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Running Head: EVIDENCE BASED PRACTICEEvidence Based Practice and Applied Nursing ResearchTask 2 – XAP1-0219Brittany Ward7/8/2020Western Governors University
EVIDENT BASED PRACTICEHealthcare problemFalls are a significant problem among the geriatric community. Many times, as people age, limitations decrease and fall risk factors are not recognized by the individual. Falls in the geriatric can be a preventable problem. Hospitals, SNF, and LTAC facilities educate as well as use fall prevention strategies to reduce the number of falls. Significance of the problemFalls can result in extreme consequences for the geriatric patient. Some of the consequences may be life-threatening, especially when coupled with a compromised individual. Falls that occur without injury can result in a decrease in activity due to a fear of falling. Inactivity can lead to a decline in health. Falls are the leading cause of death in the older adult community. (Pohl, et al. 2015)Current practice related to the problemEducation is currently at a minimum in relation to the geriatric community. The mobility of the patient is more of the focus of nursing care, to ensure appropriate monitoring. In addition to fall assessments, education, could provide the patient with a sense of independence and allow them for feel like a participant in their care. Education could also reduce nurses work by teachingknowledge that will allow the patient more independence.Impact of the problem on patient and organization and/or patient’s cultural backgroundFalls in today’s culture are often considered an indicator of poor quality of care. The reasons for the fall do not matter. A fall in a geriatric patient is usually thought to be because theyare feeble and cannot take care of themselves. The nurse who is caring for the patient’s competence is often called into question. Any patient fall, even those without injury can make the family to question the ability of the staff to care for the patient. Falls often time lengthen the 2
EVIDENT BASED PRACTICEpatient’s length of stay, may require additional treatment. The costs of treatments needed related to a fall will not be reimbursed to the hospital and will result in a significant accrual of costs. After falls, incident reports must be filed and often root cause analysis is needed to figure out if the fall could have been prevented. A fall increases the amount of work done by the nurse which affects the quality and timely care of other patients. Research and Non-Research Evidence“Patient engagement in Fall Prevention” is another non-research article. It discusses many clinician and patient centered fall risk assessments. This article recommends a patient centered approach to falls assessments would reduce acute care setting falls. Patients should be empowered to be active in fall prevention. Patients require education about fall risks to help reduce the number of falls. (Tzeng & Yin, 2015)