Fall Reduction With Multifactorial and Nursing Intervention Essay

Introduction

In the adult and geriatric population being discharged, what are the impacts of a multifactorial approach to fall prevention when compared to nurse education on fall rate, fall injury, and staff and patient adherence to care models within the first two months of admission into lake view nursing and rehabilitation center?

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One of the major accidents occurring among patients falls, they are most common among the aged and young due to muscle weakness, mental retardation, and the physical environment. Fall injuries led to fractures, dislocation often taking longer to heal, further, resulting to lawsuits, and also, they cause loss of function and dependence. These falls are categorized into accidental, anticipated physiologic and unanticipated physiologic falls explained as not predicted, predictable due to patients weight gain, mental status and caused by the physical condition of the patient such as epilepsy respectively (Di Pierdomenico et al, 2015).

Methods for dealing with incidences of falls

To enable the deal with the incidence of falls several methods have been employed to ensure and limit the incidence of falls. These methods include a multifactorial method which emphasizes a broader variety of aspects employing two or more components to prevent fall based on risk assessment. The components include; staff and patient education, advice on foot ware and post-fall review. The primary intervention on fall is an accurate risk assessment, observation of patients at risk of fall and establishment of devices to watch on the patients at risk of falling.

However, nurses provide care and safety for the patient who fall, their number and level of training has a positive impact on the rate of falling and injury among the older and mentally challenged. Quality care is ensured, good working environments enhances service delivery among the aged. An increase in the ratio of nurses decreases the rate of falls, injuries and also increases the number of individual's visiting health centres thus assessment is done before risk occurrence (van voast moncada, 2011)

Effects solutions for cases of incidence Falls

Majority of older patients are more prone to falling if the necessary precaution is not in place. This includes a lower number of nurses to watch over them, lack of knowledge to assess the risk factors and poor innovation to deal with upcoming challenges such as walking among the elderly. However, conducting assessment helps prevent the occurrence of an unexpected fall (Shorr et al, 2015). The multifactorial systems enhance monitoring of patients health concerning the physical environment. It oversees patient training and creating awareness on danger-prone areas that might cause a fall. This includes slippery floor and restrooms that are in bad condition.

The nurses offer direct support and perform aid to the affected, they tend to group the individual according to risk factors and special care accorded to them, such as low beds close to recreational facility such as bathrooms and avoidance of slippery floor to minimize any chance of a fall, establishing means or aid of walking them around such as scratches or by family members, increases in service delivery. An increase in the number of well-trained nurses often reduces accidents creating a positive impact on patients (Berry et al, 2017).

An increase in the number of elderly and psychiatric patients have led to the development of agencies to oversee their daily medical and personal care. The medical healthcare is nursing service monitoring discharged individual's health such as blood pressure, temperature and mental status; also caregivers offer daily assistance to the affected such as cooking, making their beds and washing them. Such practices reduce the risk associated with falls since individuals prone to risk are strictly monitored (Castle et al, 2009).

Nursing practices and service delivery

Nursing practices are performed by trained, certified personnel, they make informed decisions on individual health and provide services equally without discrimination. Service delivery is based on open communication and relation between the patient and the nurse to disclose the risk factors (Hill et al, 2015). It advocates for patients' rights and their family. Despite being a science, it employs holistic intervention, physical and psychological support. The nurses are trained to assess any risk factors such as fall and prevent its occurrence by providing supervision. The vast training equips them with the knowledge to deal with the daily challenges and improvise to prevent unnecessary risks. Increase in number has a positive impact in improving patient outcome as the workload on an individual is reduced (Marier et al, 2015).

Conclusion

Multifactorial programme and nurse based system is the basis of preventing a fall, multifactorial employing more than one technique giving it an upper hand over the nurse education although it requires training to increase performance. A reduction in the rate of falls is majorly attributed to awareness through education and an increase in the number of healthcare personnel to meet the needs of each patient by early detection of risks and working to evade those (Schwandiman et al, 2008).

References

Berry, S., Kiel, D. P., Schmader, K. E., & Sullivan, D. J. (2017). Falls: Prevention in nursing care facilities and the hospital setting. Uptodate.com. https://www.uptodate.com/contents/falls-prevention-in-nursing-care-facilities-and-the-hospital-setting#H638009032

Castle, N. G., & Engberg, J. (2009). The health consequences of using physical restraints in nursing homes. Medical Care, 1164-1173. 10.1097/MLR.0b013e3181b58a69

Di Pierdomenico, L., Uwiteka, I., Senterre, C., Leclercq, P., Da Costa, E. M., Pepersack, T., & Pirson, M. (2015). Cost evaluation of hospital inpatient stays induced by injuries due to falls for seniors. Geriatrie et Psychologie neuropsychiatrie du vieillissement, 13(1), 36-44. https://www.safetylit.org/citations/index.php?fuseaction=citations.viewdetails&citationIds[]=citjournalarticle_477868_26

Hill, A. M., McPhail, S. M., Waldron, N., Etherton-Beer, C., Ingram, K., Flicker, L., ... & Haines, T. P. (2015). Fall rates in hospital rehabilitation units after individualized patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomized controlled trial. The Lancet, 385(9987), 2592-2599. 10.1016/S0140-6736(14)61945-0. Epub 2015 Apr 9.

Marier, A., Olsho, L. E., Rhodes, W., & Spector, W. D. (2015). Improving prediction of fall risk among nursing home residents using electronic medical records. Journal of the American Medical Informatics Association, 23(2), 276-282. https://doi.org/10.1093/jamia/ocv061

Schwendimann, R., Buhler, H., De Geest, S., & Milisen, K. (2008). Characteristics of hospital inpatient fall across clinical departments. Gerontology, 54(6), 342-348. https://doi.org/10.1159/000129954

Shorr, R. I., Chandler, A. M., Mion, L. C., Waters, T. M., Liu, M., Daniels, M. J., ... & Miller, S. T. (2012). Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. Annals of internal medicine, 157(10), 692-699. 10.7326/0003-4819-157-10-201211200-00005

VAN VOAST MONCADA, L. A. I. N. I. E. (2011). Management of falls in older persons: a prescription for prevention. American family physician, 84(11). https://www.aafp.org/afp/2011/1201/p1267.html