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Nursing Home Fall Prevention Case Study

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Risk assessment is the fundamental step of risk management program, which identifies, estimates and analyzes the extent of risks to the patients, healthcare workers, and the organizations. It is the step of investigating what could go wrong, who is exposed to the risks and what actions are needed to minimize or prevent the risks. Risk assessment helps to design the appropriate planning to deal with hazards (National …….). In nursing home falls and healthcare associated infections such as urinary tract infections (UTIs), aspirations pneumonia, gastroenteritis and others are very common. Residents in a nursing home fall frequently, which increases the morbidity and mortality rate. According to center for Disease Control and Prevention (CDC), 1800 …show more content…

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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Sanctuary Bellbrook is a nursing home that provides a home for older adults in comorbidities conditions. The goal is to make sure residents staying here are in a safe and hazardless environment with the right assistance provided. Resident LJ, born on August 2, 1921 was admitted to Sanctuary Bellbrook due to her right fracture pelvic from a fall. The SPICES tool is used to find actual and potential problems the resident may be experiencing. With the tool, our objective is to establish interventions to reduce risk of injury LJ may be vulnerable to and provide the best care .

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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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Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

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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

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Care staff have a duty of care to ensure the safety of individuals they support; however, individuals also have a right to make their own choices which can lead to dilemmas. The risk assessment process can be used to support individuals to understand the possible repercussions of their choices and put measures in place to reduce or eliminate these risks this can help individuals and staff to have a positive attitude towards risk taking and to promote their strengths and abilities. This can lead to self-confidence, self-esteem and overall

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The necessity to reduce patient falls is the trigger in this circumstance. This is a knowledge- focused trigger since the purpose is to implement a practice that has been shown to prevent falls. The next step is establishing if the issue is a top priority for the clinic, division, or section. Patients should be a top priority in any acute care facility, as they can result in catastrophic injuries and even death (Cullen et al., 2022).

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However, safety, health, and care have high chances to be compromised. In the hospital setting, patients with dementia get constant care, support, and help from staff in the

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How many worldwide? What were the populations who were most affected? Healthy or sick? young or old? ages?

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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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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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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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As working as a Certified Nursing Assistant in a long term care rehabilitation facility, I encounter many elderly patients who are admitted for fall related injuries. The majority of patients are recovering from total knee and hip replacements as a result from falling at home or elsewhere. Fuller states, “Falls are the leading cause of injury related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years…More than 90 percent of hip fractures occur as a result of falls, with most of these fractures occurring in persons of over 70 years of age” (Fuller, 2000, para.1). There are many factors that can contribute to the reason why individuals, particularly the elderly,

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A risk assessment is where we look at all the risks and try to find a way of overcoming or try to reduce the risks, as well as looking at the risks that is involved with many of the activities that the residents are able to do, then what can be done and put in place then to reduce the risks so they can take part in the activity risk and harm reduced, because they always have the right to be included in activities that they want to participate in. Therefor if an individual wants to do something independently, for example, make themselves a cup of tea, then a risk assessment will need to be completed to minimize the risk of that individual burning themselves or other residents, such as cap the temperature of the hot water, instead of taking their independence away from them and for us to do it for

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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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I will also discuss on how this clinical situation could be done differently. Clinical scenario I was posted to a medical ward in National University Hospital for my clinical posting. There is a particular cubicle allocated for patients with very high risk of fall called the “Green eye cubicle “. Patients in that cubicle are usually confused or not compliant to fall precaution.

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