Preventing Falls In Acute Rehab Case Study

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Preventing Falls in Acute Rehab Unit: Safe Patient Discharge is a Priority
Introduction of Concept
Preventing falls of all patients is the first priority of acute rehab unit. Stroke and traumatic brain injury patients are at higher risk due to cognitive impairment and weakness on the affected side after the stroke and fall. Patients forget their limitation of mobility and try to move independently without realizing their weakness after the stroke and ends up in falling and suffer more injury. Patients’ safety is the highest priority. Joint Commission’s National Patient Safety Goal 2009, ‘Fall Reduction Program’ (2014) stated every health care organization’s fall prevention program is expected to include all patient care settings and populations.
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It is an algorithm for fall risk assessment and interventions, designed for the health care providers to assess the risk of fall among people aged 65 years and older.
Falls in the hospital is the major problem that put patient- safety into a risk. According to Joint Commission’s Sentinel Event Alert, “Every year in the United States, hundreds of thousands of patients fall in hospitals, with 30-50 percent resulting injury” (2015). Majority of these falls are crucially preventable. To prevent falls in acute rehab unit, multifaceted fall prevention intervention programs includes fall-risk assessments, bed and wheelchair alarms, patient fall-risk alerts on doors and wrist bands, environmental and equipment modifications,
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Most hospitals use the Morse Fall Scale (MFS) for the identification of patients at high risk for falls on admission. The MFS is a technique for rapid identification of fall risk. It has six variables on which patients are scored: history of falling; presence of secondary diagnosis; use of ambulatory aids such as cane, walker, crutches, administration of intravenous therapy, type of gait; and mental status. MFS is one of the most widely used fall risk assessment scale. It is reliable and valid measure of fall risk. The scores 0-24 is considered low risk for fall, scores 25-44 is moderate, and 45 and higher is considered as high risk for fall. Quigley and White (2013) pointed that falls and fall related injuries in hospitals are the most frequently reported adverse events among elderly patients. They also discussed that, “improvement around falls prevention in the hospital is important as falls are a nurse sensitive measure and nurses play a key role in this component of patient care” (p. 1). Patient centered care is very important in acute rehab unit. Primary focus of treatment in acute rehab is to involve patients into their care. After stroke patient needs rehabilitation to get their strength back, in order to manage their Activities of Daily Living independently. Rehabilitation is another part of treatment after stroke. The purpose of rehabilitation is to prepare the stroke survivors regain their prior

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