Paper Example on Fall Prevention in Older Adults: Assessing the Economic Burden

Introduction

Fall is one of the leading causes of morbidity and mortality in older adults. Roughly, one in three community-dwelling individuals aged 65 years or older will fall once annually and the risk of falling upsurges with age. Falls enforce a substantial social and economic burden to individuals, their families, economy, and, community health services. For instances, according to the report released by Centers for Disease Control 2015, in 2013, direct medical costs for falls was $34 billion. As the proportion of older individuals is rising internationally, the costs linked with falls will increase. Hence, the prevention of falls is an urgent public health challenge. International guidelines are promoting the execution of suitably designed intervention programs, which are known to prevent falls in older individuals. There is strong evidence that hourly rounding can prevent falls in older people.

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Significance of Hourly Rounding to Nurses

Nursing homes become an option for older adults who need moderate to broad assistance with activities of day-day life, therefore enhancing quality of life by maintaining a safe surrounding prevents falls among older adults patients. Nonetheless, preventing injuries and falls amongst aged people can be challenging due to predisposing conditions such as muscle, sensory problems among others. Evaluating the risk for falls and executing proactive approaches to prevent falls in the direct responsibility of the nursing staff who gives care to these patients. The execution of an evidence-based structured hourly program enables nurses to attend to the instant and personal patients' needs and, certifies standard fall precautions are in a strategic place.

Method of Study

This study falls under quantitative study. Mitchell, Lavenberg, Trotta, and, Umscheid (2014) conducted a systematic review of the relevant studies that assumed a PICOT arrangement. The first search produced 16 scholarly materials. The finding of the articles was similar, suggesting that the search did include all the suitable studies.

Results of the Study

Mitchell, Lavenberg, Trotta, and, Umscheid (2014) assert that, existing literature demonstrates that hourly rounding decreases falls and call light utilization, enhances patient view on nursing responsiveness and is a basic tool in improving patients, safety and, quality of care. Regardless of the plenty of literature, supporting hourly rounding as a practical fall prevention approach, there is still opposition by many healthcare providers to the concept of hourly rounding. Opponents of the concepts are frequent concerned about augmented documentation, loss of effective nursing time, and, over-regulation of nursing activities. Therefore, the purpose of this research is to conduct whether hourly rounding is an effective fall prevention strategy.

Ethical considerations

The study has not be reviewed Institution Review Board. This reduced the reliability of the. Nevertheless, the study had obtained consent from participants. Further, the feasibility of the study is reduced by publication bias, generalizability bias, and, methodology bias.

Background Study

Further, Sims et al., (2018) confirm that fall results in a significant burden for health care system and patients and considering the aging of the population internationally, the occurrences of falls continues to increase. This study was purposed to produce evidence on what works, to who, how, and why it works for them to produce a model of IR theory. The study finding suggested that exercise alone and different combinations of interventions are related to lower risks of injurious falls compared to usual care. The study added that the preference of fall-prevention intervention might rely on patient's and nurse's choice and values.

Method of Study

This study was designed to produce evidence on what works, to how, and, why it to develop a theory of IR model. A literature review was conducted of database search as CINAHL, AMED, and, MEDLINE. The search assumed a PICO guideline. PICO framework helps to produce relevant results . Further, the author consulted the stakeholders for more evidence.18 peer-reviewed journals and 21 professional presses 4 study report, and a doctoral press were used as the sample size for the study.

Findings

From the sample size, a document flow diagram for the synthesis process was developed and 44 papers were chosen from the sample. Results were further grouped into subheadings that run from com1 to com8. Which the combination analysis that combined all those subheading form discussion part. The study ends by pointing out the uncertainty and impreciseness that tend to exist in the concept of IR and acknowledges the existence of insignificant evident to support the program since it workability was involved in different contexts.

References

Mitchell, M. D., Lavenberg, J. G., Trotta, R. L., & Umscheid, C. A. (2014). Hourly Rounding to Improve Nursing Responsiveness. JONA: The Journal of Nursing Administration, 44(9), 462-472. Retrieved from: doi:10.1097/nna.0000000000000101

Sims, S., Leamy, M., Davies, N., Schnitzler, K., Levenson, R., Mayer, F., . . . Harris, R. (2018). Realist synthesis of intentional rounding in hospital wards: Exploring the evidence of what works, for whom, in what circumstances and why. BMJ Quality & Safety, 27(9), 743-757. doi:10.1136/bmjqs-2017-006757