Kamehameha Nursing Home: A Case Study

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
b. Determining the effects of falls to the residents of Kamehameha Nursing Home
c. Determining fall prevention barriers and knowing possible strengths of the residents in the facility.
d. Determining the interest of the residents in different educational and fall prevention strategies
e. Training and educating Kamehameha Nursing
…show more content…
According to the study, one of three people of the age of 65 years old fell every year (Browne, Kinston, & Keane, 2014). In Hawaii, it is estimated that that one-third of older adults suffer from fall each year (State of Hawaii, 2013). According to Centers for Disease Control and Prevention (2015), between half and three quarters of nursing home residents fell each year. Falls can be prevented by determining and addressing fall risk factors. Kamehameha Nursing Home is dedicated to provide best quality of care to its residents and their families. One way to provide best quality of care is to avoid fall incidents in the facility. As of year 2015, there were 120 residents in Kamehameha Nursing Home who suffered physical injuries because of falls. The aim of this paper is to perform fall risk and prevention needs assessment for Kamehameha Nursing …show more content…
Kamehameha Nursing Center is part of ITO Healthcare Group. Other ITO Healthcare Group facilities are Honolulu Care facility, Waipahu Nursing Home, and Pearl City Nursing Home. Kamehameha Nursing Home is Medicaid and Medicare Certified and state licensed for 132 residents. The facility also accepts most health care plans including Long-term care insurance. Majority of the residents are Native Hawaiian and Asians ages 65 and older.
The facility has more than 100 employees includes residents personal physician, nursing staffs (CNAs, RNs, and LPNs), social workers, rehabilitation therapists, and activities staffs. It provides 24 hour-a-day nursing care and supervisions. These services include treatment and medications and activities of daily living such as dressing, bathing, feeding, grooming, ambulation, transfers, and etc. The kind of services provided to individual patient greatly depends on the patient’s needs. One of the facilities’ specialties includes a ventilation weaning program. With the help of the facilities’ respiratory therapists, patients will be able to breathe on their own without breathing

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
  • Decent Essays

    Summary of Article “Fall Prevention in Acute Care Hospitals” The purpose of this study was to determine if a fall prevention tool kit would decrease patient falls within a hospital using health information technology. The study used both quantitative and qualitative data. The Morse Fall Scale was the tool used, and it provides scores that range from (0-125 points) based off of six focal points. The focal points included recent fall history (25 points), presence of secondary diagnosis (15 points), need for ambulatory aid (0-30 points), receiving IV therapy (20 points), gait characteristics (0-20 points) and imparted mental status (15 points) (Dykes, Carroll, Hurley 2010).…

    • 239 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Our highly trained, caring and compassionate staff members are dedicated to providing comfort and care any time of the day or night. Along with meeting all the physical and medical…

    • 256 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Nurses must be able to critically think when assessing patients who are at risk fall, for example the type of medication that will be needed during that patient care, physical ability, mental status, changes to their environment and their disease process will play a major for the inventions that will be need to reduce the patient fall risks for within the hospital setting. Education of nursing staff must include fall prevention intervention strategies that will include collaboration from all department, modification of interventions, and evaluation of interventions as they are implemented throughout the…

    • 516 Words
    • 3 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

    Case Study Walk-To-Dine

    • 1844 Words
    • 8 Pages

    Skilled therapy is then carried out multiple times a week instead of the Walk-to-Dine Program for the resident. A therapist will work on the areas that the resident showed a functional decline in and promote physical ability and safety awareness where possible. Upon discharge from skilled therapy, the resident should be placed back on the Walk-to-Dine program. The Walk-to-Dine program will then be carried out again by either restorative nurse or the CNAs. The program does require a little more time management with each resident to achieve the programs goal.…

    • 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
  • Great Essays

    Hourly Rounding Essay

    • 1419 Words
    • 6 Pages

    INTRODUCTION Inpatient falls is one of the most devastating problems in the acute care settings. It has estimated that one-third of adult patients, age 65 years and older fall and the injuries related to falls increase with age (Abraham, 2011). Falls not only cause physical harm, but can have lasting psychological consequences for the patient, such as decreased quality of life. Furthermore, Medicare stopped paying reimbursements to hospitals for treating fall-related complications. Improved monitoring by staff is one of the nursing intervention to prevent falls.…

    • 1419 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Nurses are responsible for the well-being of their patients and need to be educated in identification and fall prevention measures. Some facilities now make it mandatory to attend special classes such as Nurses Improving Care for Health-system Elders (NICHE), or complete an annual patient safety test, as an aid to improve care. Best Practice in Fall Prevention As part of an ongoing effort to maintain a safe environment, falls are being monitored by the National Database of Nursing Quality Indicators, the National Quality Forum, and the Collaborative Alliance for Nursing Outcome. The Joint Commission has mandated healthcare facilities to continuously assess patients at risk for falls, and Medicare services will no longer reimburse hospitals responsible for a sentinel event (Trepanier & Hilsenbeck, 2014, p. 136).…

    • 757 Words
    • 4 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

    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

    The long-term care community consisting of numerous fragile elderly individuals requires care from many departments. For this particular practice guideline, the two departments accountable for bedside reporting are the nursing department and administration. The director of nursing makes this new practice guideline very clear to all nursing and CNA staff at a routine mandatory conference. There is nothing unclear about this guideline as there was plenty of explanation and time for questions during the conference.…

    • 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
  • 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