Discussion: Fall Prevention Among Older Adults Proposal

Discussion: Fall Prevention Among Older Adults Proposal ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Fall Prevention Among Older Adults Proposal I need support with this Health & Medical question so I can learn better. Discussion: Fall Prevention Among Older Adults Proposal By the due date assigned, write a (2-3 pages) paper addressing the sections below of the research proposal. This week you will submit the Literature Review section of your proposal. Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually. Discussion: Fall Prevention Among Older Adults Proposal The following resources will help guide you (in addition to our course textbooks): THE WRITER’S HANDBOOK Guidelines for writing a literature review The Writing Center at UNC-Chapel Hill Writing the Literature Review: Step-by-Step Tutorial for Graduate Students Writing the Literature Review (Part Two): Step-by-Step Tutorial for Graduate Students week_1_project__fall_prevention_among_older_adults_1.2.docx research_proposal_ FALL PREVENTION AMONG OLDER ADULTS Perry David Fall Prevention Among Older Adults Nursing Research Methods South University Jackie Williams August 20, 2019 1 FALL PREVENTION AMONG OLDER ADULTS 2 Fall Prevention among Older Adults As an Adult-Gerontology Nurse Practitioner (AGNP), my focus is to treat people from adolescent ages, through their adulthood and also into their advanced ages and geriatrics. Falls among adults are among the leading causes of visits to emergency departments; they are a common and serious health issue that lead s to devastating consequences. The most at-risk patients are the elderly population, given that they are the most vulnerable, preventive measures should be applied so as to have a significant effect on public health (King et al, 2016). This is of specific interest to me since I am passionate about the wellbeing of the elderly and their proper advancement into old age, also, as an AGNP, I have a crucial role in the screening process of older adults’ patients for falls risks, and the application of a plan of action for these patients. As people age, the probability of them acquiring medical issues increases; this also leads to an increase fall risk. Among the adult client, falls are associated with disability and morbidity, given that they are a common event for elder adults hospitalized in ICU’s. They lead to negative outcomes for both the medical facility and patients (King et al, 2016). AGNP’s are involve in direct care of adult patients and also for meeting hospital goals concerning the prevention of falls. Discussion: Fall Prevention Among Older Adults Proposal Falls should not only be viewed as risk factors for fractures, but also factors that may lead to irreversible social, psychological, and health consequences that also have significant economic effects. With aging, there occur several changes in gait; these include a reduction in step length, strength of lower limbs, and gait speed, and a steady base. Such changes become more noticeable when older adults ambulating on irregular surface areas. Interactions among short-term or long-term pre-existing conditions and precipitation factors in the environment usually lead to falls (Cangany et al, 2015). It is important that falls are prevented through FALL PREVENTION AMONG OLDER ADULTS 3 evidence-based interventions; these can either be single or multicomponent. My library search strategies involved intense research on falls and their prevention strategies. Quantitative Annotated Bibliography Spiva, L., Robertson, B., Delk, M. L., Patrick, S., Kimrey, M. M., Green, B., & Gallagher, E. (2014). Effectiveness of team training on fall prevention. Journal of nursing care quality, 29(2), 164-173. This article’s main purpose involves the assessment of the effect related to team members training about safety policy, teamwork perception and attitude, and communication and its role as a mediator in the reduction of injuries and falls. The research conducted involved the use of quasi-experimental, repeated, and longitudinal measures with a comparison of groups and interventions. Samples involved in the research included two community acute care hospitals, an intervention group which received training, a control group which did not receive any training, registered nurses, physical therapists, physician, and pharmacists. Discussion: Fall Prevention Among Older Adults Proposal Training interventions included leadership, communication, mutual support, and situational monitoring. They consisted of training sessions, brief didactic lectures, patient video scenarios, debriefing of the covered content. The study’s findings stated that the intervention group improved over time in comparison to the control group considering conducting report inpatient rooms, improved communication between caregivers on a patient care plan, and discussing mobility status of patients. The intervention group also showed improvement in expressing less uncertainty on patient care plans and frequent communication of patient fall risk status. In addition, there was the consistent implementation of interventions to prevent falls, such as visual fall reminders, signage, and bed alarm usage. Give that findings remained consistent up to seven months FALL PREVENTION AMONG OLDER ADULTS 4 after the training, and having observed no significant findings in the control group, this research lends a lot of evidence to the fact that team training plays a key role in fall prevention. The work had some limitations, these included the fact that training sessions might have not always been interdisciplinary, difficulty for staff to attend and manage care duties despite training sessions being short, the study was affected by staff turnover and variations inpatient volumes, low statistical power limited the ability to detect some differences due to a small sample size, the length of questionnaires may have led to fatigue.Discussion: Fall Prevention Among Older Adults Proposal The study climaxed that team members training was an efficient method of fall reduction and injuries associated to it, improvements were observed with caregivers implementation of interventions to prevent falls and use of communication strategies between caregivers for patients’ status regarding their risk of fall, post-fall huddles, safety huddles, and during bedside shifts. Cangany, M., Back, D., Hamilton-Kelly, T., Altman, M., & Lacey, S. (2015). Bedside nurses leading the way for falls prevention: an evidence-based approach. Critical care nurse, 35(2), 82-84. This article takes the evidence-based approach to explain how nurses are working towards the prevention of falls. It focusses on how growing evidence shows that falls in hospitals can be reduced through intervention techniques and planning. It documents a CSI project known as “No Fall Zone” that was meant to determine if improving education on the falls policy, together with the use of fall prevention signs placed above the bed of patients, and falls contracts, would reduce the amount of falls. This project’s main purpose was to reduce the amount of falls by more than half in one year to within the NDNQI benchmarks. The research involved an action plan that consisted of a 40-minute video which reenacted a patient’s real-life fall that led to harm. The video first re-enacted the occurrence FALL PREVENTION AMONG OLDER ADULTS 5 that resulted in the fall and the inference to the patient and their family, while the second part showed how the scenario in the first part would have been handled. Through in-service training sessions, the video was shown to all the staff in January 2013, and staff’s education was included related to the Morse Fall Scale (MFS), documentation requirements, and falls policy. Discussion: Fall Prevention Among Older Adults Proposal Upon completion of audits by nursing leaders and staff nurses on the fall risk score and the completion of the MFS, there was an assessment of whether the interventions implemented matched the MFS, whether a bed alarm was indicated, whether the fall care plan implemented, and whether the educational teaching contract was completed. Findings showed that the number of falls, the fall rate and cost of falls, decreased by more than a half after implementing the interventions. The only shortcoming of this work is that nurses require more work in order to be assisted in the prioritization of fall interventions based on specific patient needs so as to know what affects each patient and in what way. The project showed that focusing on two specific interventions, together with the fall bundle, led to a great impact on fall reduction. In order to maintain momentum, the project included incorporation of quarterly “No Fall Zone” days, giving updates in monthly meetings and keeping fall data. This research provides evidence that the implementation of action plans leads to the prevention and reduction of falls among elderly patients. FALL PREVENTION AMONG OLDER ADULTS 6 References Cangany, M., Back, D., Hamilton-Kelly, T., Altman, M., & Lacey, S. (2015). Bedside nurses leading the way for falls prevention: an evidence-based approach. Critical care nurse, 35(2), 82-84. King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2016). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340. Spiva, L., Robertson, B., Delk, M. L., Patrick, S., Kimrey, M. M., Green, B., & Gallagher, E. (2014). Discussion: Fall Prevention Among Older Adults Proposal Effectiveness of team training on fall prevention. Journal of nursing care quality, 29(2), 164-173. Running head: FALL PREVENTION AMONG OLDER ADULTS Perry David Fall Prevention Among Older Adults Nursing Research Methods South University Jackie Williams September 1, 2019 1 FALL PREVENTION AMONG OLDER ADULTS 2 Fall Prevention among Older Adults Background and Significance The number of people living beyond 60 years has been growing rapidly with recent advancements in the medical industry. In 2012, about 20% of the population in the United States was made up of people over 60 years old. It is expected that by 2050, older adults over 60 years old will make up about 30% of the population. Due to the social and cultural changes that have taken place in the world over the years, this specific group of people face a lot of challenges, with health being a major area of concern. Older people are more prone to physical, psychological, and medical complications. Falls and fall-related injuries among the elderly have emerged as a serious global health concern, with the burden mainly being on the individuals, their families, and even the greater society. As fall incidents among the elderly increase, so do hospitalization, fall-related mortality, and costs reach levels never experienced before (Al-Aama, 2011). Falls are considered one of the major causes of physical and psychological injuries among the elderly. They have been classified among the modern ‘geriatric giants’. Recurrent falls among older adults are one of the major causes of mobility and mortality. They also indicate poor cognitive and physical status. Interestingly, falls in older adults occur among 30-40% of elder people living in community setups each year. For this reason, the falls are not a concern to the victims only, but also to people around them. More than two decades of research on the topic of falls among elderly adults has resulted in a significant increase in the knowledge about risk factors and preventive strategies among this population (Al-Aama, 2011). Discussion: Fall Prevention Among Older Adults Proposal The evaluation of the impact of chronic diseases and morbidity among older people is an important factor to consider in the comprehensive assessment of older people. This is because it assists in the providence of health care and the estimation of costs. Most importantly, the prevention of falls among the elderly is a topic that needs much attention, as it is a prevention measure of many other psychological and physical complications. Problem Statement Falls are a frequent and severe health problem in the healthcare sector that has devastating consequences. Falls are the primary causes of morbidity and disability among the elderly. Research shows that more than a third of the population aged above sixty-five years fall each year, with half of the cases recurring. The presence of cognitive impairment or individuals with a history of falls increases the risk. The rise of falls among the elderly has FALL PREVENTION AMONG OLDER ADULTS 3 made it the most common cause, about eighty-five percent of injury-related hospital admissions among people aged sixty-five or older (Al-Aama, 2011). Research Purpose The purpose of this research is to identify the leading causes of falls among older adults and hence come up with preventive strategies. The risk of falls increases with age. The study aims at finding out why elder people are more prone to falling and what can be done to prevent these falls. The paper goes ahead to propose several preventive strategies that can be applied easily to reduce the risk of fall among older adults. The preventive measures will be suggested based on the results of the research. The continued rise of falls among the elderly that makes it the primary cause of morbidity and mortality worldwide requires addressing. The study seeks to estimate the prevalence of the falls in the elderly and investigate the factors that influence or contribute to the phenomenon. The study would help in the designing and development of a health awareness program to prevent the continued rise of falls among the elderly (Al-Aama, 2011). Discussion: Fall Prevention Among Older Adults Proposal Research Question The research will be focused on the identification of preventive strategies rather than a clarification of the statistics about falling among elderly adults. However, the statistics part will be briefly discussed. For this reason, the research question will be; “What are the best intervention strategies to help older adults minimize falls to ensure they have a healthy life free from risks?” Ideally, Evidence-based interventions are essential to the prevention of falls. The elderly comprises the at-risk patients, and their identification is crucial in the management of the condition through the application of preventive measures to ensure they have better health. Population: Adults between 60 and 80 years of age who have been involved in a fall in the past two years. Intervention: Subjects receive a single and multicomponent intervention for their condition that entails vitamin D supplementation, engaging in exercises, and gradual withdrawal of psychotropic medication. Comparison: A standard exercise will be delivered to the selected group to compare the differences in the group that received the interventions and the ones without. Outcome: Changes in the rate of falls will be measured to check on the progress of the patients regarding falls. Time: The outcomes will be measured after the first seven weeks of intervention. FALL PREVENTION AMONG OLDER ADULTS Thesis Statement This research aims to suggest measures that can be undertaken to reduce or prevent falls among the elderly. The research methodology involves subjecting a group of older people to a condition which is exercise, vitamin supplements and gradual withdrawal of psychotropic medication. The other group will not receive any intervention strategy. Ideally, falls among older people are related to exercise, nutrition, and medication. Hypothetically, it is expected that regular exercise, vitamin supplements, and withdrawal of psychotropic medication reduce the risk of falls among elderly adults. 4 FALL PREVENTION AMONG OLDER ADULTS References Al-Aama, T. (2011). Falls in the elderly: spectrum and prevention. Canadian Family Physician, 57(7), 771-776. 5 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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