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Fall prevention overview
Essays on prevention of falls
Reflection paper on fall prevention
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Currently in the whole United States of America, there has been a noted rise in the prevalence of falls among adult hospitalized patients. It has been revealed by studies that elderly adults of 65 years or greater fall annually and about 1/3 of these patients die every twenty minutes as a result of complications from falls. Studies have shown that approximately 67.7 billion dollars will be spent as a result of fall related injuries by the year 2020. Fall related injuries contributes to a rise in expenditure, as well as complications to the affected individuals. As a result of this, health care sector is now faced with the challenges of providing an effective/efficient strategy for the reduction of the prevalence of falls. Some studies have
What happens when a ballet company’s classic Christmas tradition is unwrapped, discarded, and replaced with a glitzy and glamorous moneymaking expenditure? Many dance enthusiasts are left with this lingering question as The Boston Ballet struggles with a recent announcement from the Wang Theatre, its lifelong performance home, that next year’s production of the Nutcracker is being replaced by a touring show of the infamous Radio City Rockettes.
Problem Description A geriatric-psychiatric unit, is an inpatient hospital unit which treats elderly people who suffer from medical and emotional or psychological disorders. It deserves more attention to the fall
A family either plays a positive role in one’s life leading to their success, or a negative role leading to failure. The love and concern from a family is very important in determining the prosperity in life of its members, and without this support, a person will only face adversity. In Fall On Your Knees by Ann-Marie McDonald, the Piper family, primarily the father, is responsible for the sorrowful life of the Piper daughters. The disappointment in life of Frances, Kathleen and Mercedes is due to lack of love and nurture, inadequate parenting and over protectiveness.
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
Fall can lead to serious injuries and death which, increase the health care cost. Hence prevention of fall is an important public health issue in the hospital for patient safety. We had many falls incidents reported in our unit every month. Therefore, it is essential to implement prevention strategies through multidimensional approach by interdisciplinary team. Through the proposed fall management program, we can reduce fall rate drastically.
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...
The national fall rate is between 2.3-7.0 falls per 1000 patient days in hospitals, costing hospitals approximately an additional $4,200 per fall (Kalman, 2008). The numbers of falls that happen in hospitals are inevitable. They have caused injury and death for many patients while being hospitalized. It has also put on a toll for the hospital with the amount of money they have to spend that could be spent on other things, especially when this is something that can be prevented in a hospital setting as healthcare members are there to help, and are continuously in and out of patients rooms. In fact, this has become significant recently, as insurance companies are no longer willing to pay for falls that happen in hospitals, along with many other things. “In 2006, there were 2,591 cases reported of Medicare patients who fell out of bed” (Woodward, 2009, p.201). However, the bigger thing to recognize her...
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...
Falls are the leading cause of injuries, disabilities, and deaths among community-dwelling older adults (Moyer, 2012). According to the Center for Disease Control and Prevention (CDC, 2016), each year one out of three community-dwelling older adults aged 65 years or above falls at least once. There is a need to identify effective interventions pertinent to the primary-care setting to prevent falls among older adults living in the community. The guideline titled “Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement” is focused on determining the effectiveness and harms of different fall-prevention interventions relevant to primary care for adults aged 65 years or above (Moyer,
A certified professional tai chi instructor will provide education and support to the staff. The staff will receive 8 hours of training, and for staff members seeking certification, a 3-day, 8-hour class will be provided. A video recording will also be available on the hospital intranet for those who need additional training. Trained tai chi staff will also be able to provide support. This program will be available to patients and as well as, their family members, and loved ones. Tai chi exercises can be done twice-weekly in the patient’s room for 30 minutes each session, or they may be practiced in our approved exercise room depending on the number of participants. I have reserved an exercise room in the inpatient rehabilitation unit for such use during this pilot program. The participants in this program will be identified based on their assessed falls score. Those with a high number will be asked to participate. All members of the program must be alert, oriented, and able to consent to this study. The limitations of this study such as a willingness to participate, general overall health status, will be addressed with the staff and participants. A further recommendation from their health care provider will be discussed when such limits pose
In conclusion, this essay has analysed the importance of quality and safety across all health care organisations. This includes organisational and nursing strategies for care delivery and evaluation of standards of care. The essay also discussed the process and outcome data collected that relates to fall injuries. Finally, the essay has recommended a few prevention strategies to reduce the incidence of patient falls. The implementation of fall-prevention programs is necessary to improve the safety and quality of patient care.
According to Martin (2011), “a fall is defined as an unexpected event in which the participants come to rest on the ground, floor, or lower level” (p. 33). Falls are among the most frequent critical health problems for older adults over 65 years of age and often result in consequential injuries (Jung, Shin, & Kim, 2014, p. 525). As a result, this can potentially have a negative effect on the quality of life of the elderly patients. Frequent falling can make older adults feel depressed, isolated, vulnerable, and dependent. It is crucial to embrace the uniqueness of each patient as a holistic being to promote a sense of autonomy, dignity, and respect. Nurses are required to take precautionary measures to prevent the risks of falling
Thank you for reading my post and for the kind feedback. I appreciate that you take time to read my posts. We do share the same observations on incidents of falls as one of the most common reported adverse events in the hospital. The many articles on falls provided me with knowledge and information that I can use to engage the leadership in my workplace to actively initiate the process of using the best research evidence available to change practices that no longer work. At the same time, I would also engage the staff to examine, analyze, and question the effectiveness of fall prevention interventions that are currently in use. There are two topics on falls that I would like to pursue after the course, e.g., the association of inpatient