nurse in the hospital that instructs the patient to call before getting up but

Nurse in the hospital that instructs the patient to

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nurse in the hospital that instructs the patient to call before getting up, but often times catching them doing just the opposite. The culture that I have seen that doesn’t ask for help and does everything oneself is the exact reason I want to pursue this topic as to find a way to change even the most stubborn of hearts for safety first. Article Synopsis In the evidence-based practice article, “Fall Prevention for Older Adults”, Kruschke outlines the definition of a fall as “a sudden unintentional descent to the floor with or without injury” (Kruschke, 2017, p. 16). With those at risk for falls as those who have fallen before, have impaired ability to complete activities of daily living, use of certain medications, vision or hearing impairment, diabetes, arthritis, incontinence, and pain, with higher risk as more positive determinants applied (Kruschke, 2017). The article describes the effects of falls on the aging population and provides multidimensional assessment for falls as well as a ten-step process for the clinician on preventing falls (Kruschke, 2017), which directly correlates with the chosen area of interest. All of these steps play a pivotal role in the solution of fall prevention with the most important aspects being strong assessment skills and appropriate patient education with the first step and last step both being assessment and reassessment. Some of the greatest assessment areas include the patient environment, patient gait, get up and go tests, attention to balance and coordination, and ongoing assessment and evaluation for changes as the patient that was not at risk today, may very well be at risk tomorrow (Kruschke, 2017). Once a need has been determined, solutions include improved lighting, removal of rugs, individual exercise programs, appropriate footwear, treat vision impairments, supplement with vitamin D, minimize medications when possible, teach to sit and dangle to avoid postural hypotension, and provide plenty of education handouts to the patient and family (Kruschke, 2017). Dissemination of this
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