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Overview on fall prevention
Preventing falls in the elderly population essay
Fall prevention introduction
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Fall Prevention in the Aged Population A common cause of accidental death in the aged population is falling. The elderly has a high risk of falls related to more than 200 risk factors. The main categories are age-related deterioration, a problem with balance, gait mobility, visual impairment, cognitive impairment, blackouts, incontinence, drug therapy, and personal hazards (Nazarko, 2011, p. 323). Elderly clients, who fall recurrently at home are often admitted to nursing care homes. According to British Journal of Healthcare Assistants, individuals living in a nursing care home are more than three times likely to fall more than they did at home (Nazarko, 2011, p. 323). Optimal healthcare should ensure safety and identify any potential elderly …show more content…
For example, a serious injury such as a hip fracture can lead to the risk of death in the aged population. The research will explore the effects of acute and chronic illnesses as it relates to increased fall risk. In addition, the effect age-related changes have on fall risk. Nutrition has a great impact on fall risk. This research paper will bring awareness on components of illnesses that are treatable or what illnesses are non-treatable. A recent article suggests with age individuals will suffer from long-term conditions such as diabetes or heart failure. Progressive illnesses also increase fall risk. A chain reaction occurs when acute illness and worsening of long-term conditions lead to hospitalization of an individual for treatment or nursing home for long-term care (Leavy, Byberg, Michaelsson, Melhus, & Aberg, 2015, p. …show more content…
For example, the focus on task-specific training during transfers among frail elderly, medication review to assess for counteractions, and fall risk education among elderly with a history of falls. Nurses play a pivotal role in the prevention of falls in the elderly. Moreover, nurses working in a community setting can help to identify risk factors that may help reduce falls. A fall assessment should be implemented to ensure safety. A patient should be assessed for a history of falls. Studies show once an elderly person has fallen once they will fall again. An assessment of nutritional status is important. Well, balanced diet nutrition is fundamental and provides vitamin D and calcium to prevent bone thinning. Good nutrition also gives the energy to help aged patients with activities of daily living. The nurse should assess for personal hazards in the home like poor lighting, loose carpet, unsafe stairways, and bathtubs without non-slip mats or handles. An elderly person that has fallen in the past may start to decline activities of daily living in fear of falling again (Luxton & Riglin, 2010, p. 19). The nurses fall assessment is a strategy that is in place to assess fall risk of patients. Particular interventions have been investigated like prevention of falls, increasing bone strength, and reducing the impact from falls. It is determined that this is the greatest model for reducing falls and fractures (Luxton &
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.
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
Jones, D., & Whitaker, T. (2011). Preventing falls in older people: assessment and interventions. Nursing Standard, 25(52), 50-55.
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
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.
This document’s purpose is to assist nurses to identify elderly patients at risk for falls and to implement interventions to prevent or decrease the number of falls and fall related injuries (RNAO, 2005). The target population are elderly adults in acute or long-term care. The recommendations are to help practitioners and patients make effective healthcare decisions, support nurses by giving educational recommendations, and to guide organizations in providing an environment receptive to quality nursing care and ongoing evaluation of guideline implementation and outcomes. These guidelines stress and interdisciplinary approach with ongoing communication and take patient preferences into consideration.
Preventing fall in the nursing facilites Introduction/ Background Fall is one of the major issues in nursing facilities. Of the 1.6 million residents in U.S. nursing facilities, approximately half fall annually (AHRQ, 2012). Those who fall will have the tendency to fall again. Falls in older patients can change their quality of life. Because people who fall are terrified of falling again that can affect their daily activities.
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...
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
It is the hope and the goal of many hospital staff to help to decrease the number of falls in the hospital setting. The hope is to establish a plan that will assist nursing staff to decrease the number of falls. Falls can be extremely harmful to the elderly. Preventing falls is a much need goal that will bring better outcomes for the patient and the hospital. Evaluation of the action plan will also be planned for so that revisions can be made as needed to decrease the amount of patient falls.
Falls are a major cause of disability and the leading cause of activity limitations and mortality due to injury in older people. Fall can result in fractures causing frail patients a great deal of pain alongside chronic conditions already present.
“Staff in the med-surg unit are told that they must now educate all patients and families on falls prevention on admission and document it, regardless of the patient’s reason for or severity of admission, and along with everything else that they are asked to do with patients when admitted”(Scenario 3).
Given the prevalence of inpatient falls, nursing interventions and quality safety
In the geriatric population, falls remain one of the most common cause of nonfatal injuries. In the article “Fall Prevention for Older Adults” three kinds of falls are described: anticipated physiological falls, unanticipated physiological falls, and accidental falls. Anticipated physiological falls “occur among people who are at a high risk for falling.” (Lyons, 2004). For the resident BK, this is the type of fall she experiences. BK is at a high risk for falling. In the last six months, she has fallen three times. In her most recent fall on Sept. 25, 2015, she was in her room being assisted with dressing before breakfast. While she was holding her walker, she lost her balance and fell backward. This fall didn’t result in her losing consciousness, and at the time, didn’t cause her any
Falling mainly occurs when a person is not careful. Proper prevention methods are to be taken in order to eradicate this risk once and for all. There is clear evidence based solution that is managing exercise program at home and walking practice under the qualified health care professional it can prevent falls among older community residents (Balzer, 2012). The evidence based care for patient’s high risk of fall is vital in recognizing more efficient treatments and physical therapy to prevent injury, and to ensure optimal patient outcomes. My proposed solution to the issue of fall incidence to education the patient and family members, and the use of call light, bed and chair alarm. During patient care I always conscious about use of tools visually such as, yellow socks, yellow tag, and magnets on patient locater board also. (Forrest et al.,2006). Maintaining a safe and comfortable environment is the responsibility of the hospital independent of a patient's particular risks for falls, because failure to do so can put any patient at risk. One hourly rounding is always for protection because it reduces patients' need to use the call light to ask for help and therefore decreases the number of unscheduled call lights that require response. These