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.
“RNAO Falls Prevention CPG” has been developed and frequently reviewed by a panel of nurses and other health professions with expertise and interest in falls and falls related injuries in the older population (Brouwers, et al., 2010, P.18; RNAO, 2011, P.13 ). In addition, it introduces some general principles indicating the authors’ intention of considering the views and preferences of the target population: “The client’s perspective, individual desires and needs are central to the application of the guideline; The over-arching principle that guides the intervention choices is the principle of maintaining the highest quality of life possible while striving for a safe environment and practices. Risk taking, autonomy, and self-determination are supported, respected, and considered in the plan of interventions; Individuals, their significant other(s) and the care team engage in assessment and interventions through a collaborative process” (RNAO, 2011, P.8
Several parts of the final report of the White House Conference on Aging relate to the programs funded by the Older Americans Act. One of the main goals is to promote healthy aging and active living amongst older adults, which will be done through many initiatives including an online course regarding falls from the CDC, health provider training programs, LGBTQ outreach, and Medicare, Medicaid, and Social Security
When we think about medical safety and the risks we can prevent by proper technique and proper method of planning, we must discuss falls. Medical staff and researchers have discovered that falls are among the most common and reoccurring potentially serious safety problems in a medical environment (Byers & White, 2004). Falls greatly affect all types of health care including; acute care, long-term care, and nursing homes, becoming a top health priority internationally. Research has shown that more than one third of people above the age of 65 years fall every year, along with increasing numbers for those with chronic conditions affecting mobility and illness (Child, 2012). Allowing falls to occur at this scale is not only hindering the health care provided, but may cause mortality, serious or fatal injury, patient’s hospitalization period to increase, and a potential reduction of the quality of life of the patient (Child, 2012). An important concern with fall prevention is miscommunication in medical planning and improper use of equipment that decreases the chance of a fall. Falls can be reduced by educating medical staff and designing programs to establish techniques and prevention incorporating everyone that is involved in the patient’s care. By interacting with the medical staff and designing new and improved strategies, teams have recognized a significantly lower fall rate even within a time period
Providers may utilize printed materials that contain information about how to prevent a fall. The benefit of the printed material is that the individuals can keep this printed material and read it later; it helps to reinforce the previous learning about falls and the prevention of falls. When utilizing printed materials in older adults, it needs to be short, concise, and bigger fonts. Moreover, providers should reinforce falls prevention strategies multiple times by using printed materials. The goal of falls prevention is not only to reduce number of falls, but also to help older adults to live independently and safely in their own
The problem I have chosen to decipher is patient falls in the healthcare setting. There are numerous ways to decrease the risk of falls, but today we will focus on prevention. Early prevention is the obvious key to avoiding falls. A contributing factor that goes hand in hand with prevention is communication amongst co-workers. As nurses, it is our job to be advocates for patients, and by using the correct tools given we can prevent these sentinel events. This problem was chosen because I currently work at a neuro rehab facility where falls are common due to severe neurological deficits. Personally, each time a patient falls my
After reviewing the fall data obtained from the cardiac floor regarding falls, I knew a change needed to occur. I have worked with several teams on improvement projects, but I have never taken the lead. According to Stichler (2011), “the leader must guide staff and others through the process of disrupting their current practice patterns, encourage them to let go of current realities, introduce new patterns, encourage them to adopt new standards and stabilize the equilibrium as quickly and painlessly as possible” (p.166). My mentor Veronica Robinson has led several projects to completion. Her knowledge and guidance kept the group on track, resolving issues and providing wonderful ideas when we felt we were confronting barriers. It was a great to have her be apart of this project she provided valuable feedback. She advised me to review research journals from AHQR and OIJN journal articles. To pay particular attention to the measuring fall outcomes, preventing falls in hospitals and tools used to measure progress and quality. We discussed preventative methods regarding fall issues some included audit tool, fall template, fall kit and things staff can do before education. We could gather from our data the unit had tools that were outdated and needed to be revised for
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.
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
Fall are largely preventable are more common in the elderly. They are as a result of two or more factors more commonly environmental. How we respond to risk factors to falls shape the outcome of our encounter or those of other with the fall risk. In this paper, the author discuss the consequences of addressing or failure to address a fall risk and the effect that this has on the individual, risk for litigation and the organization at large.
In conclusion the research shows that further communication is needed between the patient and caregiver. The exploratory study revealed that the informants received fall prevention interventions while hospitalized and at hospital discharge, even though they did not perceive these as such initially. (Clayton 2016). By fully engaging with the patient and family member through better communication this can help their understanding of risks of falls. With effective communication and understanding of the risk of falls, fall prevention can effectively be implement without patient misconceptions.
Hi Thelma. How are you? Great research study proposal. I am currently working in the long-term/acute rehabilitation unit. Our hospital is constantly looking for ways to improve the patient’s safety. Last year we had too many falls in our unit. We used the qualitative research approach to identify the factors contributing to fall, and in finding solutions to reduce risk of falling and injury. Fall data were obtained from incident reporting. The chair person of the performance improvement was also involved in investigating and reviewing the problem. In our case, when the occurrences of the falls were reviewed, 6 out 8 of the patients were trying to get to the bathroom or the bedside commode. Most cases of falls are the elderly, patients with
The clinic will develop a “Elderly Active Living Guide” brochure that will ask a few important questions that are designed to help alert the individual to the his or her fall risk potential. The brochure encourages patients to speak to their provider if they answer “yes” to any of the questions thus starting the conversation. The guide also includes several active living exercises, along with a couple fall facts and lastly community resources that they may seek out if they are uncomfortable starting the conversation with the provider. During the month of September the clinic will have the National Council on Aging posters in the lobby along with the S.T.E.D.I’s fall prevention educational video in the lobby to help educate the patients and community on fall prevention. Patients will also be encouraged to discuss their potential concerns through the fall history questionnaire along with when the medical assistant ask the patients about any recent
Thank you for your great post. I am also working on the fall prevention and reduction but in acute hospital setting. The references you share may also benefit me. Falls affect everyone and can occur in everywhere. However, people in health care facilities are already fragile and falls can lead to more injury and extend the stay in facilities. The is a good topic to create a better change for the organization and patient care.
A 25-year struggle came to an end with a crown placed upon a head of yet another king. Was the French Revolution, revolutionary or was it an attempt at democracy that failed rather quickly with a noble Robespierre becoming a decapitating dictator, who himself later became decapitated? The French revolution was a political movement that swept up a nation, and it swept up the nation in such a way that would leave a trail of political fever for centuries to come. So much so that the hushed whispers of revolution would have monarchies fleeing the continent. David Bell 's "The First Total War" argues that The French revolution was the first war that propelled society into modernity. But what is modernity? Modernity is defined in the Merriam-Webster Dictionary as "of, relating to, or characteristic of a period extending from a relevant remote past to the present time.” To argue forcefully that the French Revolution is the beginning of modernity is both easy and incredibly difficult. The line of what is modern is hazy. A "relevant remote past," implies that some person down the line made a declarative statement of when and what the relative past was. Is the time period of this revolution ‘relative ' because it had technology that allowed for documents to be stored, or is it because this revolution was comprised of angry white men, who felt pressed in some manner?