Summary Of Fall-Related Efficacy

Strategies for preventing falls among elderly people include ensuring that the environment is free from clutters, and it has adequate light. Encourage elderly to participate in activities and ROM to strengthen and preserve their muscles. Provide assistive devices to that resident who needs it such as cane, walker, wheel chairs etc. Review and address medications with increase fall risks. Ensure that those residents with poor vision are screened and are wearing their glasses.

Current literature has exposed many risk factors for falls. There are both intrinsic risk factors and extrinsic risk factors. Intrinsic risk factors include changes that come with age, such as gait issues, urinary incontinence, and fear of falling. Extrinsic risk factors include those that are related to the physical environment such as improper use of assistive devices and poor floor surfaces. No matter the type of risk factor, it is crucial to conduct a risk assessment when trying to prevent falls from occurring. Pearson and Coburn (2011) found that identifying risk factor for falls will help identify appropriate prevention strategies. Fall risk assessments help determine Talk about

This work has significance because staff and patient education can help prevent falls. Specific interventions decrease falls. Nurses have a responsibility to their patients and their facility to be competent and confident in their abilities to do all that they can to prevent falls. Facilities have the responsibility to provide the tools and the training that is required to carry out fall prevention

Exercises and physical activity have been associated with numerous health benefits including reducing incidences of falls and injuries among the elderly and the geriatric population. Appropriately exercise programs and cardiovascular fitness in older people improve strength and balance. The interventions included strengthening, endurance, balance, flexibility exercises, Tai Chi, stand up/step down procedure and walking exercises. In the first research, the findings were that program targeting balance, leg strength, and freezing gait were only effective in people with milder illnesses, as opposed to more serious disorders like Parkinson’s disease. The study was done for a period of 2 years. In the second research, the findings showed that a multi-component enhanced physical performance of the community indwelling adults but did not translate to psychological outcomes or reduced rates of falling.

Falls are a common and complex geriatric syndrome that cause considerable mortality, morbidity, reduced functioning, and premature nursing home admissions. Falls have multiple precipitating causes and predisposing risk factors, which make their diagnosis, treatment, and prevention a difficult clinical challenge. Identifying effective interventions to prevent falls and fall-related injuries among older adults is a major area of research and policy development in geriatrics. Several published clinical guidelines review the evidence for fall prevention strategies and provide recommendations for assessment and intervention (Rubenstein & Josephson, 2006).

Increased falls on a particular unit became a concern. The unit formed a fall prevention committee. This committee used evidence-based practice to create a plan and interventions to help reduce falls. The fall prevention committee then monitored trends in the fall prevention process, fall rates, medications, surgeries and disease comorbidities that were associated with fall. Implementing these techniques had a significate reduction of patient falls.

I went to Tampa General Hospital Fall Repiratory Care Conference that was held October 27, 2015 at USF CAMLS building downtown Tampa. I chose to try and attend two events in case I could not make one. Working in patient care means that sometimes you won't get out on time to make your arrangement.

The functional independence measure (FIM) was utilized to identify patients who are at a high risk for fall and found that patients who fell had a lower admission and discharge FIM scores than the ones who had not fallen; they also found that those with lower FIM scores were stroke rehabilitation patient and had the highest rate of fall. FIM is defined as a measurement of disability specific to patients in rehabilitation; it has has 18 categories broken down into motor and cognitive components with each category scored on a scale of 1 for total dependence to 7 for total independence. The authors of the research article determined that FIM score have significance in predicting patients who are at a highest risk of falls and is more appropriate to aid in implementing interventions. With the above discovery, Salamon, Victory & Bobay (2012) undertook retrospective pilot study to compare the Morse Fall Scale scores and components of the FIM. The result from the pilot study yielded several important correlations between the Morse Fall Scale and the FIM scores. The study revealed that patient with cognitive impairments, and those with decreased ability to expressed needs are more likely to fall and no correlation with comprehension was found with the

Purpose: The purpose of this study is to determine if registered nurses are utilizing evidence-based practice fall-preventative strategies, such as modification of patient-specific risk factors and implementation of a proper physical training program, to reduce and prevent falls and injuries in the elderly population.

My target population for this project was geared towards the elderly group. "About 40% of this age group living at home will fall at least once each year, and about 1 in 40 of them will be hospitalized. Of those admitted to the hospital after a fall, only about half will be alive a year later."(Rubenstein, 2006) This group although not the highest incidence of falls but rather the highest susceptibility to injury from falls.

Fall prevention is an important healthcare issue in the United States. Fall prevention a critical issue if one considers the ageing population in this country. Effective fall prevention strategies are established after a scientific inquiry revealed current practices and the reason why elderly are prone to fall from their beds. The proponent of this study suggested data- collecting scheme the lasted weeks. A research team was deployed to observe nurses while doing rounds. The team observed how nurses behaved and interact with their patients nursing rounds, after four weeks the proponent of this study discovered the importance of correctly implementing nursing round protocol, the use of the call light system and the need to monitor the side effects

The scenario presents the case of a volunteer group that seeks to prevent falls in a community of persons older than 65 years. The group postulates that implementing exercise programs ((intervention) is likely to prevent falls occurrence. The fact that the discussion centers on what can be done to prevent falls in the at risk group, makes this an intervention

Falls are the leading cause of accidental death in seniors and result in health care services and early admission into nursing homes. The fear of falling is defined as a “lasting concern about falling that can lead an individual to avoid activities that an individual remains capable of performing.” (Cogdill, Allison, Daugherty, Dhigra, 2012). Thirty-three to fifty five percent of older adults experience a fear of falling whether or not they have previously fallen.

Topic- Falls are a common and serious problem in older individuals with or without neurological condition (Pai, Bhatt, Yang & Wang, 2014).

Falling is inevitable at some point in life, and although most of the time falls are not serious, some can be life-threatening. Falls are a danger to both physical and psychological well-being because they may diminish a person’s ability to maintain an active and independent lifestyle.1 There are many factors that place individuals at risk for falls such as age, muscle weakness, difficulty with balance or walking, psychological diagnosis, and several medical conditions.1,2 Approximately one-third of people over the age of 65 fall at least once a year.3 Individuals that are status post stroke are at an increased risk of falls, making falls assessment and prevention a common priority for clinicians treating this population.1,2 Therefore, to direct the experimental methods and build on a basis of previous literature on this topic, the search began using OneSearch, CINAHL, PubMed, and