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Fall prevention overview
Fall prevention overview
Ways to prevent falls essay
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Ann Hendrich, a geriatric nurse, designed an assessment tool called the Hendrich II Fall Risk Model. In an article entitled "Predicting Patient Falls; Using the Hendrich II Fall Risk Model in clinical practice", the author discusses this assessment tool and how it can be used to quickly assess a hospitalized patient's risk of falling using eight distinct risk elements. The fall risk assessment tool has been validated using a large case-controlled study in an acute care tertiary facility. Ann Hendrich gives a brief composite example of a situation in which the assessment tool can be implemented and goes on to discuss the reasons why nurses should use this tool in clinical practice. The author also details each specific risk factor, all of which …show more content…
The webcast shows a student nurse, a staff nurse, and Ann Hendrich caring for an elderly man with a history of knee and ankle injuries. The student and the nurse begin by asking the man a few questions about sleep, pain, and elimination patterns. The Get-Up-and-Go test is then implemented, before determining that the patient is at high risk for falls. In the webcast, Ann Hendrich explains to viewers that the highest risk factor for falls is unmet elimination …show more content…
McInnes et al discusses these themes in the article "Older people's views in relation to risk of falling and need for intervention: a meta-ethnography". Using this meta-ethnographic approach, the authors employed qualitative studies and a systematic literature search to determine which factors aid in the acknowledgement of risk status in older adults. The authors found that people 65 years of age and older could decrease feelings of powerlessness, and provide themselves some semblance of control by utilizing self-management techniques. These techniques include self-assessment of abilities, and embracing opportunities to modify their
The scenario took place in a general medical ward where William, a 75 year old man, was staying in a bay with 3 other male patients. William had recently been suspected with early signs of dementia and had been in chronic pain for years due to osteoarthritis that affected his lumbar spine and knees. Arthritis is ...
The key objective of the project is to produce a report on fall among the geriatric population, which will help to improve an awareness and knowledge of the importance of lessens falls in elderly and encourage action to lower falls and related
As people age, they face difficulties with seeing and also with mobility, declines in their physiological systems impact balance, range and speed. These physiological problems can result in falls, which tend to be really problematic for the elderly living alone at home. The Hendrich II Fall Risk Model (HFRM) was used on Mr. T.C to assess his fall risk; this tool is used in acute care facilities to estimate the risk for falls in adults (Hendrich, 2013). The client scored a 6, any score exceeding a 5 is considered a high risk for fall. Being a male is one of the predetermined risk points that make one susceptible of falling as well their symptomatic depression, both which the client falls under. The Get-Up-and-Go Test is also a predetermined risk factor of HFRM; it determines the client’s ability to rise from a seated position. It took the client 3 attempts to fully stand up from a seated position.
Peel, N. M., Travers, C., Bell, R. R., & Smith, K. (2010). Evaluation of a health service delivery intervention to promote falls prevention in older people across the care continuum. Journal Of Evaluation In Clinical Practice, 16(6), 1254-1261. doi:10.1111/j.1365-2753.2009.01307.x
Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis. Archives of gerontology & geriatrics, 56(3), 407-415. doi:10.1016/j.archger.2012.12.006
The nurse would firstly identify if Mrs Jones is at risk of falls by conducting a falls risk assessment using an evaluation tool such as the Peninsula Health Falls Risk Assessment Tool (FRAT) (ACSQHC, 2009). The falls risk assessment enables the nurse to identify any factors that may increase the risk of falls (ACSQHC, 2009). The falls risk assessment tool focuses on areas such as recent falls and past history of falls; psychological status for example, depression and anxiety; cognitive status; medications including diuretics, anti-hypertensives, anti-depressants, sedatives, anti-Parkinson’s and hypnotics; as well as taking into account any problems in relation to vision, mobility, behaviours, environment, nutrition, continence and activities
The National Patient Safety Goal (NPSG) for falls in long term care facilities is to identify which patients are at risk for falling and to take action to prevent falls for these residents. (NPSG.09.02.01). There are five elements of performance for NPSG: 1. Assess the risk for falls, 2. Implement interventions to reduce falls based on the resident’s assessed risk, 3. Educate staff on the fall reduction program in time frames determined by the organization, 4. Educate the resident and, as needed, the family on any individualized fall reduction strategies, and 5. Evaluate the effectiveness of all fall reduction activities, including assessment,
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
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. ...
A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and the danger of falling rises with escalating age or frailty. Falls of hospitalized older adults are one of the major patient safety issues in terms of morbidity, mortality, and decreased socialization (Swartzell et al. 2013). Because the multi-etiological factors contribute to the incidence and severity of falls in older society, each cause should be addressed or alleviated to prevent patient’s injuries during their hospital stay (Titler et al. 2011). Therefore, nursing interventions play a pivotal role in preventing patient injury related to hospital falls (Johnson et al. 2011). Unfortunately, the danger of falling rises with age and enormously affect one third of older people with ravages varying from minimal injury to incapacities, which may lead to premature death (Johnson et al. 2011). In addition, to the detrimental impacts on patient falls consequently affect the patient’s family members, care providers, and the health organization emotionally as well as financially (Ang et al. 2011). Even though falls in hospital affect young as well as older patients, the aged groups are more likely to get injured than the youth (Boltz et al. 2013). Devastating problems, which resulted from the falls, can c...
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
A- Value seeing health care situations “through patients’ eyes”. The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur, which happened as a resident in a long-term care facility. Comorbidities include Alzheimer's disease and type II diabetes. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this woman many times prior to this hospitalization.
Patient falls in the hospital is a serious issue and challenging problem that could lead to prolonged hospital stay, longer recovery time for patients, increased costs for hospitals, and a source of distress and anxiety for patients, nurses, and families. Patient falls can cause minor or major serious physical injury depending on the situation and the age of the client. In addition to the physical harms, patients can suffer from psychological injuries which make them lose their independence and confidence on themselves and build a lot of anger, distress and fears of falling.
When taking steps to analyze and apply intervention strategies for falls, we must examine the factors that cause these occurrences. There are numerous reasons that falls occur, such as intrinsic and or extrinsic risk factors. Intrinsic risk factors for falls may be due to changes that are part of the normal aging process and acute or chronic conditions. According to Zheng, Pan and Hua et al. (2013), about 35-45 percent of individuals who are usually older than 65 years and other 50 percent of the elderly individuals report cases of fall every year. Extrinsic factors are those related to physical environment such as lack of grab bars, poor condition of floor surfaces, inadequate or improper use of assistive devices (Currie). Patient falls is not an easy thing to eliminate. With many clinical challenges, there’s no easy answer to the challenges posed by patient falls; howe...
Older adults are a very knowledgeable population and have had a lot of life experiences. As people age, things start to change physically, mentally, and socially. It’s important to understand the process of aging, so that older adults can be taken care of properly. I interviewed P.R. who is a 71-year-old male that lives alone in his home. P.R. is a retired coal miner, and is currently living off his social security and savings. He lives close to both his daughter and son, who frequently help him out with things that are needed. P.R. was able to give me a lot of insight about specific challenges that he has experienced in his life that is associated with aging. I will be discussing challenges that P.R experienced physically, mentally,