Reflection On Falls Assessment
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
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.
Falls can result in, reduced quality of life, functional
There are ranges of specialists who work on the rehabilitation team, each member of the team has a goal to help patient with a focus of promote QOL. The Case Managers are will be the primary contact person, with whom patient and family/caregiver can direct raise matters and ask for information. It is advised that a neuropsychologist should conduct a cognitive and behavioural/emotional assessment. Cognitive include perception and awareness, orientation, memory, though processing, problem solving, personality and decision making. Behavioural/emotional include emotional status, mood changes, adjustment difficulties, personality changes, inappropriate sexual behaviour, motivation level, substances misuse, depression, anxiety and psychosis.
The Way We Fall by Megan Crewe, Response Journal #4, pp. 160-309 Question: What emotions did the book invoke: tears, smiles, anger? Share and discuss these. When reading The Way We Fall, I felt a range of emotions.
These interventions included educating patients consistently about the important of getting assistance to get out of bed and go bathroom, providing information to increase patient knowledge about fall precaution, the reason why he or she was risk for falls and what specific actions they should avoid. The most important that, the nurse should to let the patient know that calling for help is not a bother to the nurse. They also found out that fall risk assessment, fall prevention, closer supervision of patient and hourly rounding were not performed or done as its policies. The findings in case reviews suggested that despite use of multiple fall prevention intervention, all falls are not preventable, but they also highlighted the need for consistent implementation of fall prevention intervention. In current evidence based fall prevention intervention recommendation, they mentioned a multicomponent approach to fall prevention can reduce fall rates by 30% (Miake-Lye et al., 2013).
2.1: Explain the importance of recording possible signs or symptoms of dementia in an individual in line with agreed ways of working? The Impact of early diagnosis allows the individual with dementia as well as their family members and friends to accept help so they can understand and adjust with the individual with dementia. This helps individual statute of their other conditions that may have similar symptoms to dementia and that may be treatable before it gets very serious e.g. depression, chest and urinary tract infection which is also known as UTI. This may also help statute out the other possible causes of confusion e.g. poor eyesight, hearing, emotions, side effects of certain medications that they may be taking.
The novel, The Souls of Black Folk, written by W.E.B. Du Bois, illustrates the racial discrimination that was present amongst the whites and the African Americans following the Civil War. The readers follow Du Bois and the African Americans through their daily hardships of being people of color. Being a man of color himself, Du Bois, struggles existing amongst the two worlds; the world of white superiority and the world of cohesion as African Americans. Du Bois’ availability to these two worlds is known as “double-consciousness”, where he sees two sides of an idea. This ability can be both a blessing and a curse, and according to Du Bois he agrees, “He simply wishes to make it possible for a man to be both a Negro and an American, without being cursed and spit upon by his fellows, without having the doors of Opportunity closed roughly in his face” (Du Bois 3).
This protocol recommends a fall-risk assessment and implementation of a fall prevention plan for every resident, as well as an incident report for every fall. The assessment includes checking for problems that increase the likelihood of falling. Here are some additional steps nursing homes can take to maintain a safer environment and prevent unnecessary falls: - Assessing patients after a fall to identify and address risk factors and treat any underlying medical conditions - Educating staff about fall risk factors and prevention strategies - Reviewing prescribed medicines to assess potential risks and benefits - Adapting the nursing home environment to make it easier for
The other part of the agreement consisted of things that the staff can do to prevent falls and some examples included helping the client when they are weak, using a bed alarm for the client, keeping the room clutter free, checking up on the client hourly. According to Hoke & Zekany (2022), “after implementing the fall prevention agreement, nurse leaders reported a decrease in falls and falls with injury, which has been sustained for the past 6 years...” (p. 638). Utilizing a fall prevention agreement ensured that the staff and the clients were educated on fall prevention and that falls were reduced. Solares and Calero (2022) discussed the importance of how having the client involved as an active part of their care can improve care for the client.
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.
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).
Informative:Fall Many people in the Fall tend to lose weight or gain weight some more than they wanted to, so they start thinking of ways they can lose all that weight they have gained, but you can also gain weight by doing different this. Exercising will help you gain and lose weight, just depends on what you do, for example say you are loving how the weather is outside so you decide to go for a jog that is a type of exercise. Another way is weightlifting, that can help you gain weight because you are gaining muscle also, so my job is to help us find some different ways to stay healthy this Fall. One way to start is taking advantage of the weather.
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.
As all know, the incidence of patient falls will be the big thing in every health care centre. I also worry if Madam Y experienced any complications, I might not be able to forgive myself. This critical incident made me feel sad and disappointed in myself. After this incident, I started to blame myself for the fall and this affected my nursing practice until the end of my shift. I still being uncomfortable and not confident on that day while performing my nursing skills and felt sad throughout the day.
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