Analysis Of Falls Prevention And Risk Assessment Of The Elderly Population While In Long Term Care
Capstone Project: Falls Prevention and Risk Assessment of the Elderly Population while in
Long Term Care facility
Evidence Based Practice – NUR 4775L
Dr. Susan Poole, DNP, CNE
November 22, 2015
Capstone Part I: Falls Prevention and Risk Assessment of the Elderly Population while in
Long Term Care facility
Introduction to Problem
According to Centre for disease Control (CDC) more than 1.4 million people 65 and older live in nursing homes. If current rates continue, by 2030 this number will rise to about 3 million (CDC, 2014). Nursing home residents are at an increases risk for falls depending on the acuity of their illness and their mental state. Falls can result in, reduced quality of life, functional
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Literature Review Some of the databases that were searched for information about my PICOT questions were not directly related to patients in long-term care facilities. The Databases that were searched included CINAHL, National Guideline Clearing House, Ovid, and EBSCO, articles related to my PICOT was found on National Guideline Clearing House and Ovid. Some of the key words that were used during the search were Hendrich II fall risk tool, fall in Long-term care facilities, Geriatric falls, fall prevention and predicting fall. National Guideline Clearing (www.guideline.gov) produced about ten results directly related to the content in the PICOT question and CINAHL had thirty nine results.
Levels of
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The clinical practice guidelines that were selected for this paper are from the National Guideline Clearinghouse and from International journal of nursing studies. The Hendrich Fall Risk Model was primarily developed as a predictive nursing assessment tool based on epidemiological research (NGC, 2011). The Guidelines were developed by the Hartford Institute for Geriatric Nursing the committee was however not stated. Authors were asked to sign confidentiality documents and all the authors agreed this. The research was conducted by hand searches of public literature and searches of electronic database. The guidelines were developed by reviewing published meta- analysis and systematic reviews making it the strongest evidence however, the method used to formulate the recommendations was that of a level I to an expert consensus which is a level IV. The guidelines were validated by an external peer review. All recommendations for this guideline was tagged by the level of evidence and linked with scientific evidence. The limitation that were evident in this study was that its intended users were immediate healthcare providers in the hospital settings and not those in the out- patient healthcare
Sanctuary Bellbrook Case Study
645 Words | 3 PagesSanctuary Bellbrook is a nursing home that provides a home for older adults in comorbidities conditions. The goal is to make sure residents staying here are in a safe and hazardless environment with the right assistance provided. Resident LJ, born on August 2, 1921 was admitted to Sanctuary Bellbrook due to her right fracture pelvic from a fall. The SPICES tool is used to find actual and potential problems the resident may be experiencing. With the tool, our objective is to establish interventions to reduce risk of injury LJ may be vulnerable to and provide the best care .
Implementation Of A Nurse-Led Rounding Program To Reduce Patient Falls
780 Words | 4 PagesThe group needs to come up with a solid research topic utilizing the PICO(T) method and then search the literature for publications that are related to their topic (Cullen et al., 2022). The study should concentrate on nurse-led rounding initiatives and their efficiency in minimizing patient falls. Mrs. Shelton MSN-Ed RN CNEn Source? 3 The fifth step is to critique and synthesize the information discovered throughout the literature search.
Injuries In Senriors
415 Words | 2 PagesStatistics indicate that one out of three senors will need an extensive amont of time to recover as a result of a accdnet that occured when they fell, such as a fractured bone. In fact, the Centers for Disease Control and Prevention proclaims that falls ae the number cause on injuries in senriors, and is the number one reason why senior citizens end up in a recovery program. In this posting we'll take a look at several things you can do to minzine the possibility of falling while you're at home. 1) Do Not Wear Loose Clothing Many fall victims sustained an injury as a reusltof the fact that they tripped over loosing cloothing such as an extra long pants.
Fall Prevention Interventions
1144 Words | 5 Pages(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).
Patient Falls Prevention
1050 Words | 5 PagesPresent the Evidence: Prevention of Patient Falls According to the Centers for Disease Control (CDC), each year, one third of those who are 65 and older fall (2013). These falls contributed to $34 billion in direct medical costs in 2013 (cite). With these statistics, it is apparent that health care professionals and health care settings need to make fall prevention a priority in their facilities. The aim of this paper is to explore a fall prevention policy and practice guidelines to evaluate recent evidence and offer recommendations.
Long Term Care Restraints
1621 Words | 7 PagesThis act created a major revision of standards of care for nursing homes. This legislation also changed the expectations and the quality of care that patients should receive in long term care facilities. This Nursing Home Reform Act passed by congress specifically stated “that each residents have the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. While there may be some benefits to using restraints in nursing homes, however, studies have shown that using restraints in nursing homes negatively impacts patients and for the most part does not prevent them from falling or from other incidents that may occur. There are very high levels of risks associated with the use of restraints (Lapane,150).
Patient Falls Assessment
691 Words | 3 PagesProblem Identification Getting out of bed is one of the dangerous things that the elderly patients do when they are admitted in the hospital. Study conducted by Ambrose, Paul & Hausdorff, (2013) on patient falls reveals that a majority of falls in the elderly patients occur between 0700 and 1900, especially when they are getting out of bed to use the rest room. The cause of their falls is mainly due to unsteady gait, memory loss, confusion that comes with age. Memory loss and vision problems which occurs during old age in the elderly patients puts them at risk for falls. Other factors that can lead to falls are; Presence of throw rugs, psychotropic medications, lack of Vitamin D, and weakness of the lower extremities.
Brain Injury Case Study
509 Words | 3 PagesAccording to individuals who work with the elderly, aging affects a person's sense of balance. The cerebellum in the brain begins to deteriorate, which leads to lost coordination. In addition, seniors have slower reflexes, and that cannot respond as fast on an uneven surface. Poorer eyesight and medication can also lead to increased falls. What can you do to reduce the risk of falling?
Fall Prevention
618 Words | 3 PagesFall-related fracture is the common phenomenon in older adults resulting in chronic pain, loss of function, and disability. Evidently, it is the highest cause of accidental death in older adults. Noteworthy, the frequency of falls increases with age and frailty levels. Moreover, frail older adults, with a history of falling, are significantly at risk of adverse health outcomes including increased hospital stays and death. The causation of fall in frail older adults are intricate and interfere with the interrelationship between individual and environment context.
Reflection On Long Term Care Experience
1201 Words | 5 PagesIt also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).
Essay On Ageism
709 Words | 3 PagesThis program, called the Nijmegen Falls Prevention Program, included one hundred thirteen elderly clients with a history of falls. Exercise sessions were held twice a week for five weeks with fall monitoring done before and after the experiment. Control assessments were also done continuously thru the study to determine client changes in standing balance, balance confidence, and obstacle avoidance skills. The results of the Nijmegen Falls Prevention Program showed that the number of falls within the exercise group dropped by a significant forty six percent! Not only less falls, but obstacle avoidance skills dramatically improved as did balance
Pain Management Case Study In Nursing
2189 Words | 9 PagesShe also reported feeling lower limb weakness over the past few days Past medical history: Hypertension, Type 2 Diabetes, Atrial Fibrillation, bilateral osteoarthritis knees with TKR on right knee one year ago, history of fall within the last 6 months were two falls- indoor, loss balance, no loss of consciousness Premorbid history: She was independent with her activity of daily living. Indoor, she was a furniture walker and mobilise independently. In the community, she walked with walking-stick independently with frequent rest every 30 metres due to (L) knee pain.
Literature Review Of Ambient Assisted Living
986 Words | 4 Pages• What methods are being used to measure the impact of AAL solutions in terms of health-related outcomes? To perform the systematic literature review the authors defined a review protocol with explicit descriptions of the methods to be used and the steps to be taken. The protocol followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) [4] and is briefly described in this
Reflective Incident In Nursing Practice
866 Words | 4 PagesThe incident happened because of lack of attention given to patient. We manage to mobilized her to the chair and reassured her. We also follow the standard procedure of patient’s fall which is to check on her vital sign and physical for any post trauma injury. The Department of Health Western Australia (2015) listed that checking the potential injury and the vital sign was the Immediate post-fall procedures that all nurses accounted to.
How To Prevent Accidents At Home Essay
723 Words | 3 PagesNext we will approach the most common types of accidents that occur in a home and talk about what you can do to prevent them from happening. Falls Falls are the leading cause of home injuries and deaths in America. The most vulnerable household members to these incidents are the small children and the elders. To make your home a safer place install stair lifts for the elderly; this way they can't slip and fall down the stairs.
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