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Fall prevention and aging essay
Essay on preventing falls in elderly
Writing a literature review essay on fall prevention in elderly
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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 …show more content…
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 …show more content…
The Registered Nurses Association of Ontario (2011) suggests effectiveness of specific forms of exercise to maximize mobility and physical activity in the older adults and prevent the number of falls. In particular, when is the best time to institute exercise programs and when are they most effective? (p. 35). Furthermore, the writer suggests whether incorporating hand and feet coordination exercises will further improve the older adults strength and stability. The writer also advises future research on identifying whether reading a book will further improve their sensorimotor skills in addition to their active lifestyle. Hill and Fauerbach (2014) states, “as older adults lose independence, they hold on to what they can control. It is important to strike a balance between reminding them of their limitations and encouraging their independence” (p. 28). Due to this, the writer recommends an app solely dedicated to meet the needs of the patient for those living on their own. The app provides a virtual nurse that will assist the patient throughout the day. Through this app, their diet, physical activity, emotional, and spiritual needs are met and assessed daily. This app will constantly monitor if the older adults are at risk of falling. A study of the effectiveness of this app would one day be
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.
In over-all, 65 years and older suffer from many geriatric symptoms, due to psychotropic and anti-psychotropic medications, including Electroconvulsive therapy (ECT), mobility challenges, incontinence, poor balance, disorganization and confusion which all lead to high falls. According to a study in the International Journal of Geriatric Psychiatry, patients with the highest risk for falls presented with one or more of the following variables such as Parkinson’s syndrome, Dementia, female gender, mood stabilizers, cardiac arrhythmia, and ECT. Edmonson et. al established, “The Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) specific to the psychiatric, geriatric population and found initial testing of EPFRAT to have higher sensitivity in assessing fall risk in the geri-psych inpatient population” (Edmonson, Robinson, & Hughes, 2011). This project purpose is to investigate and explore whether an Edmonson Fall risk assessment Toll decreases patient falls in inpatient geri-psych units. Stakeholders and Change
Jones, D., & Whitaker, T. (2011). Preventing falls in older people: assessment and interventions. Nursing Standard, 25(52), 50-55.
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,
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.
Wolf, S. L., Barnhart, H. X., Kutner, N. G., McNeely, E., Cooler, C., Xu, T. (1996). Reducing fraility and falls in older persons: an investigation of Tai Chi and computerized balance training. Journal of American Geriatrics Society, 44, 489-497.
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 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...
Fall prevention is one of the biggest safety concerns regarding geriatric and pediatric patients in a health care setting. Falls occur almost every day in hospitals and nursing home settings because of a variety of reasons, from weak bones and throw rugs to toys lying in the floor. Tumbles can have grave effects on a child because they tend to play and not pay attention to their surroundings which causes them to take a spill. The consequences can be even worse for an older adult that suffers a fall giving their age and health concerns, this gives the elderly a disadvantage when falls transpire. Most people can help prevent falls from occurring but OTs (Occupational Therapist) are an elite group of people with knowledge and skills that train,
Based on the review of previous falls, the statistics indicate that falls and patient injuries have decreased from the previous year by ten percent. By utilizing evidence-based practice and synthesis of internal and external evidence the fall prevention program proved to be effective and results in increased patient safety and improved overall patient outcomes.
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...
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.
She arranged 14 different activities that nurses need to assist the patient to get back to self-care and be more independent when they leave their care. Each of the 14 activities can be reformulated into researchable questions. Further, the theory can guide research in any aspect of individual’s care needs. (McEwen & Wills, 2014, p.