Problem
The elderly population is highly prone to falls; they are also three times more likely to fall if they are in a long-term nursing care
The client is a 70 year old, Caucasian male who is a retired siding salesman from Riverside, IA, who has an extensive history with Paralysis agitans (Parkinson’s disease). The client was first admitted to the long term care facility in December 2012. The client explained that he came to be at this facility after “already being in two places like this”. He was removed/discharged from the last long-term care facility for being what he called “disruptive”. The client described the staff at the last facility as not very kind to the residents. There was an incident where the drugs that were prescribed to the client made him hallucinate and he became unruly with the staff and was restrained and…
Falls in the hospital are the major cause for the morbidity and the mortality in the elderly population. Falls among the elderly is increasigly being recognised and it is a major concern for the developed as well as the developing country. The purpose of this paper is to descibe the epidemiology of fall in the elderly in the hospital , incluidng the charateristics, circumstances and fall related related injuries. The focus of this program is to support the staff in identifying the system issues which gives rise to the error and the near miss situation. A quality improvement initiative was conducted to determine the effectiveness of a fall prevention program using education and a fall prevention kit…
Hip Fracture - patient fell in her home and broke her hip (admitting diagnosis). Vascular Dementia brought on by several TIA’s (Etiology/Pathology) Pts. progressive cognitive deficits led to her fall, and inabilility to perform normal ADL’s and self care. Since being admitted to Thompson, pt. has had consults with oncology in regards to her breast cancer diagnosis, with a GI specialist in regards to her dysphagia, and with a social worker in regards to her mental acuity and appropriate social activities related to her cognitive level.…
Education provides the patient with the knowledge of the importance of safety and what part he or she contributes in their care as well as risk factor identified. Fall prevention programs are designed to determine fall risk and prevention strategies while collaborating with the patient’s health care. Informing both the patient and the family will bring an understanding and mindfulness to fall prevention. Falls are devastating to both the patient and the hospital considering a single fall may result in a downward spiral of reduced mobility with a loss of function and further risk of falls. Along with proper education, fall risk assessments are vital to the fall prevention process. These fall risk assessment are implemented hospital wide and are conducted every shift, change in status, during transfers to different units and at discharge (St. Peter’s Hospital, 2012). Compliance and consistency reduces falls and the overall cost of falls throughout the hospital improving the…
The geriatric patient is susceptible to falls in general due to decreased vision, coordination, strength, flexibility, increase in cardiovascular disease, vertigo or cognitive impairment. Injury to a geriatric patient resulting from a fall often causes greater complications than would typically occur in a younger patient. Elderly patients are more prone to fracture due to bone density loss and extensive bruising from certain medications or loss of protective adipose tissue. Geriatric patients are also likely to obtain serious skin injuries resulting from falls because of thinning skin. Fractures could result in a patient losing mobility which could potentially lead to more serious complications such as pressure sores, urinary tract infections, thrombi or loss of joint function due to lack of movement. Injuries to the skin obtained from a fall could become infected. A simple fall to an elderly patient could result in a dramatic turn for the worse regarding overall health. "Among people 65 years and older, falls are the leading cause of injury deaths and the most common cause of nonfatal injuries and hospital admissions for trauma." (http://www.CDC.org) The Joint Commission addresses this concern with its goal to reduce the risk of falls. This particular goal is broken down into five elements of performance intended to predict risk for fall, intervene to reduce…
Greta Balodis is a 75-year-old elderly lady who is widowed and now lives with her daughter Anna and her family in a single-story house due to being diagnosed with a right-sided cerebral vascular accident (CVA), in addition to atrial fibrillation (AF) (Case World). Greta previously lived independently in her home but due to the decline in her current health over the last two years has affected her day to day living, activities and is requiring more assistance with certain tasks that her daughter assists with (Case World). In addition, Greta also has, “mild residual left-sided hemiplegia and resolving dysphagia” (case world). In this scenario Greta is to transition into residential health care and into late adulthood, it looks into the complications…
Falls are not only limited to hospital settings but home settings as well and according to the Center for Disease Prevention (CDC) in 2010 fall injuries for adults aged 75 and older per 1,000 individuals were 43 (2012). Research conducted globally has not shown a reduction in inpatient falls and the falls amongst patients still pose a great threat to patients. A program designed to eliminate or reduce falls can help patients across the world. There are numerous reasons that contribute to falls such as medications, weakness, disorientation, and environmental factors. The main key in preventing falls is education and appropriate interventions based on the individual patient needs. Designing a inpatient fall program as well as an outpatient home fall program can reduce falls both inpatient and outpatient. The program will target individuals 65 and older who have a history of falls, patients who have diagnosis of dementia, and those who may be experiencing muscle weakness that places them at a…
The 1999 film, Office Space is contingent with both Marxist and Weberian theories in regards to the institution of work. In modern America, the general consensus regarding work is that it is a necessary evil—an obligation. Under the guidance of American capitalist ideology, the institution of work is not only a civic duty but a responsibility that society owes itself. Concepts from Weber’s The Protestant Ethic and the Spirit of Capitalism have a constant presence in Mike Judge’s film. As such, the main characters react to their alienation and exploitation with micro-level Marxist acts of revolution. This is quite obviously a Marxist and Weberian comedy and there are many ways to analyze the influential concepts of both theorists in the film,…
Staggs, V. S., & Dunton, N. (2013). Associations between rates of unassisted inpatient falls and…
Falls has been identified by Centers for Medicare and Medicaid as hospital-acquired condition, meaning it can be prevented and should not occur (DuPree, Fritz & Mushene, 2014). Patient safety is vital; therefore, safety is not limited to nursing and bedside care providers, all employees should be aware of high fall risk patient and fall protocols. Studies have shown a significant reduction in fall injury by adopting an organizational awareness of fall safety that was communicated and incorporated into the continuum of patient care, also empowering the patient in taking an active role in their safety, creates a partnership to prevent fall (DuPree et al., 2014). Emphasizing the important to educate patients about their fall and injury risk and suggested teach back on how to use their call button to call for an assistant is an effective patient-centered fall prevention strategy and also bedside shift report in another way to facilitate effective communication between patient and nursing staff (Huey-Ming, 2015). Assessing patient is vital to identify their fall risk status, according to DuPree et al., (2014) using the fall assessment tool integrated into the electronic medical record is important to identify high-risk patient and create awareness. Hourly rounding and patient partnering…
Falls are a common occurrence among medical, surgical and elderly patients in hospitals. One of the largest categories of reported adverse events in hospitals are patient falls, which are estimated to cost more than $20 billion a year. (2010 Lippincott Williams &Wilkins, Inc.)…
Safety is a huge concern with all ages across the life span but elderly are at a higher risk for safety issues. Falls, automobile accidents, and injures related to burns or fires are a big risk for the older adult. Prescribed medications can even alter their balance or affect…
The fall prevention program include fall screening tool, medication regimen, bedside hand off communication, hourly rounding as well as rounding during shift change, continuous observing to the patient who has fall within 12 months, providing education material to staffs, patients, and families to learn about how to prevent falls (Trepanier & Hilsenbeck, 2014). There is no evidence that one intervention would be most effective to prevent fall injury, multiple fall prevention intervention would be the best way to decrease falls and keeping patient safe from harm. The study has shown based on evidence practice that use of standardized fall prevention program decreases the fall injuries rate of 37.5% in first year and 33 % comparing to the second year; however, the limitation of study made difficult to generalize findings such as unable to find which intervention was most effective to prevent…
An article in live science last year indicates that a senior over 65 years of age is most likely to die from falls resulting in head trauma. (Live science, 2013) “Traumatic brain injury (TBI) is a major cause of death and disability in the United States, contributing to about 30% of all injury deaths. Every day, 138 people in the United States die from injuries that include TBI. Those who survive a TBI can face effects lasting a few days to disabilities which may last the rest of their lives. Effects of TBI can include impaired thinking or memory, movement, sensation (e.g., vision or hearing), or emotional functioning (e.g., personality changes, depression). These issues not only affect individuals but can have lasting effects on families and communities (Centers for Disease Control and Prevention, 2014).” Falls resulting in traumatic brain injury for seniors, if the trauma is severe, may result in months – if not the remainder of the individual’s life and leave the individual in need of around the clock nursing care. The ensuing results, if the individual survives a traumatic brain injury, may render the individual’s personality (change in mental status, mannerisms, or habits) being adversely affected to severe deficits in the senses. The capability of walking and/or talking, the…
Teo , J. et al(2006) Do sleep problems or urinary incontinence predict falls in elderly women? Australian Journal of Physiotherapy,52,19-24…