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What Is Quality And Safety In A Nursing Home Setting

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W5 Application: Patient Safety Risks Nursing Home Setting This paper will focus on geriatric patients group with increased fall risk at nursing homes. A nursing home is chosen by as the selected healthcare setting. Nursing homes are not only for geriatric population, but for anyone who requires 24-hours care. Nursing homes focus their services for people who cannot be cared at home. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day. Many of them are set up like a hospital setting. This type of facility provides interdisciplinary medical care, such as physical, speech, and occupational therapy, or even specialized care units. Patient Safety Among the key challenges of patient care, quality, and safety is to ensure that there are no injuries to patients from the care intended to help them. Another challenge is to provide care that is respectful of and responsive to patient preferences, needs, and values. Since the nation's health care system is prone to errors which can be detrimental to quality and safety. In fact, a variety of stakeholders are responsible of ensuring that patient care is delivered with the highest quality standards and that no harm occurs to patients. However, the possibility of errors is …show more content…

An interdisciplinary team of nurses, physicians, pharmacists, administrators, quality resource management staff, and if possible Six Sigma black belts participates in the analysis of the medication reconciliation process and its vulnerabilities. The team develops a plan to eliminate errors by following a flow chart to revise and pursue the established goals. In general, communication failures lead to errors in the administration of medications, in the doses or in the method of using a drug. In fact, Six Sigma approach is fundamental for the safety of nursing homes since many medications increase the patients’ risk of

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My chosen career path at this point in life is to be an Executive Director for a Long Term care Nursing Facility. In the world of for-profit Long Term Care Nursing, everything has a dollar amount associated with it. The average cost of a LTC Nursing facility in the state of Maryland is about $7k per month; unfortunately, people are not able to pay out of pocket this amount of money and the financial burden can tear families apart when coming to the decision that their loved one can no longer care for themselves. Financial concerns should be the least of a families concerns when making such a life altering decision. Nowadays the LTC Nursing facility does not just cater to the needs of the elderly but to also a much younger populations who are

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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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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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In this step residents who are at high risk of fall will be given first priority such as residents with the previous history of falls, generalized muscle weaknesses, delirium, poor vision, use of psychoactive medicines. Most effective interventions will be implemented based on the likelihood of success, cot involvement and range of benefits. For instance, placing alarms on the bed and wheelchair, continuous monitoring of patients with delirium, application of bedside rails and health education to healthcare workers on fall prevention are crucial factors of fall prevention program because older people in the nursing home are dependent on healthcare workers. If health care workers are well trained and educated on fall prevention, they will be able to apply most effective strategies to prevent falls. Personally, I have seen many nursing assistants who ignore the fall safety alarms and forget to buckle the seat belt of the person in the wheelchair so it is most crucial to focus on the basic and most effective strategies of fall prevention program (Australian Catholic University,

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Significance of the Problem for Nursing: Prevention of falls in the elderly is an extremely important facet of nursing. Elderly falls often result in fractures, pain, decreased mobility, traumatic hemorrhages, as well as increased healthcare costs. Due to the increased prevalence of injuries acquired from elderly falls, increased risk of morbidity in the elderly experiencing falls, and the growing number of elderly patients, it is of vast importance that nurses research and incorporate evidence-based fall prevention practices to prevent falls in the elderly

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Numerous research has shown evidence-based practice strategies to help reduce and prevent falls in hospitalized patients. According to Day et al. (2012), exercise is one approach used by Geriatric nurse practitioners to reduce and prevent falls in the elderly. Physical activities such as strength, gait, and coordination training which last for a minimum of 12 weeks has been effective in reducing falls in the elderly. The researcher further elaborated that a primary care provider such as a nurse practitioner can refer a patient who is at risk for falls to a Tai Chi program, an operative, and cost effective technique to encourage exercise and strength training in the elderly.

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Based on the case study on pages 36-37 of our text and looking at the individual and financial needs of Don and Mary, I feel that they should both live in Assisted Living Facilities. According to our textbook, Assisted Living Facilities (ALF) provides assistance and supervision of activities of daily living for 24-hour. It offers more independence and privacy, a greater choices of services, and more involvement of direct care workers. (McSweeney-Feld & Oetjen, 2012, p. 25). As their care needs change, they can also opt to live in a Continued Care Retirement Communities (CCRC) which according to the book are residential complexes for seniors that offers housing options and comprehensive nursing care with their changing needs.

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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).

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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.

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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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The Importance of the Six Aims of Quality Patient Care (STEEEP) Since the addition of Crossing the Quality Chasm six aims of quality patient care was created by the Institute of Medicine (IOM), there has been a significant change in the effectiveness and condition of patient care. Before this report came out in 2001, health care providers did not realize that they were not providing proper care to patients in addition to disorganization and complexity of standards of care. The IOM was able to determine that, “failure of system processes, poor communication, and unhealthy work environments contribute to medical errors, ineffective delivery of care, and stress among health professionals” (Winterbottom 2012). It is essential for patients to feel

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Research suggests that each year an estimated 1 in 3 older adults fall. Many older adults lose their lives from falls. Fall related injuries are responsible hundreds of thousands of hospitalizations each year. With the main focus on universal fall precautions and environmental safety, traditional fall prevention and fall management programs have been less than fully effective. A large problem that continues in acute care is the lack of an injury risk screening tool.

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568 Words | 3 Pages

I recognize that my actions and decisions have a direct impact on patient care and outcomes. Taking responsibility means acknowledging and learning from any mistakes or errors, without shifting blame. If I make a mistake, I am committed to addressing it promptly, reporting it to the appropriate personnel, and taking steps to prevent similar occurrences in the future. I strive to maintain open and honest communication with patients, their families, and the healthcare team, ensuring transparency and trust in my

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This article relates the number of risk factors to the increase in falls. Most falls occur in the home while the older adult is going about their activities of daily living. The home itself might have unsafe scatter rugs or too much clutter. NIH Senior Health ("Fall risk Factors," 2013) list some of the risk factors for fall as physical conditions such as weakness, unstable gait, slower reflexes, changes in vision, and unsafe foot wear like slippers. There are some simple steps to help the vulnerable older adult create a safer home environment to help reduce the risk of falls.

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Ageism is discrimination or prejudice based solely on a person’s age, an extreme issue in many elderly clients that reside in sheltered housing communities, as well as quality of life. Bodner, Cohen- Friedel, and Yaretzky conducted a study involving awareness and beliefs about ageism and quality of life in sheltered housing versus those feelings in seniors who live outside such an environment. It was anticipated that that seniors within sheltered housing would have elevated agist attitudes. To test this hypothesis, they took a sample of one hundred twenty six volunteers between the ages of sixty four and ninety four. The contributors completed a survey called the Fraboni scale of ageism, and a Quality of Life (QoL) Inventory.

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