- Introduction
- Main Body
- Patient Safety and Fall Prevention
- Prevention practice that implement in hospital
- Key indicator can maintain the fall prevention
- Fall assessment tool in nursing home by the nursing practice
- Intervention based risk factor
- Intervention based risc factor
- Importance on the universal fall precaution in hospital for nursing practice
- Fall Prevention Program Based on King’s Theory
- Implication of this theory
- Strategies for preventing fall
- Conclusion
Introduction
The safety of patients is one of the basic principles of the nursing process, which means that people should be treated and stay in conditions that exclude potential dangers to their health. In this study, emphasis will be laid on safe practice environments for fall prevention which are among the most important patient safety measures. A high number of patients admitted to healthcare facilities experience falls that have severe effects on the patient and caregiver. To minimize these risks, there is a need to ensure that nursing practice embraces safety measures adequately including risk assessment, policies, and staff training.
Patient safety is a vital part of nursing care, and many students struggle to reflect this in academic writing. With professional assignment help, learners can better understand safe practice environments, fall prevention strategies, and evidence-based care, ensuring they achieve higher grades while mastering essential nursing concepts.
People should be willing to report anything that causes them doubt at the workplace to maintain the safety of everyone by countering incidences that continue to be witnessed at different workplaces. With this knowledge and ideas of safety, the nurses can deliver well-rounded, inclusive, safe care for the patients that includes not just their physical needs, but the safety of the surrounding environment as well. The practices to be reviewed in this assignment include: This assignment will analyze these practices to determine the extent of their success in the reduction of falling incidences.
Main Body
Patient Safety and Fall Prevention
Patient safety is the process of avoiding adverse health events that can happen to a patient in any setting where health care is provided. It is an inherent part of the nursing practice that includes activities to promote and deliver care with the least risk to the health of the patient (Takase, 2023)). It encompasses things like averting mistakes, minimizing the possibility of complications, and establishing a healthcare delivery environment that is safe for both, the patient and the healthcare provider.
Falls remain one of the major factors of healthcare-associated conditions, which prolong patients’ length of stay, drive up the costs of care, and in some cases, even cause life-long impairments. It is worth noticing that here the focus is on nursing practice in factors related to fall prevention and safety, as the subject is organized here as a well-structured and proactive model. The safety of patients in this context is achieved with regular risk assessment, education players involved, and protocols that address the physical context of the patients and the services being offered by the caretakers (Montero-Odasso et al. 2022). Some of these tools include; clinical observations like fall risk assessment, Early warning signs, and patient ambulation safety precautions that assist in reducing fall incidents and increasing awareness.
Relating the concept of safety to varying types and degrees of care underscores the importance of a safe practice environment that fosters talk about and increased awareness of risk management system that fosters ongoing practice improvement. The importance of safety practices fosters the patients’ care since the needs of the patient encompass not just physical but also psychological and emotional needs that benefit not just the patient but also their caregivers (Lee et al. 2021).
Prevention practice that implement in hospital
It is determined that the implementation of the team is required to maintain the best practice which focuses on the expert opinion and represents the prevention in the hospital. It is helpful to understand the address on the information regarding the organization implemented in the best practice by the use of different kinds of resources and tools (Ghanim et al., 2024).
- Patient prevention activity can be balanced by the priority of different kinds of applications in hospitals where it is naturally directed and identifying the patient can be a disaster to prolong the recovery process.
- For the prevention of different purposes required to protect the patient from the harm where it is , it should maintain the reinforcement of enthusiasm for the priority like infection control.
- The prevention is dependent on the customisation activity which has followed on the Transfer and ambulate the maintaining the strength to avoid the complication on bed rest (Chellam et al., 2024).
It is focused on the organization to maintain the level of the components as well as the type of the patient. Also, each unit that must be successfully implemented and sustainable compatible situations is focused on acute medical care. It sometimes also manages the hospital because the primary purpose is to receive treatment for their illness. Hygiene maintenance can prevent the strait of the nosocomial infections which is the Patient Safety practice and avoid the harmful interference in the medical care (Ystaas et al., 2023).
Key indicator can maintain the fall prevention
It is important to understand that the prevention can be reached to the target where the theoretical examples can illustrate the different factors for restraining the patient's recovery. The patient would be unethical and represents the poor care which is complete the principles on the autonomy and the complication dependent about the deconditions with the pressure ulcers, aspirations and the deep when thrombosis is keeping the hospital long cut to make the order of the patient recover (Ghanim et al., 2024). Keeping the injury on the low possible situations where the rate of the expenses depends on the priority to balance the multiple situations.
- Physiological anticipations are dependent on different categories, which focus on respect and identifying advanced situations that might alter the mental status. The frequent requirement of high-risk medications can take the prevention like superficials on the patient can attempt to address the risk factor.
- Accidental situations can be dependent on load of the patient where environmental hazards can reflect the environment safety to reduce the patient which is helpful for the recovery purpose (Ghanim et al., 2024).
Figure 1: safety tip for fall prevention
(Source :Pauchard et al., 2023)
- A clinical pathway is a structured interdisciplinary plan designed to support the implementation of the guidelines to manage the patient and minimize the possibility of initials. In hospitals, it is designed around hammer systems, where the tools are trained on the front line of staff and are continually referenced in the unit, which is modified to reach the target in particular settings (Pauchard et al., 2023).
- The fall risk score is associated with the Standard assessment in the intervention of the individual patient requirement which focuses on the categorisations in the high risk of the fall as well as the dilutions of the value reached to the staff as well as the complexes of the prevention.
Fall assessment tool in nursing home by the nursing practice
It is important for the hospitalization patient facing the risk of the falls so it is important to provide the height risk than others and the assessment ongoing process to identify the clients specific risk factor. in addition to understanding that the risk model and the Hester Davis scale is implemented to understand the risk assessment applications (Al-Worafi, 2023).
- History of the falls is an analyst to understand the past 3 months data and consider the hard risk on the future Falls.
- Mobility issue is dependent on the assistive device for the medication taking the prescriptions for confusion and impaired balance changes the highest of the falls.
- Equipment is useful for the higher risk of tripping on the folicatheaters and the impaired vision, basically using the risk factor to decrease the recognition of the environmental hazards used by the St Thomas hospitals in Westminster's (guysandstthomas, 2024).
- Orthostatic hypertension is the part of the blood pressure that falls down and stands on the experience of the lightheadedness causing the risk.
Hospital room should be clear where the environmental hazards never impact as well as the nurse assess the clinic with the client risk factors during the shift and implement the interventions to minimize the risk of falling. The precautions are developed to apply to the client where it is calling to the universal to apply regardless of situations (Sousa et al., 2023). It is an analysis about the client environment that demonstrates the light use of the reach and the proposal for the personal positions on the safe target. Handles of the client bathroom and Halfway were the low positions on the client registry that are comfortable for the transfer out of the weight. using the wheelchair on lock position in the stationery as well as the comfortable on will fitting footwear use that supplemental lighting and surface should be clean and dry.
Intervention based risk factor
Fall prevention care planning process is an important part in hospitals where the information translated into the action plan to specify on identification the client requirement. Universal fall precaution can depend on the intervention availability that is related to the injury and the specific respect categorized on the different parameters (Labrague, 2024).
Intervention based risc factor
Risk factor |
Intervention |
Altered mental status |
The patient with the new altered mental status analyzed by the delirium and the treatment is following the nurse. A tool to be used for delirium on Cognitive impairment is basically agitate or trying to vendor on the intensification for the superficence. It must be followed over the implementations for designing the safety zones that cover and sometimes the surface should be clean and dry and maintaining the night light with gait belt (Pauchard et al., 2023). The medication review can analyze the contribution for the agitations which are helpful for the patient and implement to overcome the threat which is interfereding on the delivery of the Intensive Care of Royal London hospitals (bartshealth, 2024). |
Mobility |
The patient is impaired with the belt where requirement on mobility during the hospital area. The client should be focused on the requirement in the assistive device like Walker and it is to repair the bedside within the safe reach (Park & Song, 2023). Assistive devices are an important part of the requirement for the nurse to transfer out of the bed of the walking and using those belts under the ambulate for agency policy. |
Frequent toileting requirement |
The client with the frequent toilet requirement can be managed by the toilet on the regular basis with the schedule on rounding the guidelines. It is also important to follow the subsections which can manage by the Visual impairment on the correct if lenses with the reach of the applied walking (Joglar et al., 2024). |
Frequent fall |
The history of the frequent call must be followed over the reach of the injury analysis and it is taken out on osteoporosis where the use of the Aspirin and antique coagulants must be prevented. |
High risk medication |
On the high rescue of the medication should be stopped where it is reviewed by the pharmacist and try to minimize the fall risk in the recommendations (Agbar et al., 2023). The prescribing on the provider of the discontinuations is the part of the adjustment of the possibility and immediately available on the prescriptions provided for carry out the medications in the stock. That tool to be reviewed which increases the risk and it is to take the cause of Orthostatic hypertension to control the blood pressure and monitor it. |
Importance on the universal fall precaution in hospital for nursing practice
Universal precaution is an important part of the prevention program as well as it is applicable to all types that can implement the fall precautions on training for hospital staff. It interacts with the patient regarding the clinical practices to be implemented as well as embed it in the hospital culture (Hult et al., 2023). Environment save and the comfortable situations is the charge of the precaution which emphasizes on the adoption to the system to be improved by the guidelines of the NHS. Nurses can prevent the fall but also increase the risk of falling accurately from the appropriate care and comprehend properly to credit to the possibility of the fall down.
Prevention strategy |
Safety measurement |
Looking for risk factor for the all patient |
It is identifying the specific parameter to help on implementing the specific prevention of the measurement that copper the weakness on the site as well as using the walker or History of the dizziness as well as low blood pressure and weakness (Babalola et al., 2023). |
Hospital guidelines for transfer |
Transfer guideline or the rules regulations provided by the basic parameters that are followed by the patient risk assessment purpose. |
Orient patient on surroundings |
It is an important parameter for the location of the bathroom as well as the call Bell which is keeping to the hazards in the surrounding circumstances (Roman et al., 2023). |
Call Bell promptly |
It is important to encourage the unstable patient to be an ambulance in independent circumstances. |
Ensure the basic elimination for the personal requirement |
Provide the opportunity of the patient to apply for the bathroom and ask for the water as well as the medications or blanket. |
Lowest position for the unconscious or the compromise the patient body |
It prevents the injury to the patient for the movement so compromising the patient on keeping the bed nearest in a lowest position. |
Avoid the side drill on the patient confusion |
Site rail is generated as a barrier to easily climb and create the following situation on the confusion of the patient. |
Assistive device on the common used for the item |
Different devices are quickly accessed by the patient like call will or the water that close to the bed and avoid the excessive reach. |
Patient proper footwear and mobility aids |
Proper footwear can prevent the chances of sleep for the movement to the bathroom or other requirements. |
Fall Prevention Program Based on King’s Theory
King's goal attend theory is defined at the process of interaction between the patient and the nurse's acknowledgement to each other where it achieves the full fieldness on the exchange between the patient and the nurse. The theory basically focuses on the respect to the patient when the relationship of the value is reflected on the information exchange as well as the goal setting on the patient treatment activity (McCullough et al., 2023). It is required to have a positive correlation on the trust and the patient satisfaction that covering the interactions on the description different the patient nurse value. The theory focuses on the high probability of the achievement and the patient with the nurse interactions reaching the set goal together to allow the assumption of the responsibility to actively participate in the treatment with positive changes. The attainment theory is the health strategy for the nursing practices to prevent the program for the education as well as fall prevention activity properly followed (Imam et al., 2023).
Figure 2:Fall Prevention Program Based on King’s Theory
(Source :Dönmez et al., 2023)
It is estimated that the functional capacity on the high risk falling situations depends on the 12% of the patient over Estimation and forgetting the functional level. The theory is basically connected to the demonstration for the medication and the environmental management in the hospital which motivated the notes and the repetitive activity focused on the tailor management system (Dönmez et al., 2023). Observation is provided over the nursing intervention activity which evaluates the effect and the behavior is reflected in the patient group. Exploration and the agreement is the important parameter of the achievement in goal where the program process depends on the individual counseling and performs to achieve the target. Transaction refers to the interaction between the patient and the nurse through the personal communication as well as the social system is reaching the goal for minimizing the number of the falling among the patient in hospital (Gagnon et al., 2024).
Implication of this theory
The employment on the goal attainment theory is helpful to intervention to develop the review for understanding the previous history of patient falling nature. Relationship between the concept of the study is useful to identify there before 3 months activity and a specific strategy to be taken that comprises the various content for demonstration and the medication is provided (Ystaas et al., 2023). Motivation and the repetitive individual education helpful to work on the variable factors like burden of the following and the knowledge whereas interaction of the satisfaction can minimize under the number of the patient fall.
Strategies for preventing fall
Preventing the falls in the nursing home is the process by the specific strategy implemented that planning the multifactorial interventions and making the environment safety improvement on the Managing medication.
- Multifactorial intervention planning process is the vital part to reduce the fall of risk where it is to exercise the program on improving the valence and the strength of the patient (Chellam & Arulappan, 2023). Regular physical activity is helpful for the resident to maintain the muscle tone and the coordinations where identifying the individual is respected like poor eyesight and requiring the supporting device. Tough training is recognising and mitigating the following of this is the part of the approach and that properly analyzes the resident conditions to adapt the care plan.
- Environment and safety improvement is significantly down to the install of the grape in the bathroom and improving the lighting in the all area. Show the floor should be clean and dry where the hazards impact on the bandwidth of the perspective not always in the non-slip mats (Gonçalves et al., 2023). Surface replacing the carpeting on the preventive situations which helpful to Independent and the confidence among the residents of University College Hospital.
Conclusion
In this study it is discussed that fall prevention management is an important part of nursing practice in hospitals. Different kinds of strategy and equipment installation processes can overcome those risks of the falling of the patient. It is also responsible for the nursing staffs where minimizing the medications as well as theoretical backgrounds to be followed that I Technology process can manage with the systems. like alarm and the sensor applications helpful to minimize the fall and residence across the short of the system implement those technologies. In addition to understanding that the computer functions and artificial intelligence also using hair that easily identifies the human body and the functional assessment test can analyze the measurement.
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