In: Nursing
My topic for the assessment is Falls in residential aged care facility. |How are we going to prevent the fall in aged care facility along with rational for implementing this policy in the workplace for improving quality and safety in aged care facility. The description and criteria for the assessment is given below.
Description: For this task, students will be asked to develop an evidence-based policy (EBP) to address quality and safety as a component of their role as health service managers. The policy should address key components of policy-writing for public safety including, but not limited to definitions, guiding principles, patient expectations, roles and responsibilities, standards, clinical governance and incident management.
Criteria: - Clearly and concisely describes the issue that is being addressed by the policy with rationale and justification for managing the quality and safety issue
- Outlines the quality and safety issue that being addressed by the policy as well as ongoing monitoring
- Provides information and instruction for how the issue will be addressed with the workplace including worker training
- Policy document is structured appropriately and is consistent with HSM practices - Use of academic writing, language and tone
Falls in residential aged care settings in comparitively high
compared to other areas of patient care.
Almost 50% of the older people fall , so there is a increased
risk.
Older people fall because of, reduced lower limb strength and
comorbidity, lack of balance.
Evidence for fall prevention strategies
•Exercise
• Vitamin D
•Physiotheraphy
Exercise to strengthen muscles and lower limbs are very
important as the person ages. It also increases balance.
Vitamin D deficiency is one such problem to be adressed with aged
people and falls
physiotheraphy helps in strengthening the muscles
A scale of made called "Fall risk assesment" or Risk assesment chart
it is rapid and simple for assessing a patients likelihood to
fall.
to prevent falls
secure locks on beds
stretchers
wheel chair etc
RISK FACTORS
Previous falls
decreased strength
visual impairment
depression
dizziness
atthritis
diabetes
SCREENING FOR FALLS
It is very important to be screened for falls ,
a risk assessment chart has to be made and it clearly helps in
helping the patient and the care giver.
Actions to be taken For high risk falls
ask about history of falls and patients assessment of functional Ability
Medical history and medications
perform physical examination
assement of vital signs
examination of feet and footwear
FALL PREVENTION
Non slip foot wear
call bell
educated family education about fall risk
use od bed alarms