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The problem of population aging
Consequences of the aging population
Aging of the population
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Incidents involving nursing home residents are expected to increase with global population on the rise. More than 13% of the U.S. population is over the age of 65. Some nursing homes fail to meet the safety standards on site and at the expense of employees. Patients falling are a common accident inside nursing homes and account for 87% of all elderly fractures. Nursing home falls can lead to immobilization, which leads to more complications and financial issues. Employee neglect can lead to bedsores, dehydration, starvation, and pneumonia. Immobile or physically struggling patients need constant care to prevent such issues making employee overtime is necessary although often financially uncompensated. Emotional abuse towards patients is another
The Joint Commission is a nonprofit organization that focuses on improving the Healthcare system. They do this by regulating and evaluating health care organizations, helping them improve and give a more effective and safe care (The Joint Commission, 2012). The National Patient safety goals are ways in which the joint commission strives to improve the way health care is provided (The Joint Commission, 2012). Effective on January 1, 2012, the Joint commission came up with new ways to improve the Care of Medicare Based Long term Care facilities and provided Safety regulations to be followed. In order to better understand the impact that this regulations have in the healthcare, it is necessary to identify and describe the purpose of each regulation, and emphasize on the impact that falls in particular, can have among the geriatric patients.
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,
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.
Of nursing home staff interviewed in 2004, nearly 40% admitted to committing at least one psychologically abusive act toward a resident and 10% admitted to physically abusing a resident in the preceding year.[1] Not only are nursing home residents at risk of being abused by their caretakers but they are also at risk of being restrained, which may lead to a form of abuse. With five percent of the elderly population, or one to two million instances of elder abuse occurring yearly there is no doubt that elder abuse deserves serious consideration.[2]
...hological preparation. After a nurse is done working their regular shift being forced to work overtime can out them a greater right of medical mistake in part due to fatigue and tiredness consequently putting the patient at high risk of complications.
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...
With respect to older women, the issue is that there is a serious lack in differentiating between elder abuse and domestic violence. The discrepancy causes confusion as to what agency to report either volunteered or mandated cases of abuse (Kilbane & Spira, 2010). Furthermore, it is because of reporting errors that victims of abuse may not receive the services that are congruent to the type of abuse (Kilbane & Spira, 2010) indicating, “…a lack of centralized reporting of cases….” (Kilbane & Spira, 2010, p. 165).
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)
They also develop painful and life-threatening decubitus ulcers, and if they are not fed properly, they’re not given sufficient fluids. They are also over-medicated or under-medicated, and dropped causing painful bruises and fractures, are ignored and not included in activities, are left in bed all day, call lights not answered. These are all forms of negligence, performed daily in nursing homes. Nursing homes who receive federal funds are required to comply with federal laws that specify that residents receive a high quality of care. In 1987, Congress responded to reports of widespread neglect and abuse in nursing homes during the 1980’s, which enacted legislation to reform nursing home regulations and require nursing homes participating in the Medicare and Medicaid programs to comply with certain requirements for quality of care.
While about 5 percent of adults over the age of 65 live in nursing facilities, they account for nearly 20 percent of fall-related deaths in this age group. Up to 20 percent of residents who fall sustain serious injuries that can lead to a decline in functional ability and mobility impairment. The Best Practice Guidelines consist of broad principles upon which standard procedures for individual health services can be based. The guidelines aim intended to assist service providers in developing and implementing standard policies and procedures in the area of falls prevention. Best practice guidelines can be successfully implemented only where there is adequate planning, resources, organizational and administrative support, as well as appropriate
The Morse Fall Scale is a standardized approach in which nursing staff completes an fall risk assessment and intervention flow sheet used as soon as a resident is admitted, any changes in their physical condition, cognitive function, and after a fall (Hill & Fauerbach, 2014, pg. 26). The Morse Fall Scale is an effective strategy in preventing the incidence of falls because this allows nurses to figure out which patients are at risk and to intervene as soon as possible. Placing frequently used objects within reach, using the top bedrails, providing orientation to the room, adequate lighting, and demonstrating how to use the call bell for assistance (Hill & Fauerbach, 2014, p. 26) are interventions to reduce the incidence of falls. These interventions are important because it is cost effective, time efficient, and the risks of falling will be greatly reduced. When assessing the health of the older adults, it is important to also assess the overall environment of their room. Healey (2010) advise nurses to assess possible trip hazards including steps, clutter, medical device, oxygen tubing, and cables (p.18) for further risk management practice to prevent falls. It is crucial to make sure that the room is neatly maintained to enhance their safety. Also, prior to leaving the patients room, ensuring that the height of the bed is lowered to the standardized height will further
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.
Creating a safe environment is necessary especially if you’re living with someone suffering with Alzheimer. This disease is known to worsen at it progresses making your loved one more at risk for injuries.