Edmonson Psychiatric Fall Risk Assessment Tool: A Case Study

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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. Proposed Solution Based on the inferences significant from the critical review, strong evidence of recommendation relating to the use of EPFRAT in geri-psych was identified. The following commendations for proposed solution were documented:
• Application of the EPFRAT of geri-behavioral
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• Insomnia including four hours or less of consecutive sleep was another fall risk factor.
• Little or no nutritional and fluid intake over the last 24 hours can cause falls in geri-psych patient’s than general care patients. So, encourage food and fluid intake. Documentation of patient meal intake of less than 50% and poor fluid intake over the last 24 hours. nurses and/or nursing staffs.
• Intermittently confusion or disorientation and disorganization can cause high fall risk. So, provide physical assistance with toileting on a regular basis. The author proposes to realize the EBP project in the geri-psych units on November 7,

2015. The objective of this project was to determine whether EPFRAT was more sensitive and

specific than not using EPFRAT, when assessing geri-psych population for risk for falls in units.

In Stage one, a sample of patient records were reviewed and EPFRAT was used to calculate fall

risk rate by the two authors to establish interrater reliability. In Stage two, a retrospective chart

review of all patients who had experienced a fall during their admission was conducted and

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