The Pros And Cons Of STOP Revolution

The name of this articles is a multifactorial intervention for the prevention of falls in psychogeriatric nursing home patients, a randomised controlled trial (RCT).the objective is to evaluate the effectiveness of a multifactorial intervention on incidences of falls in the nursing home setting. The aunthers did a great job of explained how can deal and prevent falls in the nursing homes .the research involved 12 nursing home is randomise controlled a 12-month trial.

According to the Joint Commission Resources-JCR (2005), there is no universally accepted definition of a fall. Thus several definitions have been floated over time in an attempt to define the same. One such definition of a fall is "an untoward event that results in the patient or resident coming to rest unintentionally on the ground or another lower surface" (Joint Commission Resources, 2005). Falls are regarded common causes of injury at every age. However, it is important to note that for seniors, falls can have serious consequences. This is more so the case given that a fall can bring about pain, trauma, or even death. With that in mind, the primary purpose of this program remains the reduction of falls and hence the aversion of related injuries amongst the concerned patients. Of key importance remains the identification of patients who appear to be at high risk of falling. This way, appropriate strategies can be developed to reduce the injuries related to inpatient falls.

“RNAO Falls Prevention CPG” has been developed and frequently reviewed by a panel of nurses and other health professions with expertise and interest in falls and falls related injuries in the older population (Brouwers, et al., 2010, P.18; RNAO, 2011, P.13 ). In addition, it introduces some general principles indicating the authors’ intention of considering the views and preferences of the target population: “The client’s perspective, individual desires and needs are central to the application of the guideline; The over-arching principle that guides the intervention choices is the principle of maintaining the highest quality of life possible while striving for a safe environment and practices. Risk taking, autonomy, and self-determination are supported, respected, and considered in the plan of interventions; Individuals, their significant other(s) and the care team engage in assessment and interventions through a collaborative process” (RNAO, 2011, P.8

Falls are highly common amongst the elderly, particularly those who lack mobility, are in hospital, or are living in a nursing home. When an elderly person falls, their activities of daily living may be impacted due to injuries sustained from the fall. It is essential that precautions are put in place to prevent falls in all settings. This essay will discuss the statistics surrounding falls, prevention strategies, and the impacts of a fall on a patient’s ability to complete activities of daily living.

This paper will discuss about fall prevention, which is one of the major issue leading to mortality and morbidity in health care setting (ACSQHC 2012, p. 6). The five peer reviewed articles related to the fall prevention will be used.

Nursing intervention for fall prevention could improve older adult’ quality of life. Intermittently missing nursing care, also known as error of omission, is related to the staff’s education and skills level. According to Kalisch, Lee, and Tschnnen (2012), falls decreased 4% to 25% in health setting after giving education for fall prevention strategy. In other words, without providing education, there’s a possibility for older adults to fall by a health care provider who has inadequate knowledge for fall risks. Even if aging patients already have a high chance of falling due to their health condition, a health care provider could make the situation worse. Therefore, fall prevention education is important for both older adults and health care providers. Fall prevention requires participation from both sides.

When we think about medical safety and the risks we can prevent by proper technique and proper method of planning, we must discuss falls. Medical staff and researchers have discovered that falls are among the most common and reoccurring potentially serious safety problems in a medical environment (Byers & White, 2004). Falls greatly affect all types of health care including; acute care, long-term care, and nursing homes, becoming a top health priority internationally. Research has shown that more than one third of people above the age of 65 years fall every year, along with increasing numbers for those with chronic conditions affecting mobility and illness (Child, 2012). Allowing falls to occur at this scale is not only hindering the health care provided, but may cause mortality, serious or fatal injury, patient’s hospitalization period to increase, and a potential reduction of the quality of life of the patient (Child, 2012). An important concern with fall prevention is miscommunication in medical planning and improper use of equipment that decreases the chance of a fall. Falls can be reduced by educating medical staff and designing programs to establish techniques and prevention incorporating everyone that is involved in the patient’s care. By interacting with the medical staff and designing new and improved strategies, teams have recognized a significantly lower fall rate even within a time period

The scenario presents the case of a volunteer group that seeks to prevent falls in a community of persons older than 65 years. The group postulates that implementing exercise programs ((intervention) is likely to prevent falls occurrence. The fact that the discussion centers on what can be done to prevent falls in the at risk group, makes this an intervention

It discusses medication management noting some drugs that specifically are shown to increase fall risk. Environmental aids that help control extrinsic factors that increase fall risk. Things like removing clutter, cords, IV tubing, etc. It talks about balancing removing environmental hazards and respecting the patient’s independence. This article touches on a lot of areas to help prevent falls. In helping with my paper I especially like the discussion of fall-prevention teams. Having a successful fall prevention program requires a multidisciplinary team approach. This article helps to put a plan in place that studies the fall prevention measures a facility is using. Having a fall prevention team in place helps to examine the circumstances of the falls that do occur. By doing so, the team is able to make adjustments to the fall prevention measures. This article will useful to my paper by helping to show the importance of evidence based interventions for preventing falls and the importance of educating the health care team on using these evidence based interventions.

After reviewing the fall data obtained from the cardiac floor regarding falls, I knew a change needed to occur. I have worked with several teams on improvement projects, but I have never taken the lead. According to Stichler (2011), “the leader must guide staff and others through the process of disrupting their current practice patterns, encourage them to let go of current realities, introduce new patterns, encourage them to adopt new standards and stabilize the equilibrium as quickly and painlessly as possible” (p.166). My mentor Veronica Robinson has led several projects to completion. Her knowledge and guidance kept the group on track, resolving issues and providing wonderful ideas when we felt we were confronting barriers. It was a great to have her be apart of this project she provided valuable feedback. She advised me to review research journals from AHQR and OIJN journal articles. To pay particular attention to the measuring fall outcomes, preventing falls in hospitals and tools used to measure progress and quality. We discussed preventative methods regarding fall issues some included audit tool, fall template, fall kit and things staff can do before education. We could gather from our data the unit had tools that were outdated and needed to be revised for

The following research question was addressed: What is the effect of falls in the older adults while hospitalized? CINAHL Complete and Google scholar databases were used to search for relevant quantitative research articles. CINAHL Complete was searched using words like “falls in older adults while inpatient”, “impact of falls in older adults while hospitalized”, falls in older adults”, “and falls in the hospital amongst older adults“, ” fall impact in older adults while hospitalized”. Google scholar databases was searched using keywords such as “impact of falls in hospitalized older adults”, “Fall in the older adults during hospitalization”, “effects of fall on older adults while hospitalized”. Quantitative research article published in English, where any author is a nurse, and adult subjects were analyzed; dates of publications for all articles were limited to the years between 2011–2016. The University of Texas at Arlington’s library site titled finding quantitative and qualitative research was used to evaluate the qualities of the research article to ensure quantitative articles were utilized. Research articles that were utilized were those that involve interventions focused on effects of falls in the older adults population while hospitalized. Multifactorial fall prevention programs, environmental, educational

Several parts of the final report of the White House Conference on Aging relate to the programs funded by the Older Americans Act. One of the main goals is to promote healthy aging and active living amongst older adults, which will be done through many initiatives including an online course regarding falls from the CDC, health provider training programs, LGBTQ outreach, and Medicare, Medicaid, and Social Security

In conclusion, several studies have outlined that falls and fall related injuries are leading cause of mobility and mortality amongst hospitalised patients (Ang, Mordiffi, & Wong, 2011; Sahota et al., 2014; Shuman et al., 2016). According to Ang, Mordiffi, and Wong (2011) targeted multiple strategies focuses on identifying patient’s individualise fall risk such cognitive status, medication of the patient that can contribute to mobility issues and a medical condition that could affect the patient bodily functions. Similarly, Sahota et al. (2014) outline that nurses’ role is to provide health teachings and to develop specific interventions that can minimise patient risk for fall. Additionally, health instructions needs to be provided not limited to the patient but also with the family.As a result, patients will become more educated and play a more active role in their care.

Falls are a big concern for all employees in a hospital setting daily. The worst thing that can happen to a patient while being hospitalized is a fall, or a major fall, that could result in skin damage (i.e. wounds, skin tears, or abrasions), a fracture or break, thus limiting their independence. This student’s goal was to develop a way to educate staff members in ways they can help reduce the number of falls that occur. Developing a sample Fall Risk Prevention Policy as well as a Staff in-service on fall risk and Prevention achieved this goal.

Unfortunately there is not only bullying in schools, there is bullying in the workplace as well. These are unacceptable behaviors that arise within a workplace situation. Bullying the workplace can take many forms and it’s not easy to always identify. The Fair Work Act 2009 made recent amendments that came into effect in January 2014 to define workplace bullying as occurring when an individual; group of individuals; repeatedly behaves unreasonably towards the worker, group of workers of which the worker is a member; and the behavior creates a risk to health and safety (Le Mire & Owens, 2014). This definition focuses on three main elements of bullying behavior, it is repeated, unreasonable, and creates a risk to health and safety. All three elements must be satisfied in order for bullying at the workplace to be found. Bullying behaviors could be things that are victimizing, humiliating, intimidating or threatening, but it is not limited to just those behaviors.