After a fall, the nurse assesses the patient to identify the impact and whether a significant injury is present. Corrective measures are introduced, treatment plans are reviewed and modified as necessary by the treatment team. The process measurement shows the variations in quality and is taking place in the “now” thus offering more immediate indications of quality care (Donabedian, 2003). Depending upon the aftermath, the level of observation might change to a more restrictive level. PCC comes to play into 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 (Butts & Rich, 2015).
Commander and Board Certified Clinical Nurse Specialist of an Inpatient Operations Squadron that included: Intensive Care Unit, Multi-Surgical Unit, Labor & Delivery, Post-Partum, Anti-partum and Behavioral Health Unit. The squadron was a combination of military, civilian and VA employees. I incorporated the use of evidence-based research and treatment plans/protocols in all departments to improve the efficiency of nursing practice. I directly advised the Group Commander, Chief of Medical Services, Chief Nurse Executive, Patient Safety, and Quality Services daily. I daily enforced Unit Effectiveness Inspection standards and The Joint Commission Standards.
Optimum care and patient safety is a nurse’s main goal, and therefore, affects each and every nurse. With falls being such a critical part of a patient’s hospital stay as well as the nursing profession, nurses must perform adequate assessment and implementation
This tool we can be recommended to be used routinely to assess the fall risk in long term care facilities. A comparison was not done with other fall risk assessment tools to evaluate the different discriminative power and the effectiveness of different tools. A comparison with other tools would be useful to verify the power of other risk factors and tools in the geriatric population. Fall prevention and assessments recommended by National Guidelines Clearinghouse should include a fall risk assessment especially if the patient has a history of falls. A functional assessment test was also recommended to visually observe the patient 's mobility for those not confined to bed
Patient fall rates – The number of falls per 1,000 patient days (Tucker, Bieber, Attlesey-Pries, Olson, & Dierkhising, 2012). Patient fall risk – Fall risk assessment is the systematic process of identifying individual factors that puts the patient at risk of falling. Patients fall risk determined using the Morse Fall Scale, which is a tool used to identify risk factors for falls in hospitalized patients ("Agency for Healthcare Research and Quality," 2013). The components of the scale includes history of falling, secondary diagnosis, ambulatory aid, intravenous therapy, gait, and mental status. The patients’ total score may be used to predict future falls.
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
An initial assessment will be completed within 24 hours by our multi-disciplinary team comprised of psychiatrists, nurses, and licensed therapists. Patients meet daily with mental health and medical partners and individualized treatment plans are created. In addition to psychiatric care, we provide individual therapy, family therapy, recreation therapy, group therapy, discharge planning, and medication management. Our educational department provides on-site school support. Please contact our Admission Department for questions regarding transportation, insurance information or to schedule a no-cost
Once again, I will describe what a day in the life of a medical coder in long term care may Look like. Similar to the Health Educator, the medical coder usually attends a daily clinical meeting to Discuss the previous day’s events and the plan for the day ahead. Medical coders work closely with MDS or minimum data set nurses as they are responsible for the assessments that are completed For the health care center to get reimbursed for the services provided. They also work closely with Medical billing office employees to ensure that the codes on the UB are correct and match the Coding of the MDS. They would also review the admitting diagnoses of recent admissions into The facility and use the discharge summary to put their diagnosis into the system and discerning The admitting diagnosis and prioritizing them in order or importance for payment
“The cost to the family and the larger society can be used as one measure of the effectiveness of current and future treatments” (Perkins et al.). It is said that the estimate of the annual cost of a pediatric stroke hospitalization in the United States is about $42 million, however, this amount decreases in comparison with adult stroke. Either way you see it pediatric stroke is still very expensive, because from those children that survive stroke maybe about 50% to 80% will have permanent neurological damage such as hemiparesis