Falls Injury Paper

Superior Essays
In reviewing this patient, she is 78 years old, lives alone and is able to care for herself with minimal assistance. Risk factors associated with her age and medical conditions are falls or injury, depression, and inability to successfully perform ADL’s. Falls/Injury
As a result of the physiological changes associated with age and polypharmacy many geriatric patients are at a higher risk for falls. Falls greatly increase morbidity and mortality in the geriatric population and unintentional injury is one of the leading causes of death. Many patients that live alone are at a higher risk for falls. Repeated falls and instability are common precipitators of nursing home placement (Ham et.al., 2014).
This patient has several chronic conditions that make her more likely to fall. She has osteoporosis and neuropathy. Both of these conditions can be linked to frequent falls. Also, she takes several
…show more content…
It is a common misconception that depression is a normal [part of the aging process, but this is not true. Depression affects so many aspects of a person’s life. It is also common for people with depression to have increased pain and disability. Risk factors for depression in geriatrics can include chronic illness, loss of a loved one and medication side effects. This patient is positive for all of these risks. Although the patient is at high risk for developing depression, she is not currently exhibiting any signs to the effect. Her PHQ-9 score was a four and she has denied any feelings of being down, depressed or hopeless. Since the loss of her husband is so recent, she may not have fully absorbed the change. She is currently taking both an opioid and a benzodiazepine daily, which greatly increases her risk for developing

Related Documents

  • 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
  • Decent Essays

    Given that the person needs a cane and just had a stroke, recurrent falls could be an issue of trouble dealing with post-stroke life in his home. 4. Do you have any other…

    • 264 Words
    • 2 Pages
    Decent 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

    There are many risk factors for falling but a health care provider needs to know for the patient to be tested to find the cause and prevent further falls (Abraham & Cimino-Fiallos, 2016). Maria has had several instances with falling. She had broken her nose, left leg and right arm. Each instance she had to go to rehab in order to get stronger and able to walk with a cane and function on her own. Previous medical diagnosis such as arthritis, fractures, urinary incontinence and recent hospital discharges only risk factors for more falls in the future (Abraham & Cimino-Fiallos, 2016).…

    • 1805 Words
    • 8 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
  • Decent Essays

    Fall Prevention in Hospitals, Adult WHAT ARE SOME SAFETY TIPS FOR PREVENTING FALLS? If you or a loved one has to stay in the hospital, talk to the health care providers about the risk of falling. Find out which medicines or treatments can cause dizziness or affect balance. Make a plan with the health care providers to prevent falls.…

    • 669 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Dementia Assessment Paper

    • 2376 Words
    • 10 Pages

    Falls often occur and Fall precautions including physical therapy guidelines must be put in place to minimize possibilities of injury. Adult daily living skills will most likely regress as the dementia progresses and self-care needs are seldom attended to. This becomes a challenge for an advocate as they begin to play an active role in attending to the intimate needs of a person affected by dementia; however, it becomes necessary in the continuation of care. For individuals with severe to profound intellectual disabilities, it presents more of a challenge since the level of functioning usually possesses an absence of complex skills. As dementia progresses, it affects basic functions which can become detrimental such as the ability to swallow whole food.…

    • 2376 Words
    • 10 Pages
    Improved Essays
  • Improved Essays

    Seniors that have fallen before and suffered injuries are more likely to fall…

    • 567 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Falls are multifactorial. Individiual intrinsic factors such as age and fracture. For example, 20-30% people age 65 or older who fall with moderate and servere injuries (who). Age assocites with osteoprosis which is found widespread among women. Osteoprosis is a bone diease,…

    • 507 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Statement Of The Research Problem Patients aged 65 years and older are at higher risk of sustaining fall-related injuries during hospitalization. Studies have shown that 70% of hospital accidents are fall-related (Olrich, Kalman, & Nigolian, 2012). As such, falls have become one of the leading problems confronting healthcare organizations. With the growing number of fall incidents, patients fall has now been recognized as a quality indicator and have even been considered as nursing-sensitive quality indicator because they can be traced to the quality of nursing care (Hicks, 2015). With the negative outcomes arising from patients’ falls, the Centers for Medicare and Medicaid Services no longer reimburse hospitals for the cost of additional care related to fall injuries (Tzeng, 2011).…

    • 416 Words
    • 2 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
  • Superior Essays

    During the observation, I noted that because of the increased population of geriatric patients , the PT has to take into consideration about the physical ,cognitive and neurological status of these patients to ensure that dangerous accidents and injuries do not occur during the treatment session. In the skilled nursing facility most of the diagnosis I saw were fall, strokes ,arthritis ,osteoporosis, pain due to cancer ,dementia ,Alzheimer's and incontinence . PT can do better by improving their balance and making them independent by teaching their family ,nursing staff and caregiver how to do transfers, gait training, and balancing that helps to improve their cognitive impairment . Because most of the patients were wheelchair bound and used assistive devices to move around. Physical therapist at the skilled nursing facility follows a standard protocol for physical assessment ,which includes measuring range of motion , muscle force, reflex activity, sensation, soft tissue status , balance and coordination ,and posture.…

    • 1563 Words
    • 7 Pages
    Superior 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 falls occur in the patient’s room while attempting to…

    • 2739 Words
    • 11 Pages
    Great Essays
  • Superior Essays

    Inpatient Falls Prevention

    • 1563 Words
    • 7 Pages

    Because falls are most likely underreported, most estimates may be overly conservative (Miake-Lye et al., 2013). The purpose of this root cause analysis is to discover and implement interventions to prevent falls in order to provide safe and high quality care to…

    • 1563 Words
    • 7 Pages
    Superior Essays