Years ago a commercial appeared on television portraying an elderly woman lying on the floor screaming for help after she had fallen to the ground sustaining an injury for which she was unable to get up on her own. The image is burned in my memory. Unfortunately, this scene has been a reality for many older adults who have fallen not only at home but while hospitalized. There are many versions of the definition of a fall. The World Health Organization defined a fall as “an event which results in a person coming to rest inadvertently on the ground or floor or other lower level” (Falls, 2012, para.1). One in three adults aged 65 or older sustains an injury from falling every year (Important facts about falls, 2015, para. 1). The consequences
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In Evidence-Based Geriatric Nursing Protocols for Best Practice. It was developed by nursing experts from all over the United States and was part of the Nurses Improving Care for Health System Elders (NICHE) project (Gray-Miceli, 2012). The latest version was updated in 2012 from an earlier 2003 version. It was created to provide healthcare providers a standard practice of care using evidence-based recommendations to prevent falls and serious injuries with the recognition of multifactorial risks and causes occurring in hospitalized older adults (Gray-Miceli, 2012). It is structured for the assessment of intrinsic, extrinsic and patient care environment risk factors for falls including post fall assessments and follow-up (Gray-Miceli, 2012). Current nursing practice utilizes evidence based protocols for improving the quality of patient care making this falls prevention guideline relevant to the nursing …show more content…
It illustrates how and when nursing is needed through the five pillars of helping: doing, guiding, teaching and supporting (Blais & Hayes, 2011). Self-care includes the individual’s ability care for themselves and their dependents for the maintenance of their own health, life and well-being (Blais & Hayes, 2011). Man is described as a self-sufficient person capable of continuously caring for themselves in addition to others that depend on them such as family or children (Dorothea Orem's Self-Care Theory, 2012). In terms of individuals as patients they have conditions which interfere with their ability to care for themselves (Dorothea Orem’s Self-Care Theory, 2012). Health is described as the patient being capable of caring for themselves in a changing environment (Dorothea Orem's Self-Care Theory, 2012). In regards to an individual’s environment, Orem describes man and environment as a synergistic system including the positive and negative ways conditions affect their ability for self-care (Dorothea Orem's Self-Care Theory, 2012). Nursing is described constituting the deliberate actions chosen by nurses which are performed to direct the patient towards self-care requisites such as when educating patients of their fall risk (Dorothea Orem's Self-Care Theory, 2012). Self-care deficit theory assumes when individuals have conditions that restrict their ability to perform self-care they will
In Evidence-Based Geriatric Nursing Protocols for Best Practice. It was developed by nursing experts from all over the United States and was part of the Nurses Improving Care for Health System Elders (NICHE) project (Gray-Miceli, 2012). The latest version was updated in 2012 from an earlier 2003 version. It was created to provide healthcare providers a standard practice of care using evidence-based recommendations to prevent falls and serious injuries with the recognition of multifactorial risks and causes occurring in hospitalized older adults (Gray-Miceli, 2012). It is structured for the assessment of intrinsic, extrinsic and patient care environment risk factors for falls including post fall assessments and follow-up (Gray-Miceli, 2012). Current nursing practice utilizes evidence based protocols for improving the quality of patient care making this falls prevention guideline relevant to the nursing …show more content…
It illustrates how and when nursing is needed through the five pillars of helping: doing, guiding, teaching and supporting (Blais & Hayes, 2011). Self-care includes the individual’s ability care for themselves and their dependents for the maintenance of their own health, life and well-being (Blais & Hayes, 2011). Man is described as a self-sufficient person capable of continuously caring for themselves in addition to others that depend on them such as family or children (Dorothea Orem's Self-Care Theory, 2012). In terms of individuals as patients they have conditions which interfere with their ability to care for themselves (Dorothea Orem’s Self-Care Theory, 2012). Health is described as the patient being capable of caring for themselves in a changing environment (Dorothea Orem's Self-Care Theory, 2012). In regards to an individual’s environment, Orem describes man and environment as a synergistic system including the positive and negative ways conditions affect their ability for self-care (Dorothea Orem's Self-Care Theory, 2012). Nursing is described constituting the deliberate actions chosen by nurses which are performed to direct the patient towards self-care requisites such as when educating patients of their fall risk (Dorothea Orem's Self-Care Theory, 2012). Self-care deficit theory assumes when individuals have conditions that restrict their ability to perform self-care they will