Patient Falls
Preventing Patient Falls

The primary goal of every hospital and care facility is the health and safety of their patients. hile some problems, such as illness cannot be avoided, compounding illness with injuries can and should be avoided. Risks such as slipping, tripping, and falling while in the hospital are an increasing problem for hospitals. The purpose of this paper is to identify a preventable patient injury and suggest a corrective policy for the hospital to reduce the amount of incidence.

Identification of Problem

Patient falls are a growing problem in hospitals. In fact, according to the Centers for Disease Control and Prevention, "In 2004, 14,900 people 65 and older died from injuries related to unintentional falls; about 1.8 million people 65 and older were treated in emergency departments for nonfatal injuries from falls, and more than 433,000 of these patients were hospitalized." (National Center for Injury Prevention and Control, 2007). These….

patient falls in U.S. healthcare institutions is staggering. They increase insurance costs, staff pressure, and even more accidental injuries other than falls. esearch has shown that there are a number of ways patient falls may be mitigated: more nursing rounds, patient exercise, and body awareness conditioning. Tai Chi is a Chinese martial art that is practices for both defense training and health benefits, as well as longevity. The overall theory is to allow the individual to become more flexible, increase strength in certain muscle groups that are not always used in modern life, and to become more aware and attuned to the individual's own body. A 2012 study looked at the effectiveness of tai chi and low-level exercise in reducing falls in older adults, but concluded that there was no difference between the control group and the experimental group over a 1.5-year period. In fact, the study shows that….

Clinical/Organizational Problem According to the United States Department of Health and Human Services Agency for Healthcare Research and Quality (2018), between 700,000 and one million patients in the United States fall while in hospital each year, and about one third of these falls could have been easily prevented with effective administrative procedures and best practice protocols. Yet many organizations lack the quality and safety initiatives they need to prevent patient falls in hospital. As a result of negligence to prevent falls, patients experience a number of injuries that could even lead to higher mortality rates. Hospitals like this, which do not have fall preventing strategies in place, risk malpractice suits and fail to fulfill their ethical responsibilities to patients. Therefore, the organizational problem is related to insufficient—even nonexistent--fall prevention strategies.
Description of Problem
Falls occur at a rate of three to five per every 1000 bed stays, and are more prevalent in long-term….

Bed Alarms and Chair Alarms to educe Patients' Falls in A Short-Term Care Facility
Importance of bed alarms and chair alarms

Bed alarms have been taunted as not useful in the modern day healthcare deliveries. Nonetheless, the significance of these facilities always strikes much admiration from different healthcare facilities. Alarms are important as warning gadgets that every section of an organization should consider in its ranks. Hazard preparedness requires that all possible strategies adopted to ensure that there is safety for all the people, and even the property being used within a healthcare facility (Vincent, 2010). Thus, the bed and chair alarms are just material things that have been used to provide avenues for the protection of human health, minimizing and eventually stopping the occurrences of cases like patient fall and strain at the health facilities. In the modern hospitals, communication within and without the healthcare facilities between the patients and the….

Postoperative Patient Falls
Hospitalized patient falls affect health in huge way as they directly affect safety of patients as well as the concern for the quality of healthcare public health facilities around the world provide to patients. While limited data and information is available concerning inpatient falls following patients going on surgery, falls among hospitalized patients have been extensively studies. Falls is one of the major causes of morbidity like lacerations, closed head injuries and fractures among patients (Vhurch et al., 2011).

It has been shown that fall measurements determine patient outcomes since falls are often reported as adverse events in hospitals among the adult patient population. Falls make up a big part of the problems plaguing the health sector globally. Of all the adverse events in a hospital setting, falls is one of the most significant with nearly 3-20% of inpatients experiencing a fall at least once over the time they….

Support for New NursesProblem: Patient falls are a common occurrence in the Emergency department, often resulting in injury and harm (Campbell et al., 2020). The problem is one that needs to be addressed particularly with new nurses, as falls tend to occur most frequently during shifts in which new nurses are working.Quality improvement project: The Watch area is a good start, but it could be further developed into a full-fledged patient fall prevention program, using the PDSA (Plan-Do-Study-Act) model.Plan: Develop a comprehensive patient fall prevention program for all new nurses in the Emergency department, using the Watch area as the starting point. This plan should include the following steps:1. Conduct a thorough analysis of the current patient fall data, to understand the causes and contributing factors.2. Develop evidence-based best practices and protocols for preventing patient falls, taking into account the results of the data analysis.3. Train all staff members, including….

Falls
THE ISSUE OF ACCIDENTAL FALLS

At some point, anyone who had learned how to walk has had the experience of falling down -- it is a universal experience for infants as they gain ambulatory ability. In hospitals, however, the accidental fall is the most reported type of patient safety incident, with elderly patient populations displaying a particular vulnerability (Oliver 2007, p.173). Approximately one-third of adults over the age of sixty-five will experience an accidental fall this year (CDC 2012, n.p.) Fischer (2005) offers some clarification as to how these incidents should be defined -- the simplest basic definition is "a sudden, uncontrolled, unintentional, downward displacement of the body to the ground or other object" (p822). This definition takes into account the unpredictable nature of the incident, and the fact that it frequently involves a certain loss of control on the part of the patient; it also reminds us that the fact….

Falls
The authors attempted to find a new way of measuring falls -- they were dissatisfied with the previous measure used -- and they argued that all aspects can be measured by the number of events divided by the number of opportunities for that event to occur.

In regards to falls, they argued that if you wanted to know how many falls resulted in fractures you would use the numerator as the number of patient falls that resulted in fractures and the denominator would be the totality of falls. So for instance if there were 20 falls that resulted in fractures and 100 falls altogether it would be 20/100 otherwise read as 20%. The numerator tells you what you want to study / question or investigates, and this -- the authors say -- can be as general or as specific as possible.

The problem is how you define falls. The authors in questions,….

Fall Prevention
All Staff

Falls in the Nursing Home

There has been an increase in falls in the nursing home. A number of things can cause residents to fall (Patient falls: How to prevent them). Illnesses, such as dementia among others, can cause residents to be confused. Confusion with residents requires continual monitoring in keeping the resident safe. Muscle weakness and instability cause falls when residents are confused, or when the resident insists on doing things themselves and maintaining their own independence in spite of the weakness or instability issues. Medications can also cause confusion. Sedatives and anti-anxiety medications are a particular concern in causing confusion. Medications can also cause drowsiness that can cause falls if patients are not put to bed when the medications are given.

Environmental factors also play a role in falls. Wet floors, poor lighting, incorrect bed height, improperly fitted shoes, unmaintained wheel chairs, or items on the floor that….

Fall Reduction Project: An Evaluation of the Implementation Process Chapter 3: Implementation
In Brief
Blank hospital had a significant increase in falls in the inpatient acute care setting. For this reason, the need for an immutable and comprehensive fall strategy was identified at the hospital following an evaluation of the various costs (both financial and ethical) associated with falls deemed preventable. Towards this end, a fall prevention project was undertaken. I was responsive for overseeing the fall prevention project implementation.
1. Description of Steps
· Pre-implementation phase
· Implementation phase
· Sustainment phase
1.1. Pre-implementation Phase
The pre-implementation phase took a total of 2 months. In essence, pre-implementation phase was meant to prepare the entire facility for the actual phase of implementation. Towards this end, various steps were undertaken. These will be highlighted below.
1.1.1. Identification of Improvement Opportunities
This was founded on the collected fall data. There was an observed increase in the number of falls in the inpatient units.….

Patient Access to Experimental Drugs
Experimental drugs are being used in treating cancer and other life-threatening diseases in the hopes that effective cures and treatments can be identified. There are however, ethical questions relating to the use of experimental drugs and this work seeks to answer the question that asks whether patients should have access to experimental drugs and to answer why or why they should not have this access.

Experimental Drugs

Experimental drugs have carved inroads to treating cancer patients and most recently; this has been reported in the form of a drug that serves to "neutralize two mechanisms cancers need to survive." (Coghlan, 2012) The new drug is Cabozantinib. This drug is reported by one individual interviewed in this study to have been used by a family member who died while taking the drug for non-small cell carcinoma in the form of lung cancer. When asked the question of how this….

To wit, power is a huge influence in any social interaction, and in a study reported by the University of California Press (est, 2008, p. 87), men often interrupt women during conversations because men are generally viewed as the power in any male-female interaction. "Physicians interrupt patients disproportionately" in doctor-patient interactions, est writes, "except when the doctor is a 'lady'; then, "patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority" (est, p. 87). In other words, the stratification of male doctors having the power to interrupt is reversed when a woman is the doctor.
orks Cited

Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:

Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).

Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care

Units. Journal of General Internal Medicine, 16(5), 283-289.

Donovan, Jenny L., and Blake, David R. (2002). Patient non-compliance:….

Many advocates of the move feel that lower patient to nurse ratio would lead to additional savings because it would reduce nurse turnover rate, lawsuits, complications and length of stay. Nursing unions in the state of California have asked for a PTN ratio of 3 to 1. The health association however agreed on 5 to 1 which sound more reasonable than the originally proposed 10 to 1. (othberg, 2005)
Patient to nurse ratio when it is too high can definitely adversely affect care. And with baby boomers aging and needing healthcare, we know that number of people looking for healthcare will continue to rise in the coming years. However staff shortage continues to pose a serious problem. And unfortunately, the problem doesn't always lie with cost control. While it is true that most of the problems with staff shortage can be attributed to hospitals cutting down their costs and hence….

These studies demonstrate that there are several factors associated with patient noncompliance, regardless of the disease being treated. Medication side effects represent only one of these issues. Nurse practitioners could help to resolve many of these issues by being proactive and asking questions about side effects in patients at risk for becoming noncompliant. They may also be able to predict noncompliance in patients that are prescribed medications with known side effects. By informing the patient of the side effects and giving them practical ways to cope with them, the nurse practitioner can play an active role in helping to eliminate patient noncompliance.

Education was found to play an important role in patient noncompliance. The overall educational level of the patient was found to be important. The nurse practitioner can take positive action by being aware of the patient's overall educational background. Extra care must be taken with those of low educational….

Tarsem is able to tell his story through different acting styles and by changing the tone of the film quite suddenly.
hile the two stories in the film are disparate though they involve similar elements, the stories come to meet when they both tend to go into a darker vein. The audience learns how Roy was hurt and we watch as Roy tries to manipulate Alexandria. hile this is happening, there is also a move toward the darker side when the adventurers meet some pretty dark challenges. There is a great shift in the movie overall, going from fantastic and quirky to almost scary.

hat "The Fall" mainly tells us about stories is that while there are certainly rules to storytelling, once one has a grasp on creating a story through character and plot, one can easily break rules of storytelling (Lamb 2), which is what Tarsem has done. The story….