Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Fall prevention in older adults research paper outline
Fall prevention in older adults research paper outline
Fall prevention in older adults research paper outline
Don’t take our word for it - see why 10 million students trust us with their essay needs.
As people age, risk of falls become common and it can occur while performing activity of daily living such as taking a shower or going to the bathroom. Many older people trip over electric wire, their own pet, and sometimes they blame the environment for their falls. At the hospital, nurses assist clients who have a history of falls to go to the bathroom in the middle of the night. In addition, clients do not want to be identified as falls risk even if they have history of falls, and have fallen during the last six months because of the negative image that comes with being labeled as the type of person who falls. In clients over 65 year old (P), how nurses labeling older people falls risk threat their identity as individual (I) compare to those …show more content…
Older people consider themselves not a fall risk compare to other older people because they perceive fall risk as irresponsible and not able to perform any activity without falling. Once older people are considered a fall risk, it affects their identity as a person and the way they are seen in the society. Older people want to be seen as responsible and physical competent, and someone who is not fall risk (Dollard, Barton, Newbury, & Turnbull, 2011). The study took a place in Adelaide, South Australia with 65 year old participants who had experienced falls, and knew friends who had fallen within the last six months. Some of the participants who live alone are at higher risk of falls than those who live with their spouse. Staff members from Saint Vincent de Paul Society were also a part of the research, and they provide home visits and financial assistance to older people. The participants signed informed consent prior to the research, record the interview, and University of Adelaide’s School of Psychological Human Ethics approved of the research (Dollard, et al., 201). Older people also linked falls to the aging process and accidentally tripping over wire at …show more content…
Falls risk are a problem for older people because it exposes their vulnerability. Nurses can use the information from the article to promote quality practice for older people by understanding why falls would be negative stereotype relate to aging. The aging process is extremely difficult stage for older people and they are sensitive to everything, so nurses can use the article to avoid the word falls risk to refer to older people’s identity as individual. Nurses also can make sure they allow older people to perform activity independent, keep things in reach, and assistance them to go to the bathroom at night. That way they can still feel competent and responsible, even though they might be falls
The key objective of the project is to produce a report on fall among the geriatric population, which will help to improve an awareness and knowledge of the importance of lessens falls in elderly and encourage action to lower falls and related
As people age, they face difficulties with seeing and also with mobility, declines in their physiological systems impact balance, range and speed. These physiological problems can result in falls, which tend to be really problematic for the elderly living alone at home. The Hendrich II Fall Risk Model (HFRM) was used on Mr. T.C to assess his fall risk; this tool is used in acute care facilities to estimate the risk for falls in adults (Hendrich, 2013). The client scored a 6, any score exceeding a 5 is considered a high risk for fall. Being a male is one of the predetermined risk points that make one susceptible of falling as well their symptomatic depression, both which the client falls under. The Get-Up-and-Go Test is also a predetermined risk factor of HFRM; it determines the client’s ability to rise from a seated position. It took the client 3 attempts to fully stand up from a seated position.
Jones, D., & Whitaker, T. (2011). Preventing falls in older people: assessment and interventions. Nursing Standard, 25(52), 50-55.
The nurse would firstly identify if Mrs Jones is at risk of falls by conducting a falls risk assessment using an evaluation tool such as the Peninsula Health Falls Risk Assessment Tool (FRAT) (ACSQHC, 2009). The falls risk assessment enables the nurse to identify any factors that may increase the risk of falls (ACSQHC, 2009). The falls risk assessment tool focuses on areas such as recent falls and past history of falls; psychological status for example, depression and anxiety; cognitive status; medications including diuretics, anti-hypertensives, anti-depressants, sedatives, anti-Parkinson’s and hypnotics; as well as taking into account any problems in relation to vision, mobility, behaviours, environment, nutrition, continence and activities
The National Patient Safety Goal (NPSG) for falls in long term care facilities is to identify which patients are at risk for falling and to take action to prevent falls for these residents. (NPSG.09.02.01). There are five elements of performance for NPSG: 1. Assess the risk for falls, 2. Implement interventions to reduce falls based on the resident’s assessed risk, 3. Educate staff on the fall reduction program in time frames determined by the organization, 4. Educate the resident and, as needed, the family on any individualized fall reduction strategies, and 5. Evaluate the effectiveness of all fall reduction activities, including assessment,
From the literature researched, the writer thinks that environmental modifications along with multifactorial interventions can make a difference for falls that an elderly can receive. Still, he thinks that there should be more research done on environmental assessment tools, flooring, and effective behavioral interventions. On his last thoughts, he believes that strategies should be patient focused and environmental modifications should be developed for that individual.
This document’s purpose is to assist nurses to identify elderly patients at risk for falls and to implement interventions to prevent or decrease the number of falls and fall related injuries (RNAO, 2005). The target population are elderly adults in acute or long-term care. The recommendations are to help practitioners and patients make effective healthcare decisions, support nurses by giving educational recommendations, and to guide organizations in providing an environment receptive to quality nursing care and ongoing evaluation of guideline implementation and outcomes. These guidelines stress and interdisciplinary approach with ongoing communication and take patient preferences into consideration.
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
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.
Patient falls in the hospital is a serious issue and challenging problem that could lead to prolonged hospital stay, longer recovery time for patients, increased costs for hospitals, and a source of distress and anxiety for patients, nurses, and families. Patient falls can cause minor or major serious physical injury depending on the situation and the age of the client. In addition to the physical harms, patients can suffer from psychological injuries which make them lose their independence and confidence on themselves and build a lot of anger, distress and fears of falling.
It is the hope and the goal of many hospital staff to help to decrease the number of falls in the hospital setting. The hope is to establish a plan that will assist nursing staff to decrease the number of falls. Falls can be extremely harmful to the elderly. Preventing falls is a much need goal that will bring better outcomes for the patient and the hospital. Evaluation of the action plan will also be planned for so that revisions can be made as needed to decrease the amount of patient falls.
older adults. Journal of Nursing Education, 47(6), 269-271. Retrieved from CINAHL Plus with Full Text database.
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
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...