scholarly journals Preventing Falls in Long-Term Care Using Patient-Centered Fall Interventions

2021 ◽  
Author(s):  
◽  
Angela Blakley

Practice Problem: The practice problem identified within the Community Living Center included continuous falls, despite using current fall prevention strategies and provider-driven interventions. Baseline data reflected a fall rate of 4.2 in the long-term care areas despite improving the fall prevention program. PICOT: The PICOT question that guided this project was: In older adult residents (P), what is the effect of a standing operating procedure (SOP) using patient-centered interventions (I) compared to physician-driven fall interventions (C) on decreasing falls and falls with injuries (O) within one month (T)? Evidence: In twelve high-quality articles that fit the eligibility criteria and contained EBP literature, the overwhelming evidence revealed that an SOP encompassing patient-centered fall interventions could decrease LTC falls and falls within injury rates. Outcome: Observations reflected the nursing staff utilized the SOP and patient-centered fall interventions in practice; however, fall rates on both LTC #1 and LTC #2 increased from baseline, but the falls with injury rates remained zero. Patient satisfaction measured a weighted mean score of 4.7 of 5 points, representing satisfaction with the patient-centered interventions and nurses as a whole. Conclusion: The EBP project did not result in an overall reduction in the fall rates; however, falls with injury rates remained at zero. Furthermore, the patient's overall satisfaction with the nurses and patient-centered fall prevention program was favorable. It is essential to note that due to COVID-19 related events, the project halted after 30 days, and the results might have been different if implemented 90 days as initially projected.

2009 ◽  
Vol 58 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Kilian Rapp ◽  
Sarah E. Lamb ◽  
Luzia Erhardt-Beer ◽  
Ulrich Lindemann ◽  
Ulrich Rissmann ◽  
...  

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 715
Author(s):  
Bom-Mi Park

A fall prevention program based on King’s goal attainment theory was developed to verify its effect on those in long-term care hospitals. The experiment was conducted at K Long-Term Care Hospital in S city for eight weeks. The study employed 57 elderly patients and 58 nurses. The program comprised an individual training conducted in a ward and hospital room for 20–30 min and a group training held in a conference room for 60 min. Significance levels were analyzed at p < 0.05 via frequency analysis, descriptive statistics, independent sample t-test, χ2-test, Mann–Whitney’s U test, Wilcoxon code rank test, and Cronbach’s α, and the clinical trial number was KCT0005908. In the patient intervention group, fall prevention behavior and knowledge increased, and the fear of falling decreased. Fall prevention behavior and knowledge increased in the nurse intervention group. Patient and nurse interaction satisfaction also increased. In contrast, the number of falls and nurses’ burden did not decrease. The fall prevention program was verified via the interaction of personal, interpersonal, and social systems. Thus, the patient’s fear of falling was reduced. Moreover, the program was effective for the fall knowledge, interaction satisfaction, and fall prevention behavior of both the patient and nurse.


2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv13-iv17
Author(s):  
Mi Hyun Kim ◽  
Chang Hee Go ◽  
Jung Min Lee ◽  
Ji-Young Kang ◽  
Jae-Young Lim

Abstract Introduction To reduce the rate of falls in the rehabilitation ward, fall prevention program was developed and educated for physical and occupational therapists, which increased the attitude towards falls and knowledge towards fall prevention activities. Method Participants of this study include 17 therapists currently employed at a university-affiliated hospital located in Gyeongg-do, South Korea. Systematic protocol for fall prevention with the emphasis in the roles of rehabilitation teams was developed. This standardized protocol consists of educating therapists with adequate assistive device use, safe ambulation techniques, and client-centered transfer techniques. The therapists then record the paitent's status related to fall prevention and or risks, which is then shared with other medical professionals including registered nurses and medical doctors. Paper-based questionnaires regarding 9 questions on attitude towards falls and 12 questions on knowledge towards fall prevention activities were done by the participants after the education of systematic protocol. The rate of falls was then compared with the change of attitudes in participants. Rate of falls was calculated by dividing the number of fall by the patient bed days and multiplying by 1000. Result After the education of fall prevention program, the mean score of attitude towards falls significantly increased (t=-3.99, p=0.001). The mean score of knowledge towards fall prevention activities significantly increased (t=-4.79, p&lt;0.001). The rate of falls decreased from 4.2 to 1.4. The effectiveness of systematic protocol regarding therapists' change in attitude and the resulting change in rate of falls was mainly seen in patients' ward. The decline in rate of falls was observed when patients transferred from bed to wheelchair. Conclusion In order to effectively convey the fall prevention education program, the multidisciplinary approach showed promising results in this study. Implications for future research include translation of this program to the community, such as long term care facility.


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