Accidental falls have been established as a significant problem by healthcare systems worldwide. A fall can result in a significant injury or death. Falls are often preventable, none the less, they continue to be detrimental to everyone involved. Internationally, fall prevention is an increasing area of interest. Despite being a universal problem, there is no universal standard of care.
(Wilson et al. 2016) Individualizing and specifying fall preventive interventions and strategies for different type of patients based on their fall risk factors are more likely to reduce falls than general interventions used such as signs on their doors (Wilson et al., 2016). The purpose of this study was to examine the perception of nurses regarding the use of fall prevention interventions specific to patients at risk for falls and to implement the use of these fall prevention strategies used to promote these fall prevention practices (Wilson et al., 2016). The fall risk factors in the mobility risk category included gait instability, bilateral lower extremity weakness, assistance needed to get out of bed and/ or walk, and the use of mobility equipment. Some fall prevention interventions used to address these risk factors included ambulation three to four times per day with or without assistance unless contraindicated; referral to physical therapy for assessment, gait, and/or strength training; range of motion; minimizing use of immobilizing equipment and/or assist with ambulation; and use of proper assistive equipment (Wilson et al., 2016).
(Lampela, Lavikainen, Huupponen, Leskinen & Hartikainen, 2013)” Several risk factors must be taken into consideration when assessing fall risk. Physiological factors include dehydration, muscle weakness, impaired mobility, unstable gait, poor balance due to pain, musculoskeletal deformities and neurologic disorders. Endurance and sensation alterations include activity intolerance, foot problems and neuropathy. Also, impaired vision related to glaucoma, cataracts and poor depth perception can lead to falls. It is also necessary to take a patient’s medication history into consideration.
The MFS has been examining in different studies with various populations. St Thomas Risk Assessment Tools in Falling Elderly Inpatients (STRATIFY): There are five significant risk factors; history of a fall, mental status including confusion, disorientation, and agitation, visual impairment, frequent toileting, and transfer and mobility.
The concept of risk-taking is a human behavior that implies a possibility of danger or harm whilst additionally giving a chance to acquire some type of prize (Leigh apud. Lejuez et al., 2002). It is clear that risk-taking behaviour manifests very different for every individual (Rubio et al., 2010). One of the aspects that influence individual differences in risk-taking behaviour can be age. It has been shown that adolescents are more likely to engage in risky decision making than adults, partly because of this period of life’s characteristics.
It can happen to anyone of different age group. But older patient's are vulnerable as their bones gets porous, brittle and not strong. Thus further complications may occur. In these essay, i am going to talk about fall cases in elderly pertaining to the case scenario (Appendix 1). Fall cases has been on the rise for many decades.
This article relates the number of risk factors to the increase in falls. Most falls occur in the home while the older adult is going about their activities of daily living. The home itself might have unsafe scatter rugs or too much clutter. NIH Senior Health ("Fall risk Factors," 2013) list some of the risk factors for fall as physical conditions such as weakness, unstable gait, slower reflexes, changes in vision, and unsafe foot wear like slippers. There are some simple steps to help the vulnerable older adult create a safer home environment to help reduce the risk of falls.
The most common risk factors and protective factors can be divided into six areas: social or behavior problems, academic problems, child maltreatment, physical injuries, drug use, and physical health problems (sexuality, pregnancy, etc.). They can also be split into different categories according to the level of influence: individual and family are the first level, peer and school or work are in the second level and the third level includes social structures and others. A risk factor can be seen as the bad influence of the social environment on an individual and they are associated with increased risk of irregularities, disorders, diseases or premature death. Some risks are correlates, meaning they coexist with the abnormal behaviour, disorder or disease, others are called predicates, which mean that the influence preceded the occurrence of the problems. Based on knowledge of risk factors, unwanted phenomena, such as problem behaviours of young people, can be predicted, but risk factors are not causal in the strict sense of the word.
Risk taking is an essential aspect of reaching one’s desires and dreams, especially when it comes to crossing boundaries. These risks, physical or metaphorical, will require the individual to step out of their comfort zone and summon the courage to test the extend of their limits, in order to grow and embrace the changes during the process. While these risks are worthy one must accept the inevitability of losing a part of their identity. Examples of risk taking include; stepping into the unknown, searching for freedom, and breaking traditions. All of these decisions include the possibility of successes and failures as explored in both the texts Mao’s last dancer and VillaWood Mums.
Additionally Mossink and De Greef (2002) reported that accident may cause psychological problems to the employees and their family unit, relatives and the close community as well. Employees also may lose their usual life and start a new chapter with unusual conditions which may cause severe psychological complexes like stress, anxiety, embarrassing, violence, lack of confidence, fighting some times and depression . In term of health such us pain, suffering, healthiness hospitalization, treatment, health care and further life year problems. In addition to that, serious work-related accident may cause illness, scars, grief, pain, permanent disability, difficulties in most activities specially sports, and in severe workplace accidents may cause death. Besides, Social costs included destructive impact on individual and family life, feelings of disappointment, sadness and social