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Fall prevention overview
Fall prevention overview
Ways to prevent falls essay
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WHAT ARE SOME SAFETY TIPS FOR PREVENTING FALLS?
Ask your health care provider about your child’s risk of falling. Find out if any of your child’s medicines or treatments cause dizziness or affect balance. Make a plan with your health care provider to keep your child safe from falls. The plan may include:
• Having your child ask for help to move around at any time, especially after surgery or if he or she feels unwell.
• Having your child ask for help to get objects that are out of reach.
• Keeping the floor clean. Remove all clutter from the sides of beds and cribs.
• Keeping the bed locked in the low position.
• Keeping the side rails up at all times, unless someone is providing care.
• Making sure that the nurse call button is within reach.
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• Using the provided safety straps with infant carriers, strollers, car seats, and wheelchairs.
• Keeping equipment and wires away from children as much as possible.
• Setting up a fall alert system.
WHY IS MY CHILD AT RISK FOR FALLS?
As a hospital patient, your child’s condition and treatments may increase your child’s risk for falls. Some additional risk factors for falls in a hospital include:
• Being in an unfamiliar environment.
• Being on bed rest.
• Surgery.
• Taking certain medicines.
• Tubing requirements, such as intravenous (IV) therapy or catheters.
WHAT DOES THE HOSPITAL STAFF DO TO HELP PREVENT MY CHILD FROM FALLING?
Hospital staff has a plan in place to help prevent falls and accidents. The hospital’s plan may include:
• Completing an individual risk assessment for your child.
• Communicating with your child and your family about fall risk and prevention.
• Adhering to safety guidelines when helping your child move around.
• Cleaning routinely.
• Removing unnecessary equipment or tubes.
• Using safety equipment. Equipment that can help prevent falls includes:
• Walkers, crutches, and other walking devices.
• Safety rails on beds and cribs.
• Hand rails in
Jones, D., & Whitaker, T. (2011). Preventing falls in older people: assessment and interventions. Nursing Standard, 25(52), 50-55.
It is important that key factors in determining who is and who is not a risk to fall are sought out by the health care team. In this paper we will focus on how to determine who is a fall risk.
Registered Nurses’ Association of Ontario (RNAO). (2005). Prevention of falls and fall injuries in the older adult. Retrieved from http://rnao.ca/sites/rnao-ca/files/Prevention_of_Falls_and_Fall_Injuries_in_the_Older_Adult.pdf
Falls can happen at any time and place in a hospital setting. It is a major patient safety issue causing injury, distress and even death. According to Debra Hain (2012), “In 2010, there were 2.35 million emergency room visits for non-fatal injuries in older adults with over 25% requiring hospitalization” (pg. 251). Falls can interrupt a person’s quality of life but also have a financial effect on the healthcare system (Hain, 2012). Falls are preventable and in order to reduce the rates for falls nurses must be more vigilant in their assessments to identify patients that are at risk, especially for those undergoing hemodialysis.
A fall is an “untoward event which results in the patient coming to rest unintentionally on the ground” (Morris & Isaacs, 1980). When it comes to patient safety in health care, there isn’t any subject that takes precedence. Patient falls are a major cause for concern in the health industry, particularly in an acute-care setting such as a hospital where a patient’s mental and physical well being may already be compromised. Not only do patient falls increase the length of hospital stays, but it has a major impact on the economics of health care with adjusted medical costs related to falls averaging in the range of 30 billion dollars per year (Center for Disease Control [CDC], 2013). Patient falls are a common phenomenon seen most often in the elderly population. One out of three adults, aged 65 or older, fall each year (CDC, 2013). Complications of falls are quite critical in nature and are the leading cause of both fatal and nonfatal injuries including traumatic brain injuries and fractures. A huge solution to this problem focuses on prevention and education to those at risk. ...
Yates K. M., & Creech Tart. (2012). Acute care patient falls: evaluation of a revised fall
Research suggests that reducing patient falls is difficult for many acute care facilities. Within a healthcare facility, the nurse to patient ratio, staff education level, and medications play is directly proportional to fall rate. Addressing these issues is pertinent in reducing falls among patients in acute care settings.
Fall prevention is one of the biggest safety concerns regarding geriatric and pediatric patients in a health care setting. Falls occur almost every day in hospitals and nursing home settings because of a variety of reasons, from weak bones and throw rugs to toys lying in the floor. Tumbles can have grave effects on a child because they tend to play and not pay attention to their surroundings which causes them to take a spill. The consequences can be even worse for an older adult that suffers a fall giving their age and health concerns, this gives the elderly a disadvantage when falls transpire. Most people can help prevent falls from occurring but OTs (Occupational Therapist) are an elite group of people with knowledge and skills that train,
Preventive Services Task Force (USPSTF). This guideline is an updated version of the 1996 USPSTF recommendation statement on “counseling to prevent household and recreational injuries including falls” (Moyer, 2012, p. 197). Clinicians can find the guideline in the website of the USPSTF (www.uspreventiveservicestaskforce.org), National Guideline Clearinghouse (www.guideline.gov), and journal of the Annals of Internal Medicine volume 155 issue 3 (Moyer, 2012) (annals.org). The purpose of this paper is to critique the guideline using a guideline appraisal tool known as the Appraisal of Guidelines for Research and Evaluation (AGREE II). The paper will also discuss the strengths and weaknesses of this guideline, and recommendations for the implementation
The elderly in long-term care are predisposed to falling and can fall from various reasons. Examples of Predisposing factors are, unsteady gait and balance, weak muscles, poor vision, medications, and dementia, poor lighting, loose rugs, poorly fitting shoes, floor clutter, and beds or toilets lacking handrails or bars may cause falls. Fall prevention starts before a fall actually occurs. A comprehensive falls risk assessment must be done on the first day of admissions, and this can help identify a patient’s risk for falling, and corrective measures can be put in place in advance, for example, alarms. fall risk assessments should also be completed when a patient is transferred to a new unit or when level of care changes. risks assessment should focus on a patient’s history of falls, medication use and comorbidities, and should include a comprehensive physical exam evaluating mobility, joint function, muscle strength, visual activity and more. Once completed, the patient’s care team must put in place a care plan that carefully addresses each risk factor identified in the assessment.
Nurses play an important role to facilitate these programs successful. Fall can have happened to any patient’s at any age or due to physiological changes such as medications, medical conditions. It is very important that nurses to follow evidence- based fall prevention management initiative- purposeful rounding to reduce fall in hospital
In addition, the charge nurse needs to reinforce the safety check among nurses in regular basis. On the other hand, nurses are spending a great amount of time on charting their assessments outside the patients’ rooms. Knowing that every patient room is equipped with a computer, nurses can complete all their nursing risk assessment at the patient’s bedside in order to provide some supervision to the patients especially clients at high risk for falls and injuries. Furthermore, nurses are great educators. Teaching patients how to use their call bell during admission and have the patient demonstrate back is a big intervention to encourage patients to press the call button when help is needed instead of getting out of bed on their
Assessing the reason for the falls would be the first step in the plan. Is there any repetition of the reason behind the fall (Olrich, Kalman, & Nigolian, 2012)? For instance, is there frequent falls at a certain time of the day such as during shift change? Also it may be helpful to know if the fall was related to tethers such as IV poles or Foley catheters. It may also be a good idea to look at the type of patient who fell, is the patient reported to be confused at the time of the fall? Is there any history of dementia reported for the patient that fell? Once all the information is gathered then the pertinent information could be categorized into groups that would help to decipher the best plan of action to prevent falls. The plan would need to be written and approved by the nursing managers and may be put into place by the clinical leaders that are involved with the unit. Although each unit is different some of the ways to prevent falls are similar in all units in the hospital and a team should be formed that would use the inf...
Patient falls is one of the commonest events within the healthcare facilities that affect the safety of the patients. Preventing falls among patients requires various methods. Recognition, evaluation, and preventing of patient falls are great challenges for healthcare workers in providing a safe environment in any healthcare setting. Hospitals have come together to understand the contributing factors of falls, and to decrease their occurrence and resulting injuries or death. Risk of falls among patients is considered as a safety indicator in healthcare institutions due to this. Falls and related injuries have consistently been associated with the quality of nursing care and are included as a nursing-quality indicator monitored by the American Nurses Association, National Database of Nursing Quality Indicators and by the National Quality Forum. (NCBI)
Fall is sudden, unpredicted, unintentional occurrence resulting in-patient landing on ground or at lower level. Falls and fall related injuries incur cost for the patient as well as the health cares system. The fall has a significant impact in patient quality of life and usually fall has many reasons to happen. Thus, preventing falls among patients in healthcare settings requires a complex approach, and recognition, evaluation and prevention of patient falls are significant challenges. Falls are a common cause of injury and the leading cause of nonfatal injuries and trauma-related hospitalizations in the United States (Barton, 2009). Falls occur in all types of healthcare institutions and to all patient populations. Up to 12% of hospitalized patients fall at least once during their hospital stay (Kalisch, Tschannen, & Lee, 2012). It has been using different strategies in many hospitals to prevent or at least to decrease the incidence of fall. However, the number of falls in the hospitals increases at alarming rate in the nation. The hospitals try to implement more efficient intervention strategies, but the number fall increase instead of decrease. In fact, many interventions to prevent falls and fall-related injuries require organized support and effective implementation for specific at risk and vulnerable subpopulations, such as the frail elderly and those at risk for injury.