risk of the patient posted using a sign, and using yellow wristbands that read fall risk to alert personnel to a patients risks for falls. One area this article talks about is the benefit of patients participating in a nurse led preoperative education session that reviewed risk factors for falls. These preoperative classes cover such things as calling for help before getting out of bed. These preoperative classes also talked about preventing postoperative falls. This

• Mobility issues not identified and leading to repeat falls (patient education and fall assessment tools needed to mitigate this risk).

Falls are easily one of the biggest safety risks to any patient in acute or chronic care. Falls themselves can result in secondary problems that can change a patient’s life and every precaution should be taken to prevent falls in the first place, no matter where care is being given. Many precautions and plans have been made by many different types of health professionals to help assess and prevent the risks and decrease the probability of falls. The majority of the patients in hospitals and acute and chronic care centers are a fall risk and their safety is top priority. Increased education and implementation of fall safety will help nursing staff provide better care for their patients. If the same type of precautions, education, and care were given in every facility, the amount of falls could decrease dramatically. Hospitals are prime examples of a facility that makes fall safety one of their top priorities (Neiman, 2011). In centers like nursing homes and long term care facilities, the nursing staff can become less vigilant about implementing fall safety plans to their highest potential. The differences are little, but have a significant impact on the likelihood of a patient falling. The same risks are everywhere.

This model can give us a rating and be an informal tool showing areas that increase chances of falling. Ms J.B. was determined to have depression, elimination issues, regularly takes antiepileptic and benzodiazepine medications, and it takes her several attempts to successfully stand up, rotate, and get into her wheelchair. This gave her a risk factor of nine, which puts her at high risk. Ms J.B. also has poor eyesight, states she doesn’t wear shoes very often, and also has animals in the house. According to Ambrose, Paul and Hausdorff (2013), previous falls and the fear of falling can also increase the chances of additional falls. Even though Ms J.B. is confined to a wheelchair, she states she was able to ambulate, using a walker, a little over a year ago. She does admit to being afraid of falling and one of her falls last year resulted in a broken right hip (J.B., personal communication, January 25, 2017). Teaching this senior to have a clear pathway, proper lighting, proper footwear, and assistance during transfer could help reduce the risk of falls and the fear of falling as

In conclusion, several studies have outlined that falls and fall related injuries are leading cause of mobility and mortality amongst hospitalised patients (Ang, Mordiffi, & Wong, 2011; Sahota et al., 2014; Shuman et al., 2016). According to Ang, Mordiffi, and Wong (2011) targeted multiple strategies focuses on identifying patient’s individualise fall risk such cognitive status, medication of the patient that can contribute to mobility issues and a medical condition that could affect the patient bodily functions. Similarly, Sahota et al. (2014) outline that nurses’ role is to provide health teachings and to develop specific interventions that can minimise patient risk for fall. Additionally, health instructions needs to be provided not limited to the patient but also with the family.As a result, patients will become more educated and play a more active role in their care.

Graham noted that bone density can be improved in the spine by as much as 6% with weight-bearing exercises completed one to two times per week (2011). Through exercising in this approach not only would L.F. increase her mobility, she would also improve her osteoporosis. Graham further stated through this exercise approach the risk of falls would be significantly reduced (2011). Other methods of reducing falls that would apply to L.F. include having a well-lit environment, removing obstacles in walk ways, and utilizing assistive devices, such as a raised toilet seat in the bathroom (Graham, 2011). Additional methods are providing L.F. with supportive non-slip shoes and socks with grips, placing materials she uses daily in an easy to reach place, keeping her bed in the lowest position, utilizing side rails, ensuring that L.F. is using her safety devices when needed, assisting with transfers and toileting, and identifying factors or conditions that could result in a fall. For both improving mobility and reducing the risk of falls, I will educate L.F. of all of these factors, set goals with her, and make sure she understands and verbalizes our plan to improve her quality of

A patient fall can be defined as an event that results in the patient coming to rest on the ground or other surface lower than the body. Falls not only have physical consequences, but also have financial and emotional consequences. Falls unfortunately lengthen their hospital stay resulting in an average increase of 6.3 days. Patient who experience a fall may also experience negative psychological affects and social consequences. The loss of self-confidence in ambulating safely may result in self-imposed functional limitations which can contribute to loss of independence, decreased quality of life, and even death. Inpatient falls are associated with a higher rate of discharges to extended care facilities, and extreme fear of falling has resulted in self-isolation and wheel-chair dependency.

For the purpose of this lesson, the educator will provide education on diabetes mellitus based on Adult Learning Theory and Information Processing. While allowing for a variety of teaching strategies and support for innovation change, the information contained in the curriculum framework is intended to serve as a guide for the educator (Neidorf, 2012). This class will introduce the learner to glucose monitoring devices, how to take his or her blood glucose,

The OT will administer the Falls Efficacy Scale (FES) Assessment Tool with Phyllis before she returns home to help write discharge recommendations. Using AIDET communication the OT would begin treatment by knocking on the patient’s door and ask, “May I enter?” Once the patient responds with “Yes”, the OT may enter the room. If the bed was low the OT could kneel down to the level of the bed to sustain appropriate eye contact. Next, while smiling the OT would introduce themselves to the patient by saying, “Good morning Phyllis. My name is Alissa, and I will be the occupational therapist working with you today.” The OT should smile and reach to shake Phyllis’ hand. The OT should also ask, “Are you familiar with what an OT does?” If not, they should give a quick elevator speech about the profession. The OT should also say, “The questionnaire will take less than 5 minutes, and the nurse said she would be bringing in your next dose of pain medication within the next 10

Learning objective #1: (cognitive) patient will be able to verbalize the signs and symptoms of hyperglycemia and hypoglycemia and the actions to take with each situation.

Risk for Falls: Short term goal: Patient will verbalize an understanding after being oriented to

There has been a substantial body of research building in regards to patient falls due to the injuries and the liabilities that may result from these situations. Fall-related injuries can be some of the most common, disabling, and expensive health conditions encountered by adults, especially older adults (Simmons, 2010). The research has identified many specific risk factors including environmental hazards, adaptive equipment maintenance, psychotropic drug use, physical therapy or exercise, staff education, post fall problem solving, and hip protectors (Colon-Emeric, et al., 2006). However, using these

Patients has a solid grasp on what diabetes is and how it works. This patient was given diabetes education at first diagnosis and when transitioning from insulin pen to insulin pump. The learner appreciated that we brought her updated print outs on diabetes because she prefers to have information to refer back to and also that her boyfriend and eventually her children could look at. The patient’s motivation to learn came stemmed from her feeling like she had a control on her diabetes and wanting to not have another hospital