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Why Older Adults Take Risk Essay

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Part B: Annotated Bibliography Article One: Why do hospitalized older adults take risks that may lead to falls? A study commenced by Terry.P.Haines recruited from Southern Health Hospital facilities, Victoria, Australia in 2009 between the months of March and June after receiving ethical approval from the Southern Health Human Research committee. The study aimed to identify factors and pathways explaining as why older adults take risks that may lead to falls in hospitalized setting. Thus, the aim of the study were addressed using qualitative, phenomenological, constructive approach that was exploratory and descriptive. The participants were from inpatient medical and rehabilitation wards (n=16) and health professionals (n=33). Semi- structured, in depth interviews and focus groups were used to generate qualitative data According to the researcher, risk taking was classified as enforced, voluntary, and informed. The five key factors that influence risk taking behaviour were risk compensation ability of the older adults, willingness to ask for help, older …show more content…

Risk factors associated with fall related minor injury are young age, male gender and cognitive impairment whereas with fall related major injury the risk factors include functional autonomy, and length of stay in hospitals. In further statistical analysis, controlling for functional autonomy, disruptive behaviours and neuroleptic use were found associated with fall related major injury. To add on falls also have significant psychosocial consequences as those who have been victims of falls often develop a post fall syndrome which is fear of falling. The elderly than further reduce their activities as to prevent further falls thus precipitating a cycle of increased dependency, loss of function, loss of confidence, social isolation and depression which leads to decreased quality of

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The staff nurses and patient care technicians (PCT) in 6 East were not getting the sufficient education reinforcement regarding fall prevention. Consequently, this has created a knowledge gap among staff members regarding fall prevention strategies. The knowledge gap in fall prevention has led to an increase of staff non-compliance with the policy and the trending increase of fall rates in the unit during the 1st and 2nd quarter of 2015. The plan to mitigate this problem was developed through the collaboration with the nursing leadership on the provision of staff education on fall prevention. The stakeholders involved were the unit manager, fall prevention resource nurse, and clinical nurse educator who were interested in coordinating the quality

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Evidence Based Practice Proposal- Section D: Solution Description The Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) to have higher sensitivity in assessing fall risk in the geri-psychiatric population (Edmonson et. al, 2011). This project of EPFRAT will let the progress of a fall risk prevention protocol to provide the safest environment and best quality of care possible for the geriatric psychiatric inpatient.

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976 Words | 4 Pages

Capstone Project: Falls Prevention and Risk Assessment of the Elderly Population while in Long Term Care facility Evidence Based Practice – NUR 4775L Dr. Susan Poole, DNP, CNE November 22, 2015 Capstone Part I: Falls Prevention and Risk Assessment of the Elderly Population while in Long Term Care facility Introduction to Problem According to Centre for disease Control (CDC) more than 1.4 million people 65 and older live in nursing homes. If current rates continue, by 2030 this number will rise to about 3 million (CDC, 2014). Nursing home residents are at an increases risk for falls depending on the acuity of their illness and their mental state.

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669 Words | 3 Pages

Change is inevitable not only in the hospital setting but also in all other organizations that put the safety of stakeholders at hand. It is, however, sometimes challenging to have all stakeholders adopting a proposed change since some individuals would rather stick to the old ways of doing things as opposed to trying out new interventions (Guse, Peterson, Christiansen, Mahoney, Laud, & Layde,, 2015). Nevertheless, positive change is essential, especially when such a change is expected to positively impact on the safety of patients (Johnson, Veneziano, Green, Howarth, Malast, Mastro, Moran, Mulligan, & Smith, 2011). The purpose of this paper is to critique the adoption of hourly rounding as a nursing intervention for preventing falls.

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1144 Words | 5 Pages

Before this study, nurses were using general fall precautions for these patients at risk for falls and were not using fall prevention interventions specific for patient’s fall risk factors (Wilson et al., 2016). There were major themes and minor themes to go along with each major theme. There was a study before the fall prevention intervention practice that was described as a fall that occurs, either the patient is at a fall risk or the patient passed the fall risk assessment. Action was then taken by implementing general fall prevention practices for these patients that were shown as a risk. Before the study, one example of a general fall prevention practice was “We had

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729 Words | 3 Pages

Consider physiological and environmental risk factors for falls. Patients at greatest risk for OH are the elder population 65 and older. “Orthostatic hypotension (OH) is associated with significant morbidity and mortality among older people. (Lampela, Lavikainen, Huupponen, Leskinen & Hartikainen, 2013)” Several risk factors must be taken into consideration when assessing fall risk.

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691 Words | 3 Pages

Problem Identification Getting out of bed is one of the dangerous things that the elderly patients do when they are admitted in the hospital. Study conducted by Ambrose, Paul & Hausdorff, (2013) on patient falls reveals that a majority of falls in the elderly patients occur between 0700 and 1900, especially when they are getting out of bed to use the rest room. The cause of their falls is mainly due to unsteady gait, memory loss, confusion that comes with age. Memory loss and vision problems which occurs during old age in the elderly patients puts them at risk for falls. Other factors that can lead to falls are; Presence of throw rugs, psychotropic medications, lack of Vitamin D, and weakness of the lower extremities.

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303 Words | 2 Pages

1. Were you previously aware of how rapidly the aged population is growing? Yes, I am aware of how rapidly the aged population is growing. Working for the Center for Senior Care has given me the sight to how much the population has grown.

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It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

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1820 Words | 8 Pages

Change management in reducing the percentage of inpatient fall in hospital. Fall is defined as being “an event which results in a person coming to rest inadvertently on the ground or floor or other lower level” (World Health Organization, 2012). The author is a registered nurse working in a private hospital. In the author practicing hospital, inpatient fall was identified has a major problem. The targeted aim for inpatient fall is less than 5%.

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158 Words | 1 Pages

There are many safety issue in hospitals among one of the major issues are falls. Among the most common victims are the elder patients with multiple health problems, patient’s that undergo multiple treatment regimens, side effect of medication and patients who are unfamiliar with the environment. The consequences of falls in hospitals can result to injury with fracture, often lead to poor outcomes and increases the length of stay (National Patient Agency, 2010).The second episode of care which was the patient experiencing a fall from the side effect of the medication: valium; leading to assessment done by the nurses. RN Elliot confirmed that after 20 minutes of giving the Valium the patient had an unobserved fall. The use of the risk management

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766 Words | 4 Pages

It may not be always easy to recognize, but there are some obvious sign and symptoms of physical abuse that cannot be hidden by the victims and the abusers. Those signs include cuts, burns, restraint marking, broken bones, bruises, broken eye glass or frames, repeated trips to the emergency room for unusual pattern of injury. Physical abuse not only affects the physical body, but significantly affect the emotional and mental health. The number of elderly people population is increasing every day and with that population being increased, approximately 1 out of 10 has experienced one or more form of elder abuse including physical abuse and emotional abuse. Elder abuse was first described in 1975 in British journals by giving a “granny battering” terminology, which shows that this problem has been around for long time ().

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709 Words | 3 Pages

This program, called the Nijmegen Falls Prevention Program, included one hundred thirteen elderly clients with a history of falls. Exercise sessions were held twice a week for five weeks with fall monitoring done before and after the experiment. Control assessments were also done continuously thru the study to determine client changes in standing balance, balance confidence, and obstacle avoidance skills. The results of the Nijmegen Falls Prevention Program showed that the number of falls within the exercise group dropped by a significant forty six percent! Not only less falls, but obstacle avoidance skills dramatically improved as did balance

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1667 Words | 7 Pages

Late Adulthood is the stage of the human life cycle where an individual nears the end of their life. The life expectancy in the United States has slowly increased over the years therefore allowed many to further analyze the physical, cognitive, and psychosocial development during late adulthood. The stage of late adulthood has been emphasized by ageism and the stereotypical "old" person but, will be further educated by the normative development of the life cycle of late adulthood. For the “old” experience dramatic changes in their development as they face loss, death, and illness.

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827 Words | 4 Pages

Unit 5 Writing Assignment Write Model In this assignment, you are going to write a narrative essay. As you prepare your essay, think about the Unit Question, “Why do people take risks?” Choose one of the topics below: 1. Write a narrative essay about a risk you have taken.

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