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Reduce the risk of patient harm from fall
Reduce the risk of patient harm from fall
Fall prevention introduction
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Environmental modifications is a highly recommendable approach which prevents falls and injury’s from occurring. The main approach in this strategy is reducing injury and falls from recognizing and removing environmental hazards. Some hazard reducing modifications consisted of removing extension cords from the base, removing loose mats, and putting in handles on the rampart. Even though this approach is recommendable the effects are not fully established. In this clause, a written report was conducted to provide evidence to clinics, which bears out the effectiveness of environmental modifications. The method of providing evidence was reading literature, which was 15 years of age or less. The documents he used for his research were case studies, trails, longitudinal studies, and recapitulation. From studying these documents he separated the data he collected into two different classes. These classes were broken up into institutional settings and community contexts. The effects of the institutional settings were weak because there was a lack of validation tools for the environment, equipment, transferring techniques, and maintenance practices. Nevertheless, they were able to see that those who lived in institutional settings recommended things like increased lighting, non-slick floor surfaces, bed stabilizers, and wheelchair safety. Then Friedberg research discovered that slipper socks provided the ability to prevent falls from slipping in water as an environmental modification. Besides from the research of Healy they were able to see that the type of flooring used in the facility can reduce hazardous conditions. Such as the vinyl floors being used for falls and using carpet that prevents injury from falling. The effects of... ... middle of paper ... ...ttings, it is important for an occupational therapist to pay attention to the impact of staffing levels associated with the amount of falls that take place and the staff's ability to adopt the recommendations. Besides, they should look at cost, cleaning issues and the type of modifications. In summation, it is authoritative for the patients to be educated about safety topics in using modifications. From the literature researched, the writer thinks that environmental modifications along with multifactorial interventions can make a difference for falls that an elderly can receive. Still, he thinks that there should be more research done on environmental assessment tools, flooring, and effective behavioral interventions. On his last thoughts, he believes that strategies should be patient focused and environmental modifications should be developed for that individual.
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
Jr, K. R., & Barber, C. E. (2011, August 29). Preventing falls in the elderly. Retrieved from http://www.ext.colostate.edu/pubs/consumer/10242.html
Sacket et al, cited in, Duncan, E,A,S, (2006) Foundtions for practice in Occupational Therapy, 4th edition, Elsevier Ltd.
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,
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.
Change is something that human have to face often, yet it is still very hard for us to adapt to it. We can, in turn, agree that change is not easy (Jacobs 2002). Occupational therapy has been thought a lot of changes which give rise to new treatment methods, new approaches and a better to communicate with the patients. Below is an analysis of the changes that have been made in the occupational therapy field and their outcomes.
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
Occupation is defined as “activites of everyday life, names, organized and given meaning by individuals and a culture” (Association, 2006). This article also discusses the historical aspects of occupational therapy. Occupational therapy was founded by many different professionals with different backgrounds, that came together to share the same idea about how occupational therapy should be and the importance of activites for a person. This article also talks about different types of services that occupational therapy offers. Occupational therapists and assistances can work in many different settings. With the variety of settings a therapist and assistance can work in, the services that are offered there are different. Some different services that can be offered at these settings can include community mobility skills, stress management, alternative routines and habits, and more. It is important for therapists and assistances to know what settings offer what type of services when they are referencing their client to a new setting. The last topic this article discussed
A., de Rijk, A., Van Hoof, E., & Donceel, P. 2011). The therapist has to assess the patient to see if they have a need for splints or supports which may benefit the patient and then step in to help design the specific assistive devices needed. It is the job of the occupational therapist to come up with plans to overcome the inconvenient limitations while still helping the patient to reduce strain and prevent further damage by teaching them techniques that will conserve their energy. There are a variety of different ways to make daily living much easier. The most crucial part of therapy is assessing the patient's environment. All the people, cultural conditions and physical objects that are around them, create their environment. The behavior and development of people is a direct result of the interaction between them and their surroundings. A patient's behavior is greatly affected when they are mismatched with their environment. A person's environment match is present when the person's level of competence matches the demands of the environment. Full participation by the patient is required to make it practicable. “The science and practice of occupational therapy are well suited to develop, refine, and test approaches to translate therapeutic gains into
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...
Occupational therapy made its first appearance in a modern-day setting during the 18th century; however, occupational therapy dates back to 100 BC. The United States medical system adopted occupational therapy in the 19th century. In 1910, occupational therapy became a realized profession. Then, the main focus was working with individuals to get them to a fully functional state. Around 1930, standards of practice were developed for occupational therapists (OT’s). The career continues to evolve and change as new illnesses and disabilities arise. Even with all the changes, the main focus remains intact: helping people.
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...
Initiate fall prevention and arrange furniture to accommodate client. Rationale: confusion increases the client’s risk for falls; safety is important.
To prevent falls, keep the house free from clutter, such as scatter rugs, extension cords, and toys. Install handrails and grab bars to critical areas such as bathroom and kitchen.