Fall Prevention

Superior Essays
Proposed Methods
The proposed research design allows for the measurement and comparison of fall prevention programs versus standard care measures and their effectiveness in the reduction of falls in dementia patients 65 years or older, in acute care facilities. Patients’ will be 65 years old with diagnosed dementia and will be randomly selected and placed into either a control group or the experimental group. The experimental group will utilize a fall prevention program that builds on standard care measures. The fall prevention program will assess patient risks for falls, utilize fall risk signs and bracelets, bed and chair alarms, frequent patient rounds, medication evaluations and multidiscipline communication and education on fall prevention
…show more content…
Langford and Young (2013) discuss a number of ways in which reliability and validity issues of quantitative research can be addressed. This study has been designed to incorporate the necessary measures to address these issues. To avoid bias in the data collection and analysis, the dependability of the instruments will examine internal consistency, stability, and equivalence through both descriptive and inferential statistics as well as central tendency measures of nominal and ordinal data sets collected throughout this study (Langford & Young, 2013). The proposed random sampling and criteria can be used on all patients supporting the reliability of the test design. The measurement of whether or not falls occur while patients implemented fall prevention programs are in place indicates validity in the research design. Generalizability can be established because all implementations can be utilized on any person in the specified …show more content…
(2013), theses studies showed a variety of gaps in currently research related to dementia patients and fall prevention programs. Many of the studies identified gaps in standard care precautions being carried out by multidisciplinary staff prior to the implementation of fall prevention programs. As defined by Healey and Darowski (2012) clinical audits suggest that fall prevention in hospital settings fell short of the best practices including some of the basic care methods such as placing the call light within reach to lowering the bed to its lowest position. Theses methods are part of universal standard care measures for all patients. Fall prevention program effectiveness is hard to measure if standard care measures are not utilized in practice. The results of this study will be based on staff compliance with safety care measures assigned to each patient. All patients will receive standard care measures and a sample population will have a fall prevention program that is integrated into their basic care plan. This will allow for proper evaluation of the effectiveness of fall prevention programs in dementia patients 65 years or older. Other gaps in previous studies resulted from high nursing staff turnovers, inadequate communication, and no universal risk assessment tool (Dean, 2012). DeVol (2013) used

Related Documents

  • Improved Essays

    According to the Agency for Healthcare Research and Quality (2013), approximately 900,000 cases of falls are reported every year from hospitals around the country. Some of these fall are with serious life threatening injuries. Unfortunately, the hospital is responsible to take on all these extra charges that frankly could have been prevented if all the strategies were in place. As healthcare providers, more can be done to keep patients safe. Implementing the fall prevention strategies is guarantee to decrease fall by 70% by the first…

    • 944 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Although multifactorial fall risk assessment and management programs seem to be a reasonable and appealing approach for preventing falls and fall related injuries in the elderly, it is not backed by strong evidence. Present evidence implies that it may decrease the number of falls in the elderly by only a minimal amount. Evidence of its effects on other outcomes as in the rate of falls and injuries is inadequate. Rigorous interventions that provide actions to address risk factors rather than evidence with referrals could be more effective.…

    • 87 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    As of year 2015, there were 120 residents in Kamehameha Nursing Home who suffered physical injuries because of falls. This is an alarming rate as the number of falls tremendously increased. Because of the alarming increased rate of fall in Kamehameha Nursing Home, needs assessments were conducted to identify risk factors and ways to address it. The aims of the needs assessment were: a. Determining the causes of falls…

    • 911 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Elder Loss Research Paper

    • 277 Words
    • 2 Pages

    About one third of the elder population over the age of 65 falls each year [TPS+01]. The risk of an elderly falling increases with age, which also applies for people with neurodegenerative diseases, dementia, delirium, or psychotropic medication [HA10]. As a result, fall related injuries are the number one reason for emergency room visits, and it is also the leading cause of deaths among adults above the age of 65 [JS06].…

    • 277 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    What if hospitals begin turning away patients that have a high risk for fall? The high risk would include the elderly, especially Alzheimer’s, stroke patients who have balance problems, or the ones that are taking certain medications that could affect them physically. As part of the health care team, all patients are welcome and should not be turned away due to high risk for…

    • 1446 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Case Study Walk-To-Dine

    • 1844 Words
    • 8 Pages

    The screening process will determine how appropriate each resident is for participation in the Walk-to-Dine program. Balance issues, impaired strength, and prolonged bedrest are a few things that will trigger residents to be screened before participation. Geriatric patients are at high risk for falls because of the decrease in strength, proprioception, poor balance, and slower reflex so the screening process is much more important in this population. During the screening process, if any difficulty with ambulation and/or transfers is shown to affect the resident’s ADL function and leads to decrease in safety, that resident would be picked up by therapy. If the resident is not deemed a fall risk, per recent quarterly Fall Risk Assessment, and the patient is not receiving skilled physical or occupational therapy nursing will place that resident directly on the Walk-to Dine program.…

    • 1844 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Acute Rehab Case Study

    • 1526 Words
    • 6 Pages

    How Study to be Conducted This study will focus on protecting patients from fall and fall-related injuries after stroke in an Acute Rehab Unit. At first it would identify the patients who are at great risk of fall currently and after going back to the community. The Morse Fall Risk Assessment (MFA) tool will be used to initially identify fall risk patients in the unit. CDC’s Injury Center has created a tool kit, called STEADI (Stopping Elderly Accidents Deaths and Injuries).…

    • 1526 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Quality Improvement in High Fall-Risk Patients There are many reasons why patients are at risk for falling; some of them are sensory deficits, medications and altered mental status. Nurses have a moral obligation to provide and help maintain a safe environment for patients who are at risk for falls; therefore, it is of utmost importance to identify this population and determine the best solution to combat this ongoing problem. Trepanier and Hilsenbeck (2014) states “there is a need to identify the quality and financial impact of a standardized fall prevention program for adult patients in the acute care setting” (p. 135).…

    • 757 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Fall Prevention

    • 682 Words
    • 3 Pages

    Purpose of Study or Research Focus The current rate for falls after orthopedic surgery is 1-3 falls per 1000 patients per day. These fall result in a financial loss for the hospitals as well as a decrease in the health and wellbeing of the patient (Clarke, Timm, Goldberg, & Hattrup, 2011). Hospitals employ numerous ways to determine if a patient is a fall risk. There are also many interventions used with the purpose of fall prevention.…

    • 682 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    I selected the article of the Implementation of an Evidence-Based Patient Safety Team to Prevent Falls in Inpatient Medical Units from MEDSURG Nursing Journal written by Gwendolyn Godlock, RN and a Joint Commission nurse surveyor, Mollie Christiansen, RN and a clinical nurse officer, and Laura Feider, RN and a Dean, School of Nursing Science and Chief, Department of Nursing Service (Godlock, Christiansen, and Feider, 2016). Fall prevention for patients is medical facilities is a constant concern and continuous studies on prevention. Even through falls are accidental the outcome can range from no injuries to the death of the patient (Ignatavicius & Workman, 2016). The Joint Commission established a National Patient Safety Goal which…

    • 672 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Falling as a senior citizen can have serious consequences. Falling down can cause seniors to break their bones and can seriously compromise their health. Here are five tips that can help you minimize falls among the seniors who live in your assisted living community. These tips will help you be a more responsive caregiver.…

    • 567 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    One out of every three seniors over the age of sixty-five has a fall each year (Centers for Disease Control and Prevention, n.d.). According to the Centers for Disease Control and Prevention (n.d.), the emergency room treats over 2.5 million elderly and hospitalizes over 734 thousand every year. Roughly 50-75% of the nursing home geriatric…

    • 1324 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    With the advancement of medicine and technology, it is evident that there is a growing elderly population in the developed countries such as the United States. Perhaps, some casually phrase it as the “baby boomers getting older.” My experience as a nurse taught me that despite developments in modern medicine, there are challenges such as elderly independence and prevention of falls along with the combination of polypharmacy and multiple comorbidities posing as risks. The Center for Disease Control and Prevention (CDC) states that 2.5 million people, with ages 65 and older, are treated in the emergency room for fall injuries (Center for Disease Control and Prevention [CDC], 2013). Additionally, the CDC states that over 700,000 patients a year…

    • 939 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Fall Risk Assessment

    • 2739 Words
    • 11 Pages

    Most of the time, these patients do not get the fall risk kit; for the first twenty-four hours, these patients always score as at risk for fall when the fall assessment is completed, but nurses tend to ignore it, especially with younger patients. Even if the patient is young, the fall protocol needs to be established because, for the first twenty-four hours, the patient might react to medication that can cause cognitive impairment, or there may be a change in acuity of their illness or physical status, which will lead to safety issues. The fall assessment tool is essential because it ensures clinical decision-making, facilitates communication between providers and helps in the creation of the care plan. Other strategies to consider in enhancing awareness are to be consistent in filling out the nurse-to-CNA communication flow sheet and to report risk factors at change of shift and safety…

    • 2739 Words
    • 11 Pages
    Great Essays
  • Superior Essays

    Inpatient Falls Prevention

    • 1563 Words
    • 7 Pages

    Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky, 2013). The National Database of Nursing Quality Indicators (NDNQI) defines a fall as “an unplanned descent to the floor with or without injury to the patient” (Miake-Lye, Hempel, Ganz, & Shekelle, 2013).…

    • 1563 Words
    • 7 Pages
    Superior Essays

Related Topics