Nursing Diagnosis # 1 Increased susceptibility to falling, related to sensory deficit as evidenced by Ms. R. decreased hearing.
Expected Outcome # 1
1. Ms. R. will not sustain a fall both within and outside the home as she performs her daily activities in the next four weeks. Plan/Intervention 1. To assess Ms. R. for factors known to increase fall risk, e.g., history of falls, age- related physical changes, and sensory deficits (Gulanick & Myers, 2014, p. 60). Rationale 1. Studies have shown that “individuals who have fallen have three times the risk of falling again compared with persons who did not fall in the past year” (Touhy & Jett, 2016, p. 248). 2. Sensory deficits, e.g., “Hearing ability
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Ms. R. will implement strategies to increase safety and prevent fall in the home (Gulanick & Myers, 2014) in the next two weeks. Plan/Intervention 1. To assess Ms. R.’s environment for factors known to increase fall risk such as inadequate lighting, wet surfaces, waxed floors, clutter, and objects on the floor (Gulanick & Myers, 2014, p. 61) Rationale 1. As cited by Touhy and Jett (2016) “Environmental modification alone have not been shown to reduce fall… however, a home safety assessment and modification interventions have been shown to be effective in reducing the rates of falls” (p. 255). Patient Response to Intervention Ms. R. and her daughter made some modifications in their home environment, e.g., got rid of rugs and installed more lights on the staircase and the garage.
Nursing Diagnosis # 2 Increased risk for anxiety of Ms. R. who had experienced falls, related to the anticipation of falling, as evidenced by decreased physical activity, increased dependency, and social withdrawal.
Expected Outcome # 3 1. Ms. R. will demonstrate positive coping mechanisms (Gulanick & Myers, 2014) every time she is confronted with anxiety-producing situations in the next two
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To encourage the patient to “create bedtime sleep rituals, such as taking a warm bath and eating a small snack” (Touhy & Jett, 2016, p. 225). Rationale 1. It is best that the older adult considers, as cited by Touhy and Jett (2016) “Nonpharmacological interventions… as first-line treatment for insomnia. Education should be provided on changes in sleep architecture with aging and the importance of attention to sleep hygiene principles to promote good sleep habits” (p. 225). Patient’s Response to Intervention Ms. R. reported that she changed her schedule of taking baths at night before bedtime.
Expected Outcome # 5 1. The older adult expresses a feeling of wellbeing and reports an increased in the number of sleep hours in the next two weeks. Plan/Intervention 1. To recommend an environment that is conducive to sleep, e.g., “ensure bed and bed coverings are comfortable, not too restrictive and keep bedroom temperature comfortable, not too warm and well ventilated” (Touhy & Jett, 2016, p. 225) Rationale 1. Comfortable surrounding guarantee that most “people sleep better in cool, dark and quiet environments” (Gulanick & Myers, 2014, p.
Jr, K. R., & Barber, C. E. (2011, August 29). Preventing falls in the elderly. Retrieved from http://www.ext.colostate.edu/pubs/consumer/10242.html
Registered Nurses’ Association of Ontario (RNAO). (2005). Prevention of falls and fall injuries in the older adult. Retrieved from http://rnao.ca/sites/rnao-ca/files/Prevention_of_Falls_and_Fall_Injuries_in_the_Older_Adult.pdf
A fall is an “untoward event which results in the patient coming to rest unintentionally on the ground” (Morris & Isaacs, 1980). When it comes to patient safety in health care, there isn’t any subject that takes precedence. Patient falls are a major cause for concern in the health industry, particularly in an acute-care setting such as a hospital where a patient’s mental and physical well being may already be compromised. Not only do patient falls increase the length of hospital stays, but it has a major impact on the economics of health care with adjusted medical costs related to falls averaging in the range of 30 billion dollars per year (Center for Disease Control [CDC], 2013). Patient falls are a common phenomenon seen most often in the elderly population. One out of three adults, aged 65 or older, fall each year (CDC, 2013). Complications of falls are quite critical in nature and are the leading cause of both fatal and nonfatal injuries including traumatic brain injuries and fractures. A huge solution to this problem focuses on prevention and education to those at risk. ...
“Circulatory disease, obstructive pulmonary disease, depression, and arthritis were each associated with a higher odds of falling, even with adjustment for drug use and other potential confounding factors” (Lawlor, Patel, & Ebrahim, 2003, p. 713). These diseases are associated with the higher odds of falling, because when someone gets these diseases, it messes them up on the inside and they cannot feel like they used to anymore. These diseases can numb a person, so that they cannot feel a limb and that is how they have the major risk of falling. In the study that was done to show the risks for falling showed in a chart that arthritis was the highest cause for falling in women. Arthritis starts to make a woman 's body start to hurt in such a way where they cannot move that much anymore and so the risk for falling gets
Fall prevention is one of the biggest safety concerns regarding geriatric and pediatric patients in a health care setting. Falls occur almost every day in hospitals and nursing home settings because of a variety of reasons, from weak bones and throw rugs to toys lying in the floor. Tumbles can have grave effects on a child because they tend to play and not pay attention to their surroundings which causes them to take a spill. The consequences can be even worse for an older adult that suffers a fall giving their age and health concerns, this gives the elderly a disadvantage when falls transpire. Most people can help prevent falls from occurring but OTs (Occupational Therapist) are an elite group of people with knowledge and skills that train,
Applicable populations: The assessment is designed to be utilized with individuals between the ages of 18-73 (SASSI, 2001).
Preventing fall in the nursing facilites Introduction/ Background Fall is one of the major issues in nursing facilities. Of the 1.6 million residents in U.S. nursing facilities, approximately half fall annually (AHRQ, 2012). Those who fall will have the tendency to fall again. Falls in older patients can change their quality of life. Because people who fall are terrified of falling again that can affect their daily activities.
Theories concerned with ageing are constructed in an attempt to objectively satisfy the inquiries that arise after studying ageing and to provide evidence based clarifications. In the context of this essay, they allow troubleshooting regarding issues around the type of support would be expected to be needed by Betty and her son. Bengtson et al, (1999) accepts the potential pragmatism of the theories nevertheless he argues that they can be generalised and unimaginative. The controversy regarding theorising ageing becomes especially relevant when they are applied in isolation failing to address that “the science and positivism are severely limiting… for understanding aspects of ageing.” Bengtson et al (1999)
When taking steps to analyze and apply intervention strategies for falls, we must examine the factors that cause these occurrences. There are numerous reasons that falls occur, such as intrinsic and or extrinsic risk factors. Intrinsic risk factors for falls may be due to changes that are part of the normal aging process and acute or chronic conditions. According to Zheng, Pan and Hua et al. (2013), about 35-45 percent of individuals who are usually older than 65 years and other 50 percent of the elderly individuals report cases of fall every year. Extrinsic factors are those related to physical environment such as lack of grab bars, poor condition of floor surfaces, inadequate or improper use of assistive devices (Currie). Patient falls is not an easy thing to eliminate. With many clinical challenges, there’s no easy answer to the challenges posed by patient falls; howe...
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
Developmental health psychologists - specialists who study the interaction of age, behavior, and health and gerontologists - specialists in the science of aging -- are piecing together the details of diet, exercise, personality and behavior that make it practical to shoot for 80, or even 120. People approaching middle age can expect a bonus of several years of extra living thanks to continuing medical progress against cancer, heart disease and stroke. Specialists in the field of aging, developmental health psychologists, and gerontologist , concentrate their area of study on determining health status over the course of adulthood, and determining the nature and origin of age-related diseases. They are also concerned with describing the effects of health on behavior and describing the effects of behavior on health. The goals of these specialists are: prevention of diseases, preservation of health, and improved quality of health for those suffering from disability and disease.
Bed bath can benefit patients immensely as it ensured that there individual needs are met, improved patients psychologically as they maintain their self-esteem and a positive body image. Nurses and patient relationship can be improved through bed bathing as patients can use their closeness with the nurse to discuss issues that trouble them. Bed bath are only suitable for patients who are bed bound, critically ill patients who need some assistance and elderly patients.
“You’re being too cautious,” he said. “You’re wearing a lot of equipment that’s going to protect you if you fall. So fall. This is the time to take chances to push the envelope, and that’ll lead to improvement.”
I have come to these predictions using scientific knowledge. The heavier something is, the faster they fall, so I decided to base my first prediction on this fact. I based the second hypothesis on the parachutist example in my introduction.
Schneider, P., Schwab, M., & Hänscheid, H. (2011). Identification of factors associated with risk of fall using a force platform and power spectrum analysis technique. Journal of Biomechanics, 44(10), 2008-2012.