The three most common philosophical approaches are person-centred care, holistic care and nursing process of care approach. Person-centred care is the first philosophical approach that furnishes health and social services that accomplish personal needs by planning, developing and monitoring care by assigning patients and their family at …show more content…
Tylor’s fall prevention. Person-centred care approach can be inevitable for Mr Tylor because emphasising on his personal details like his wife’s death is important to provide psychological, palliative care and communicating regards to his past life, respecting his gardening hobby is an important step to build self-confidence and self-esteem. Additionally, this approach is essential for him as it promotes family involvement in making Mr Tylor’s health decision and undertaking steps to reduce and prevent his future fall for better health outcomes. Another approach, holistic care is important in Mr Tylor’ fall prevention care plan. This is because along with physical care like exercise and mobility aids, Mr Tylor requires care for his loneliness, other health issues like diabetes, vision problem and incontinence, environmental care by eliminating home hazards, emotional care by family support, spiritual and cultural care by community involvement. Thus, focuses on body, mind, and spirit for Mr Tylor’s care plan can assist to reduce fear of fall and further fall risks (Admas, 2012). The nursing process of care would be significant for Mr Tylor as its emphasis on analysis process for identify an actual problem of fall and focus on nursing intervention and collaborative strategies that distinctly point out Mr Tylor’s fall risks (Waldron, Hill, & Barker, 2012). Thus, in Mr Tylor’s case, all three nursing …show more content…
Fall risk assessment for Mr Tylor may include evaluation of fall history, medication, osteoporosis review, analysing patient’s gait, balance, mobility, home hazards, identify visual impairment, and urinary incontinence assessment. Patient’s history of fall at home has raised chances of future fall (Barker, 2014). So, documentation of Mr Tylor’s fall history is a significant indicator for fall prevention with adequate precautions. Fall Risk for Older People- community settings (FROP-Com) is most effective to assess previous fall and identify risk factors for older people as its emphasis on fall status, risk factors and action plan (National Aging Research Institute, 2016). Another fall risk assessment for Mr Tylor is an evaluation of his gait, balance and mobility. Research from Trombetti et al. (2011) revealed that altered gait pattern, impaired balance and stability can increase chances of falling in older people and raising mobility issues. There are some screening tools to assess his gaits and balance which are the most predictor of future falls. These tools are, Timed Up and Go Test (TUG) which measures the time to rise from a chair, Berg Balance Scale to measure balance (L. V. Moncada, 2011). Above all, environmental assessments are most significant risk factor for Mr Tylor’s fall risk. These may include identification of home hazard and its modification. In Mr Tylor’s case,