ipl-logo

Hendrich Fall Risk Model 2

732 Words3 Pages

Article I. The article published by Ivziku, Matarese, Pedone (2011) was a literature review to evaluate the predictive validity and inter-rater reliability of Hendrich fall risk model II (HFRM II).The literature focused on ways to identify older patients at risk of falling in geriatric units with the implementation of the HFRM II and recommend its use in clinical practice. A prospective descriptive design was used. The study was carried out in a geriatric acute care unit of an Italian University hospital. The patoients that were admitted to the geriatric unit were 65 in an Italian University hospital over 8-month period were enrolled. The patients enrolled were screened for the falls risk by nurses with the HFRM II within 24h of admission. …show more content…

The second article that was reviewed came for National Guideline Clearing house (NGC, 2012). The methods used to analyze the evidence were review of published meta-analyses and systematic review. The major outcomes considered in the study were sensitivity, specificity, and reliability of screening tools, risk factors for falls and fall rates. There were numerous recommendations that were recommended to reduce and prevent falls among the elderly population. However the best practice in fall reduction includes falls risk assessment , visual identification of individuals at high risk for falls , falls risk directed interventions and standardized multifactorial education including visual tools for staff, families, and patients (NGC, 2012). In order to have an effective falls prevention program a multifactorial approach will yield better results. Clinical practice guidelines from the United States and Canada both recommend patient education as a part of falls prevention (NGC, 2012). Patients have benefited significantly from patient education program because falls have been reduced based on the delivery methods that were used. For patients with no cognitive impairment the resources used were used included written education regarding falls data and causes of falls, self-assessment of risk, problem area identification, development of preventive strategies and behaviors, goal setting and review along with video/DVD material highlighting these same points and then …show more content…

The international research has not identified one optimal fall risk assessment tool for the acute care settings, and in particular for elderly inpatients Ivziku, Matarese, Pedone (2011). The research main aim was to contribute to the search for a valid and reliable risk assessment tool by evaluating the predictive validity of the HFRM II in a geriatric unit. The validity as it relates to the PICOT questions was definitely accurate. HFRM II is quick to calculate, the data can be collected simply, tool is easy to apply, and has good sensitivity but low specificity. This tool we can be recommended to be used routinely to assess the fall risk in long term care facilities. A comparison was not done with other fall risk assessment tools to evaluate the different discriminative power and the effectiveness of different tools. A comparison with other tools would be useful to verify the power of other risk factors and tools in the geriatric population.
Fall prevention and assessments recommended by National Guidelines Clearinghouse should include a fall risk assessment especially if the patient has a history of falls. A functional assessment test was also recommended to visually observe the patient 's mobility for those not confined to bed

Show More
Related
248 Words | 1 Pages

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

Read More
735 Words | 3 Pages

The occupational therapist considers the physical and psychosocial/behavioral health needs of clients. Some of the areas a community based occupational therapist can provide would be Activities of Daily Living to include dress through the use of adaptive equipment, modified techniques, energy conservation, proper mechanics and energy conservation to name a few. Other areas for ADL retraining would include use of specialized or adaptive equipment to maximize safety. This will be done when while incorporating fall prevention strategies to foster awareness of safety and limitations in the

Read More
976 Words | 4 Pages

The clinical practice guidelines that were selected for this paper are from the National Guideline Clearinghouse and from International journal of nursing studies. The Hendrich Fall Risk Model was primarily developed as a predictive nursing assessment tool based on epidemiological research (NGC, 2011). The Guidelines were developed by the Hartford Institute for Geriatric Nursing the committee was however not stated. Authors were asked to sign confidentiality documents and all the authors agreed this. The research was conducted by hand searches of public literature and searches of electronic database.

Read More
404 Words | 2 Pages

Falls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is

Read More
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.

Read More
180 Words | 1 Pages

The patient is a 83 years old Caucasian female with a diagnosis of Generalized Weakness and Altered Mental Status. The patient is from home and lives with her daughter. She has a history of hypertension, arthritis, congestive heart failure, nstemi, and atrial fibrillation. First, I will obtain information from the patient’s daughter and collect data about the patient’s baseline and health history. Touhy & Jett (2012) mentioned the importance of assessing the physical, functional, social, and mental status in health and illness, which allows for comparison of patient’s baseline and adjustment of nursing care plan (p. 106).

Read More
1399 Words | 6 Pages

Introduction Nursing judgment refers to a clinical assessment concerning person’s response to health situations or how vulnerable the response is to individuals, household, clusters or the entire community. Clinical judgment consists of two main sections, descriptor, and attention on examination inclusive critical aspects of examinations. In some cases, exceptions are made on judgment and given in one term like anxiety, pain, and dehydration. Clinical officers should not concentrate most on diagnoses from focused challenge but to risks realized (North American Nursing Diagnosis Association, 2005).

Read More
2189 Words | 9 Pages

She also reported feeling lower limb weakness over the past few days Past medical history: Hypertension, Type 2 Diabetes, Atrial Fibrillation, bilateral osteoarthritis knees with TKR on right knee one year ago, history of fall within the last 6 months were two falls- indoor, loss balance, no loss of consciousness Premorbid history: She was independent with her activity of daily living. Indoor, she was a furniture walker and mobilise independently. In the community, she walked with walking-stick independently with frequent rest every 30 metres due to (L) knee pain.

Read More
509 Words | 3 Pages

According to individuals who work with the elderly, aging affects a person's sense of balance. The cerebellum in the brain begins to deteriorate, which leads to lost coordination. In addition, seniors have slower reflexes, and that cannot respond as fast on an uneven surface. Poorer eyesight and medication can also lead to increased falls. What can you do to reduce the risk of falling?

Read More
1050 Words | 5 Pages

Present the Evidence: Prevention of Patient Falls According to the Centers for Disease Control (CDC), each year, one third of those who are 65 and older fall (2013). These falls contributed to $34 billion in direct medical costs in 2013 (cite). With these statistics, it is apparent that health care professionals and health care settings need to make fall prevention a priority in their facilities. The aim of this paper is to explore a fall prevention policy and practice guidelines to evaluate recent evidence and offer recommendations.

Read More
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.

Read More
1201 Words | 5 Pages

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).

Read More
893 Words | 4 Pages

This helps your balance and agility, and can help prevent falls at older

Read More
1519 Words | 7 Pages

The rehabilitation team meets on a daily basis to discuss the progress and plan of care of every patient in the unit. The facility’s comprehensive rehabilitation team has developed and implemented the Neurocognitive Engagement Therapy (NET) program that is based on the on-site research of rehabilitation and quality of life of patients with various cognitive impairments. The primary concern of the facility’s healthcare team is each patient’s stage of cognitive impairment which can result in the orthopaedic conditions or fractures. During the clinical experience the majority of patients seen were the patients with hip fractures, total hip arthroplasty (THA) surgeries, and patients suffering from cerebrovascular accidents (CVA). The physical therapy interventions consist primarily of therapeutic exercise, gait training, and the use of physical agents such as electrical stimulation and short wave diathermy therapy.

Read More
1071 Words | 5 Pages

Physical therapy is the treatment of disease, injury, or distortion by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery. The goals are to help joints move better and to restore or increase your flexibility, strength, endurance, coordination, and balance. This essay will discuss the extent of agreement that physical therapy is vital to be used as non-surgical treatments by people experiencing back and neck pain from time to time. To begin with, taking physical therapy sessions can regain original capabilities. People whom suffered from severe pain every day, tend to lose some of their abilities in handling their daily activities.

Read More

More about Hendrich Fall Risk Model 2

Related Topics

Open Document