Numerous research has shown evidence-based practice strategies to help reduce and prevent falls in hospitalized patients. According to Day et al. (2012), exercise is one approach used by Geriatric nurse practitioners to reduce and prevent falls in the elderly. Physical activities such as strength, gait, and coordination training which last for a minimum of 12 weeks has been effective in reducing falls in the elderly. The researcher further elaborated that a primary care provider such as a nurse practitioner can refer a patient who is at risk for falls to a Tai Chi program, an operative, and cost effective technique to encourage exercise and strength training in the elderly. Exercise has been revealed to decrease falls in the elderly by 22% - 37% and reduce the risk of falling by 20%-37% (Hale, Taylor, & Waters, 2012). Fuzhong, Harmer, & Fitzgerald (2016), performed a study to evaluate the effectiveness Tai Ji Quan, a form of balance exercise in fall prevention in older adults. The training focused on gait initiation, alignment, coordination, and …show more content…
Most healthcare facilities integrate hourly rounding to help reduce falls. A quasi- experimental study was conducted by (Olrich, Kalman, & Nigolian, 2012) to determine the efficiency of hourly rounding in hospitalized patients on a medical-surgical unit. The researchers compromised of nurse managers and a clinical nurse specialist educated the nurses and nursing assistants on the importance of hourly rounding and questions to ask when performing hourly round. Some of the questions asked during the rounds included toileting assistance, pain, position and making sure personal items were within reach. At the completion of the study, there was a 23% decrease in falls and an increase in patient satisfaction on the
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In a recent article published in the MEDSURG Nursing journal it discussed the effects of hourly rounding to prevent falls for patients in acute care. Falls not only cause harm to patients, they cost hospitals money. In 2012 “the Joint Commission identified reduction of harm from patient falls as a national patient safety goal” (Hicks, 2015). In attempts to reduce falls, studies have been conducted on hourly rounding. “The main components of hourly rounds include reducing anxiety by using key words, addressing the four Ps (pain, potty, position, possessions), assessing the environment for safety issues and telling the patient when staff will return” (Hicks, 2015).
The impact of nurse rounding on patient satisfaction in a medical-surgical hospital unit (Blakley, Kroth, & Gregson, 2011) Case Study Purpose: To determine if patient and nurse satisfaction is influenced by intentional nurse rounding every 2 hours on a medical-surgical unit in a small community hospital setting. Level V Setting: Medical-surgical inpatient unit N = 200 Criteria: persons who have been hospital inpatients within the last 6 months. HCAHP Surveys, Interviews during rounding process, and focus groups. Patient satisfaction data was collected on a weekly basis and summarized by the Gallup Organization Patient satisfaction scores steadily increased in conjunction of the rounding program. Overall patient satisfaction was 3.5 (on a scale of 1-4, where 1
Falls account for a majority of the injuries to patients in long term care facilities. With falls being such a prevalent problem in the geriatric population it is important for nurses to take into account many different aspects of the problem and make it a priority to reduce and even eliminate the problematic issue with the long term care setting. Nurses should be most concerned first about the safety and well being of their clients, injuries, lasting disabilities, and costs associated with the falls. “Falls account for a significant portion of injuries in hospitalized patients, long term care residents, and home care recipients. In the context of the population it serves, the services it provides, and its environment of care, the organization
This protocol recommends a fall-risk assessment and implementation of a fall prevention plan for every resident, as well as an incident report for every fall. The assessment includes checking for problems that increase the likelihood of falling. Here are some additional steps nursing homes can take to maintain a safer environment and prevent unnecessary falls: - Assessing patients after a fall to identify and address risk factors and treat any underlying medical conditions - Educating staff about fall risk factors and prevention strategies - Reviewing prescribed medicines to assess potential risks and benefits - Adapting the nursing home environment to make it easier for
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.
According 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?
The major strengths of this model “is its brevity, the inclusion of risky medication categories, and its focus on interventions for specific areas of risks” (Hendrich, 2017). Falls cause harm, both physical and psychologically. Regardless of age, falls can radically change a patients’ quality of life. As nurses, assessing, re-assessing, and educating our patients, plays a major role in fall prevention, especially those vulnerable to falls such as the elderly
Evidence Based Practice Proposal- Section D: Solution Description The Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) to have higher sensitivity in assessing fall risk in the geri-psychiatric population (Edmonson et. al, 2011). This project of EPFRAT will let the progress of a fall risk prevention protocol to provide the safest environment and best quality of care possible for the geriatric psychiatric inpatient.
Hence, a physical therapist must assure proper fall prevention teaching and strategies are implemented such as using an appropriate assistive device for ambulation. In addition to ambulation, supervised LE range of motion exercises (ROM) and gentle strengthening activities must be performed. These patients are prone to develop hip/knee flexion contractures due to immobility, post-operative pain, and fear of moving the surgical part. Nicolai, Teijink, & Prins (2010, p. 353) acknowledges the importance of supervised exercise therapy (SET) for patients with intermittent claudication (IC) vs. solely walking information alone in improving ambulation distance; the researchers found that SET is an effective treatment for IC and should be given as first-line
PCC comes to play in the event of a fall because the goal of the nurse is to restore the patient to an optimal level of wellness as defined by the patient (Anderson, 2015)). Nurses play a major role in fall prevention but it takes a team of professionals to be responsible for fall prevention. Hence the creation of the falls committee to determine the root course analysis of persistent falls in the facility. This structure constitutes the lens through which quality improvement work is viewed (Polancich et al., 2014). Even though the patient-centered care is not a checklist or an action plan, it requires a buy-in and commitment from all levels of an organization.
Implementation of this strategy is very beneficial to the patients. This helps patients to be more positive about the fall. Patients’ needn’t be worry much about their fall because most of the matters related to the fall are taken care by the other stakeholders form the family and healthcare profession. Family members also feels relaxed after the implementation of this strategy. Because family members needn’t required to take the patient to the other hospital or other department after the fall of the patient.
Some healthcare systems have adopted fall prevention programs. Unfortunately, when a fall prevention program is initiated, it may not be completely reliable. With so many methods available to identify fall risks, it is challenging to find one that is consistently effective. The immense variety of options available present a problem, according to Bergen
This is a vulnerable population that can have fluctuating health and wellness. Falls are the most common ‘co-morbidity’ with the patient who have an acute illness (Wierenga, Buurman, Parlevliet, Van Munster, Smorenburg, Inouye, de Rooij, 2012). On the unit, the number of falls is one of the highest in comparison to the sister floors that are also associated with the unit. There is a high rate of interprofessional practice on the unit, thus making occupational therapy and physiotherapy one of my main sources of information on ambulation on the unit. I am going to contact the nurse practitioner on the floor who has oversight of the floor to gain permission to audit safety mechanism on the floor this includes ensuring patients have the proper foot attire, the environment is clear from any obstacles, bed alarms are on patients that are at increased falls risk, and the number of people who need supervisions or assistance of one nurse to ambulate.
Quality assurance has played a great role in enhancing quality in the prevention and handling of patient falls in health institutions. The safety measures set by the National Institute for Clinical Excellence have ensured that safety standards are followed by both patients and nurses. Various recommendations have been made by scholars and institutions regarding the prevention of patient falls. These have helped in reducing fatalities relating to the problem. The existence of a viable safety culture in every health institution will help in creating awareness and promoting quality in the prevention of patient falls.