Nursing Paper on Fall Prevention Program for Baptist Hospital of Miami

Non-Pharmacological Intervention in Baptist Hospital of Miami

Hospitals are one of the places marked with high cases of falls and associated injuries. Hence, safety for the aged is one of the significant concerns in Baptist hospital of Miami found in Southern Florida. Considering the potential impact resulting from falls, the World Health Organization integrated the idea of “active aging” in the year 2002 purposely to promote healthy expectancy and improve the eminence of life as individuals age (Chacko, Thangaraj & Muhammad, 2017). Therefore, this program aims at developing a non-pharmacological intervention in Baptist hospital of Miami mainly to assist in reducing the rate of falls among the old.

Intervention Lists

The program will involve evidence-based techniques to help reduce the rate of falls among the elderly in Baptist hospital of Miami. Some of the interventions include integration of the hip protectors, promoting exercise, home hazards intervention, lifestyle change, and education on fall prevention.

Hip protectors

Hip protectors have been used as an intervention technique for preventing falls and bone fracture. According to studies, the use of hip protectors by the aged have resulted in a decrease in the number of falls and associated injuries making the concept to be effective in averting falls (Fares, 2018). The program will enhance adherence to the use of hip protectors among the old since researches indicate that adherence is the primary challenge in determining the efficacy of the instruments.

Exercise

Physical exercise among the elderly has shown a potential benefit in decreasing the chances of falls and associated injuries. Based on studies, the intervention averts 1% of bone loss annually both in the lumbar spine and femoral neck (Li, Harmer & Fitzgerald, 2016). Equally, other investigations state that exercise programs help in increasing the neuromuscular process, the weight of the muscles, strength power, and functional capability.

Home Hazards

Environmental risks such as poor stairway design, slippery surfaces, unstable furniture, inadequate lighting, and other obstacles enhance the rate of falls. Studies show that two-thirds of the falls are caused by environmental aspects (Taylor, Parmelee, Brown & Ouslander, 2005). Therefore, the program aims at advising the elderly including their families on the need to remove hazardous materials in their place of residence. Equally, the intervention will focus on enhancing adequate lighting, raised toilet seats and beds, secure stairways, and accessible alarms among the elderly individuals with the previous history of falls.

Change in Lifestyles

Factors such as smoking, dietary, and consumption of alcoholic drinks are considered to play a significant role in influencing bone health. Vegetables are an effective intervention for averting and reversing bone weight and structural harm in the elderly populace. Studies extrapolate that increased consumption of vegetables assists in decreasing cases of hip fractures (Fares, 2018). Conversely, continuous use of alcohol and smoking among the old results in weak bones, therefore, leading to falls and associated injuries. As such, the program aims at advocating for healthy living for the aged primarily to lower occurrences of falls.

Education

Education on averting falls has been stated to have a significant benefit of reducing the rate of falls. Educating the elderly entails multimedia information concerning fall prevention and a continuous follow-up by a trained practitioner to help enhance the implementation of the learned materials (Fares, 2018). As such, the program focuses on developing educative materials to assist in creating awareness, understandings, and confidence among the old.

Training List

The program will involve the use of training to help achieve its objective of reducing the cases of falls and bone fractures. The exercises will focus on nutrition in which the elderly will be enlightened about the dietary that is effective in improving their health status. Training on the risk that enhances falls at home, and ways of preventing the dangers will be integrated on the program.

List of Items Needed to Initiate and Keep the Program Running

Some of the instruments needed to initiate and keep the program running include signs, walking aids, brighter bulbs, hip protectors, socks, and alarms. The intervention will also involve the use of learning tutorials such as posters and videos through the use of Compact Disks (CDs). Signs will be placed in strategic locations within the hospital to help create awareness on the imminent hazard. Equally, the brighter bulbs will be used to replace rooms with poor lighting, and the hip protectors to be given to patients with previous history of falls.

Goals of the Program

The primary purpose of the program is to avert the increasing cases of elderly falls in the nursing home. Equally, the intervention aims at providing educative and non-pharmacological practices that facilitates healthy living among the aged.

Estimated Cost of the Program

Item Quantity Price Total
Hip protector 100 @ $54.93 $ 5493
Brighter bulbs 65 @ $4 $ 260
CDs 5 @ $1 $ 5
Posters 20 @ $0.50 $ 10
Walking aids 100 @ $33.99 $ 3399
Alarms 50 @ $150 $ 7500
Socks 100 @ $14.26 $ 1426
Total     $ 18093

Source: Authors creation

The Benefits of the Program Outcome

The program will benefit both the community and the institution by creating awareness and understandings on the evidence-based fall prevention strategies. Equally, the intervention will promote the exchange of ideas and knowledge on various techniques of averting falls. The concept will increase confidence and motivation among the elderly and the health practitioners to be actively involved in activities aimed at avoiding falls (Francis-Coad, Etherton-Beer, Bulsara, Blackburn, Chivers & Hill, 2018). The intervention will also assist in developing policies, and risk assessment plan to aid in deterring future fall occurrences.

 

 

References

Chacko, T. V., Thangaraj, P., & Muhammad, G. M. (2017). How Fall-Safe is the Housing for the Elderly in Rural Areas? A Cross Sectional Study using Fall Prevention Screening Checklist. Journal of the Indian Academy of Geriatrics, 13(3).

Fares, A. (2018). Pharmacological and non-pharmacological means for prevention of fractures among elderly. International Journal of Preventive Medicine, 9.

Francis-Coad, J., Etherton-Beer, C., Bulsara, C., Blackburn, N., Chivers, P., & Hill, A. (2018). Evaluating the impact of a falls prevention community of practice in a residential aged care setting: a realist approach. BMC Health Services Research, 18(21), 1-13.

Li, F., Harmer, P., & Fitzgerald, K. (2016). Implementing an evidence-based fall prevention intervention in community senior centers. American Journal of Public Health, 106(11), 2026-2031.

Taylor, J. A., Parmelee, P., Brown, H., & Ouslander, J. G. (2005). The falls management program: A quality improvement initiative for nursing facilities. Book The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities (Editor ed.^ eds.).