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combination of a strong educational foundation and personal experiences (Nursing Theory, 2016). She was based off of clinical experience through learning the patient over time. This Theory had five levels novice, advance beginners, competent, proficient, and expert. Different levels of skills will show the changes that need to take place in the healthcare facilities (Nursing Theory, 2016). Both theories are both beneficial in learning the patient’s cognitive skills and also building a confidence in each individual allowing them to heal and be safe. Changes are instilled in both theories and depending on the changes in the future. Implementation Medicines have side effects understanding these effects and communicating with your doctor along with the nurse the feelings that you are experiencing will help prevent any cases of falls. Nurse need to make sure that the call light is in reach and they give the proper teaching of what medicine they are giving their patient along with an understanding. Routine rounding is very important in the hospital which can be shared amongst the nurse and nursing assistant. Blood pressure medications are one of the most serious falls because of the dizziness that it can cause. Making sure the patient has proper footwear can also prevent falls, non skid socks and even slippers will help. Making sure the patient has a bed alarm under the patients and patients are aware of the call light being in reach. 8
IMPROVING A FALL PREVENTION PROGRAM Collecting all information on the patient will help with eliminating falls. We as nursesneed to make sure that patients with the need for assistance devices need to be close to the nursestation and teachings on falls every hour when rounding. Patient that are on many prescriptionsneed to understand that side effects can really cause falls and that’s not good. Bring the entireteam together and communicate will help with fall preventions. Making sure that a checklist is inplace will help with less falls and more awareness. The Morse falls scale will help withunderstanding the risk of falls per patient. Making sure you understand the goal and also includeeveryone in the plan with an open mind will help with the benefits of the research project.Educational presentations would be presented to the healthcare and ancillary staff. This would beto help staff get a clearer perspective and also more education on fall preventions. A revision ofthe post fall briefing form adding more detail information will be applied to help with teamwork.Potential BarriersChanges brought to the surface will be one of the most difficult challenges on the units at work. This will have a big impact on the implementation strategies. Lacking structural guidelines and trainings can prevent falls from decreasing. Communication lacking between therapist and staff on each individualized patient can also prevent a change from occurring.