Looking Back - Last week during clinical, I engaged with a client on a conversation regarding her accident at home. She recounted the story of her fall as she climbed the stairs to go into her kitchen, describing the fall as an awful occurrence which resulted in a right hip fracture and her lengthy stay in the hospital. During this conversation, I was able to understand that this injury took a significant toll on the client’s health and wellbeing as she felt like she had gotten so much older since she was admitted. Her life had changed in a single moment resulting in limitation and changes to her gait and range of motion in the lower extremities. Elaborate - The conversation between us allowed me to better understand the injury from the patient’s point of view and understand how it has impacted her daily activities. Her recount was short, but I was able to see that event had caused a lot of damage to both her health and wellbeing as she was now more vulnerable and dependent. The impact of the injury made me realize that this affected more than just her physical being, rather it has negatively …show more content…
This guideline has informed me of the precautions that should be in place to reduce the risk of falls for older adults who have a previous history of falls. The client’s recount of her fall made me realize how important these precautions are in the daily lives the older adult population because something as simple as handrails can prevent a client from suffering a painful injury and having a lengthy stay in a hospital. The RNAO guideline and the client’s experience has also enabled me to realize the importance of precautions health care providers take in clinical settings which not only work towards preventing falls and reducing the occurrence of fall related injuries, but also work towards saving
Historic trauma stems from relocation, disease, residential schools, the Indian Act, and racial policies meant to assimilate and eradicate Aboriginal people (First Nations Health Council, 2011). Contact between Aboriginal Peoples and non-Aboriginals facilitated the spread of epidemic diseases which lead to the Aboriginal population collapse (First Nations Health Council, 2011). Daschuk, Hackett and MacNeil (2006) note that different severities of diseases experienced by First Nations were directly related to the new realities of the First Nations peoples as they struggled to adapt to the world of the colonisers including economic dislocation, political changes, and changes from traditional diets all created the perfect environment for breading diseases. The government and churches actively colonized and controlled Aboriginal peoples by eroding all Aboriginal systems including “spirituality, political authority, education, health care systems, land and resource access, and cultural practices” (First Nations Health Council, 2011, p. 13). It is important to recognize that colonial structures have purposely sought to “eliminate Indigenous sovereignty, Indigenous governments and Indigenous constitutional orders” (Ladner, 2009, p. 90).
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.
The necessity to reduce patient falls is the trigger in this circumstance. This is a knowledge- focused trigger since the purpose is to implement a practice that has been shown to prevent falls. The next step is establishing if the issue is a top priority for the clinic, division, or section. Patients should be a top priority in any acute care facility, as they can result in catastrophic injuries and even death (Cullen et al., 2022).
A was mobilised by the physiotherapists the day after her operation with a zimmer frame and assistance of two. As Mrs. A was previously independent with no aids to help her walk she would need intensive physiotherapy to get her back to her baseline. Mrs. A was discharged to a community hospital on a rehabilitation ward five days are being admitted, (Ojomo,2004) defines communication as the process of sharing ideas, feeling thoughts and messages with others. Good communication skills is a key Part of nursing, it helps to keep the patient safe and to deliver appropriate care to the patient. Without good communication skills could mean to cause harm to the patient unintentionally.
Present 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.
This 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).
He witnessed her go from not being able to walk, to being on crutches, to finally being able to jog a year later. He explained to me how grateful Camille was for all the help she had received from her physical therapist over the course of this year, and he told me that that was the reason why he wants to become a physical therapist when he grows up.
(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent
It 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).
Overview The case study was about Mr. Kirby, a seventy-two year old widow male with type 2 diabetes who wife died a couple of months ago, and has been living by himself. He has become dependent, and struggles with his self-caring needs. He had a stroke and it resulted in a left-sided weakness. He fell a couple of months ago and fractured his arm bone, which was repaired and he was discharged home.
This 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
For me personally the most difficult aspect of working with individuals who have experienced trauma would be keeping my emotions and reaction professional. I wouldn’t necessarily say I wear my heart on my sleeve but there are certain topics and individuals that I closely identify with that would make remaining objective difficult. As a counselor, remaining objective and emotional stable is paramount. A counselor needs to give their undivided attention to the client. If they are distracted, stressed out or otherwise compromised then they may miss key behaviors and symptoms which could affect the path of treatment or indicators of things such as suicidal ideations.
Currently, I work for South Carolina Vocational Rehabilitation Department (SCVRD). I am an Assessment and Career Exploration Specialist and also a Job Preparedness Instructor. While I enjoy my current role, I feel the need to carry out a more significant function in the rehabilitation process. I am seeking a Master’s Degree in Rehabilitation Counseling because it is a requirement for the next step in my career. Well into the future, I envision myself in a leadership role within my current agency where I am able to advise on agency practices and service provision.
During the situation it identified the need for improving my communication skills. I arrived at the conclusion that the outcome was good as the patient was safe; the complication was noticed promptly to prevent additional difficulties occurring. However I must note that this may not be the case for the patient as it required further surgery. I must also acknowledge that due to the need for additional surgery raises costs to the hospital and risks of added problem occurring.
Pharmaceutical Care Patch Adams is a 1998 semi-biographical comedy-drama film based on the life story of Dr. Hunter "Patch" Adams and his book, Gesundheit: Good Health is a Laughing Matter, by Adams and Maureen Mylander. (Wikipedia) The movie is all about a medical school student, Patch Adams who is eager and passionate in helping patients in a way which his dean disagreed on. Despite being warned by his dean and lecturers, he still holds on his principle in treating the patient as a person, not treating the disease.