The most important aspect of the film is that nurses should identify fall risk patients and implement interventions to prevent future falls. Interestingly, the image above has quite a few fall risks depicted, for example: the rug, coffee table, and furniture layout. However, one major risk is the large area rug in the center of the room. Often, people trip and stumble while walking on them and its outer corners. To lower the fall risk in this home, I would remove the area rug and rearrange the furniture to promote safer ambulation. Lastly, I would install a small outlet light near the bathroom to brighten the pathway for enhanced nighttime…
It is important to avoid falls to prevent further injuries like traumatic brain injuries (TBIs), hip fractures or shoulder dislocations (Miller, 2000). Moreover, home modifications can be made to avoid falls: remove carpets from the floor, clear path to the bathroom, kitchen and bedroom, and add rails to the shower tub (Miller, 2000). These people with strokes must follow the therapist recommendations at all time to ensure safety (Miller, 2000).…
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…
Ms. Cavallo, 97 years of age, has been a resident at the rehabilitation unit for 6 weeks. She has been receiving rehabilitation therapy following the repair of her hip fractured left hip. The nursing assistive personnel (NAP) tells you that Mrs. Cavallo has not been finishing her meals over the past 2 days because of poor appetite. As you enter her room today she states, “Go away. I’m tired of all this, and I just want to stay in bed today.” You explore why she feels this way. You discover that she is unsure how to use her walker and feels safer in bed. She states, “I’m still afraid that I’m going to fall because I keep forgetting how to use my walker, and I can’t fall if I stay in bed, right?”…
Kruschke and Butcher (2017) research supports “The purpose of the current fall prevention evidence-based practice guideline is to describe important strategies that will identify individuals at risk for falls, especially those 65 and older” (p. 16). A risk assessment tool is commonly used throughout hospitals to assess clients to determine if they are a fall risk. This screens the client based on several difference factors such as their age, fall history, medications, mobility, and several others. Another tool is the use of the 10-step protocol to screen the client. “The use of the 10-step protocol provides the tools needed to screen and/or assess for falls, screen for gait and balance, and develop an individualized fall intervention program intended to reduce falls in the aging population” (Kruschke & Butcher, 2017, p. 21). All fall prevention tools may assess the client differently but have the same goal in mind: maintaining safety and preventing the client from falling and injuring themselves. Along with assessment tools, there are other preventive measures that can be done. Yellow is standard throughout hospitals for high fall risk. A yellow arm band, yellow socks, and yellow gowns can indicate that the client is a high fall risk. Bed alarms are also used to alarm the nurses that the client is trying to get up out of bed. Educating the client to ring the call light and waiting on help before getting up is also a preventive measure. Goodwin et al. (2014) noted that multifactorial interventions, where each client’s interventions are tailored to their needs, have shown to reduce the rate of falls (p. 2). This means that one client may just have yellow socks and yellow arm band on to let staff know the client is a high fall risk and another client may have the arm band and socks on but also the bed alarm must be…
Data will be obtained from human resources/risk management regarding the number of patient falls, and number of staff injuries, adjusted for census, that were due to patient transfers. This includes information from incident reports and industrial injuries reports. A reduction in both the number of injuries and days offs as a result of those injuries, as well a reduction in the number of patient falls during transfers would be expected in a successful program. “The best measure of falls is one that can be compared over time within a hospital unit to see if care is improving. Sometimes staff would like to simply track the number of falls that occur every…
Dean, E. (2012). Reducing Falls Among Older People In Hospital. Nursing Older People, 24(5), 16-19…
Unknown, U. (2008). Applying Evidence to Develop a Medical Oncology Fall-Prevention Program . Clinical Journal of Oncology Nursing, 12(February 2008),…
Armstrong, J., & Mitchell, Elizabeth, MSc Adv Nursing,B.Sc(Hons), R.G. (2008). Comprehensive nursing assessment in the care of older people. Nursing Older People, 20(1), 36-40. Retrieved from…
“A fall is an event which results in a person coming to rest inadvertently on the ground or floor or other lower level” (Who). “Falls are problematic in all care settings and can result in serious injuries including death. “More than 40% of people hospitalized from hip fractures do not return home and are not capable of living independently again; 25% of those who have fallen pass away each year” (Stop Falls).…
I totally agree with you Abigail. In the nursing home where I work, AMS is a big problem. Most falls happen most especially at night where some patients want to use the bathroom without using their call light for help. Fall is one of the greatest problems for the elderly patients age 65years and older with serious injury or death at times. I know mats and alarm have helped by preventing falls or injuries. I hope one day one of us should be able to come up with a solution that would an end to falls in the nursing home or…
and Lunardi, A. (2014). Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review. Brazilian Journal of Physical Therapy,18(2),111-118 doi: 10.1590/S1413-35552012005000148…
Physical activity is an essential part of aging successfully. Being physically active is beneficial at all ages, but certain benefits such as preventing falls and retaining independence are specific to an older individual. Many seniors feel they need to reserve their strength and energy by not exercising, but it is known that this has the opposite effect and older individuals should remain as active as possible (National Institute on Aging, 2015).…
Fall and fall related problems is continuously growing and being challenges in health care settings today. The result of fall has been increased in population which affects the patient health, injury, hospital costs of test and treatment, death, and prolonged hospitalization. Falls and fall injury is recognized as a serious problems for our patients because it creates the cost burden to the hospitals, so it is important to identify the quality and financial impact of fall prevention program for adult in acute care settings. The fall prevention program will help to reduce the fall rates and improve the health care delivery in our patients. In order to determine which methods to consider as successful to prevent falls and fall related injury,…
As we get older, there are physiological changes that occur which are a natural part of aging. We can’t stop the aging process, but we can be aware of the changes in our bodies, start healthy routines and get help when needed to benefit our overall well being. For many, September is a time to renew, recharge and find motivation for new pursuits. Here are some top tips that bring together the two important topics of healthy aging and falls prevention awareness:…