We need to understand that elderly people are not as supple as younger people and even if they do not suffer movement restriction through a medical condition. They bruise easier too and so great care has to be taken when handling, moving and positioning them especially when assisting them to sit up or when using the hoist strap.…
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…
The older people with limitation in mobility have problems with walking iknside,outside or in unfamiliar surroundings.They may also have difficulties in safly transferning from a lying position to siting position.…
ts evident that the elderly are starting to become fragile and weak , this is evident in their movement as they become moreclients. slower while they move around and they find it difficult, so this requires help from staff and other aid to enable them to get to one place to another . This is why it is extremely vital that they are no hazards around in the place which could cause harm or injury to any of the Physical environment…
In the Practicum Course and the professional Capstone Project, the knowledge, clinical experience, and the skills that Seema acquired during the whole course is represented and reflected through this journal. Hence, this journal is a complete reflection of the practices that Seema have had at the clinic, the health care system that she observed, the technological development used to treat patients, and the policies of health care that were present in the firms of healthcare systems. On the basis of the growing problem of falls within the older adults, and the efforts carried out to solve the problem, this journal will reflect the entire learnings that Seema…
The most often reported incident in long-term care facilities is falls. Three out of four residents will fall each year and many result in a lawsuit. The most common reason for falls is existing health conditions affecting muscle weakness or trouble walking (Occupational Safety and Health Administration, 2009). Even though falls are unavoidable in a long-term care setting, risks can be cut-down with fall prevention strategies as well as staff education, decreasing risk factors like low lighting, wet floors, and inadequately fitted wheelchairs, and bringing together exercise programs to strengthen muscles and increase balance. Most essential, everyone working inside the facility from nursing to maintenance staff must be involved in fall prevention (Rhodes,…
Falls within the aged population are prevalent especially in individuals with dementia, as they tend to have marked impairment in their gait and balance (Shaw, 2007). Falls tend to occur at the bedside and are associated with agitation, aggression, restlessness, attempts to ambulate or lack of awareness of wandering in people with dementia (Australian Commission of Safety and Quality in Health Care (ACSQHC) (2009). Falls risk assessment is the responsibility of all registered nursing staff within residential aged care. Conducting a falls risk assessment for residents is an important step in outlining steps to be taken to assist individuals residents to ambulate safely. Due to residents with dementia typically having a cognitive impairment, they should be more frequently observed as their risk of falling is greater (Shaw, 2007). Strategies to reduce risk of falls include staff providing special socks that have grip on them when retiring a resident to bed, and to improve gait, balance, mobility and flexibility exercise/ activity and mobility exercises can be utilised such as strengthen the leg muscles. (Shaw, 2007). Malnutrition and residents maintaining adequate nutritional intake is another area that RNs should…
Ageing in place is a popular term in current ageing policy, and it is defined as remaining living in the community, with some level of independence, rather than in residential care [7]. This concept is about enabling older people to maintain independence, autonomy, and connection to social support, including friends and family. Having people remaining in their homes and communities for as long as possible also avoids the cost of institutionalization and is therefore favored by policy makers, health providers, and by many older people themselves…
Occupational therapy practitioners working in home environment have a unique opportunity to explore the home hazards and evaluate the individuals for limitations that contribute to falls. They usually start with creating a fall prevention plan by discussing the clients’ typical and desired daily activities. To understand clients’ capabilities, the practitioner would…
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…
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…
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:…
Robertson, K., Logan, P., Ward, M., Pollard, J., Gordon, A., Williams, W., & Watson, J. (2012). Thinking falls -- taking action: a falls prevention tool for care homes. British Journal Of Community Nursing, 17(5), 206-209.…
This act created a major revision of standards of care for nursing homes. This legislation also changed the expectations and the quality of care that patients should receive in long term care facilities. This Nursing Home Reform Act passed by congress specifically stated “that each residents have the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. While there may be some benefits to using restraints in nursing homes, however, studies have shown that using restraints in nursing homes negatively impacts patients and for the most part does not prevent them from falling or from other incidents that may occur. There are very high levels of risks associated with the use of restraints (Lapane,150). The OBRA act has encouraged providers to use other alternatives and methods other than restraint because it has been proven to be quite harmful. There are various risked associated with restraints and of these risk include patients potentially patients even losing their lives. Because of the nature of the restraint on patients, patients sometimes end up losing muscle and bone density which then results to immobility and immobility itself results in loss of endurance and muscle strength (Lane 2008). When a patient has lost endurance and muscle strength, they have problems with balance and coordination which makes patients even more prone to falling (Capezuti &Wagner, 142). The use of restraints does not only affect patients physically but it also affects them psychologically. When a patient is restrained, they may experience depression. In addition to that, patients also get humiliated and feel as if they are not being treated with dignity. When movement is take away from a patient, it may cause them to be even more agitated, they then may attempt to escape…
Teo , J. et al(2006) Do sleep problems or urinary incontinence predict falls in elderly women? Australian Journal of Physiotherapy,52,19-24…