Question

Access medline University account. Click on catalog. Using the search box type in the name of this module.

A. Falls prevention. Tools and strategies _ 20_393882.

Create a teaching plan for a patient or coworker,where the learning module you just completed would be appropriate. The teaching plan must include;

1.The importance of the topic being discussed.
2.Risk factors for harm associated with this issue.
3.Strategies to prevent or ensure that appropriate interventions are in place..

Add/Modify the teaching plan to include;

A.The population being addresses.
B.How will you evaluate the effectiveness of the plan..

C.Create a Teaching Template.

Answer 1

FALL PREVENTION

Fall prevention is a variety of actions to help reduce the number of accidental falls suffered by older people. Falls and fall related injuries are among the most serious and common medical problems experienced by older adults. Nearly one-third of older persons fall each year, and half of them fall more than once.

definition:

unexpected falling down from high position to lower position with or without injury due to physical or mental effect.

TEACHING PLAN

IMPORTANCE OF FALL PREVENTION

1.It improves the quality of care

2.reduces hospital stay

3. avoid complications like fracture hemorrage etc

4.saves a life

What causes falls?

Falls can broadly be categorized into three broad categories:

1. Accidental falls- these falls might take place due to slipping, tripping or any minor accident resulting in a fall. Patients here are not at a risk for falls but face that due to any unforeseen accidents that might happen.
2. Anticipated physiological falls- these falls are attributed to age, ailments, medications or procedures and are usually reflected in the risk score of the patient. Due to this, they can be easily anticipated and thus, prevented.
3. Unanticipated physiological falls- these falls are still due to physiological reasons, but since standard risk assessments don’t identify unanticipated falls, they are usually unforeseen..

Risk factors for harm associated with this issue.

1. strength
2. balance
3. por coordination
4. occupations at elevated heights or other hazardous working conditions;
5. alcohol or substance use;
6. socioeconomic factors including poverty, overcrowded housing, sole parenthood, young maternal age;
7. underlying medical conditions, such as neurological, cardiac or other disabling conditions;
8. side effects of medication, physical inactivity and loss of balance, particularly among older people;
9. poor mobility, cognition, and vision, particularly among those living in an institution, such as a nursing home or chronic care facility;
10. unsafe environments, particularly for those with poor balance and limited vision.
11. walking speed
12. gait imbalances
13. poor vision
14. medication
15. reduced sensation of lower limbs.

.Strategies to prevent or ensure that appropriate interventions are in place..

1 health educate the patient regarding fall

2. clear the way for the patient

3 donot leave the patient un attented

4.keep the side rails up

5. use a mild light while sleeping

6. dont rush to wake up from bed , sit first and then take help to walk

7. use side rails to hold

8.keep the bed down position

9. use caution board if wet floor

10.keep calbell near by patient

11.identify the risk factors

12. assess the risk for fall

• Identifying high-risk patients: Older patients, patients with hypertension, use of four or more prescriptive medicines, motion impairments are only a few of the factors that increase the risk of falls among patients. Assigning risk scores, segmenting patient population, assessing risk profiles can give providers an insight into preventable falls.
• Accurate data analytics: Data can be instrumental in helping providers gain further insights into patient population risk. Acuity data captured across the continuum of care can help identify trends in critical care, intermediate care, and general acute care, across all aspects of the fall, including patient location, age, diagnosis, and activity.
• Address specific needs of patients: A well-designed care plan for patients that employs coordinated systems and addresses specific patient needs like getting out of bed, helping disoriented patients navigate, or providing them with a safety companion can help in preventing falls. Moreover, providers can prescribe physical therapy to improve mobility and strength and ensure safety at home.
• Continuous monitoring and analytics: One of the most effective strategies in preventing falls is setting alarms and monitoring systems that offer real-time, continuous surveillance and allow immediate intervention for patients. These can be accessed and viewed as metrics on dashboards. This apart, physicians and nurses can conduct safety rounds, checking all patients and ensuring precautions were in place.

A.The population being addressed

The largest morbidity occurs in people aged 65 years or older, young adults aged 15–29 years and children aged 15 years or younger.

.How will you evaluate the effectiveness of the plan..

1. by reducingfalls after assessing with any of fall prevention scale

• All in-patients will be assessed for the risk of fall upon admission.

• Reassessment is indicated for all of the following conditions: -

• post operative. -
• following procedural sedation.
• - after administer medication.
• - after blood transfusion. -
• transferring patients between 2 units.
• - after recording incident of fall. -
• any changing in ambulatory status or elimination status

, 2. Applying Risk Fall procedure for patients - Hendrich 11 Fall risk,mors falls scale. for Adults, - Humpty Dumpty Scale for Pediatrics.

morse fall risk scale

Item	Item Score	Patient Score
1. History of falling (immediate or previous)	No 0 Yes 25	______________
2. Secondary diagnosis (≥ 2 medical diagnoses in chart)	No 0 Yes 15	______________
3. Ambulatory aid		______________
None/bedrest/nurse assist 0 Crutches/cane/walker 15 Furniture 30
4. Intravenous therapy/heparin lock	No 0 Yes 20	______________
5. Gait		______________
Normal/bedrest/wheelchair 0 Weak* 10 Impaired† 20
6. Mental status		______________
Oriented to own ability 0 Overestimates/forgets limitations 15
Total Score‡: Tally the patient score and record. 0: No risk for falls <25: Low risk 25-45: Moderate risk >45: High risk	______________

No Risk 0 - 24 Good Basic Nursing Care

Low Risk 25 - 50 Implement Standard Fall Prevention Interventions

High Risk ≥ 51 Implement High Risk Fall Prevention Interventions

Humpty Dumpty Scale Parameters

• Age

• Gender

• Diagnosis

• Cognitive impairments

• Environmental Factors

• Response to Surgery / Sedation / Anesthesia

• Medication usage

** Falls Assessment Tool score-

1. At risk for falls if above 12
2. • Maximum Score 23
3. • Minimum Score 7

4. • Reporting and documenting any fall occurrence.

5• All Falls patients should be classified according to level of Injury

6. giving care according to patients risk ( high risk , moderate.no risk )

C.Create a Teaching Template.

• Educate both about the risk of falling, Safety Issues, and their Mobility Limitation

. • Teach patient to make position changes slowly.

• Emphasize how important the family to be involving tin the patient safety.

• Emphasize on what patient can do to be healthy, active, and independent

1. zero fall lesser risk

2. clear way good health

3.dont rush , keep calm,avoid falls

4.ask help, move safely

5.know your limits , take assistance, , prevent falls

6.feel free and fall free