High Fall Risk
EBPIdentification of Clinical Question
Essentialfactors that cause high fall risk have been found in controlledstudies that enable the identification of patients at risk, and itsuggests favorable prevention measures (Zhou,Chen, Zhu, and 2014).It is clearly known that older persons from the age of 60 years areat a risk of falls in the society with many emerging educationalprograms that assists prevention. It is crucial that these programsbe developed in hospitals where the majority of the patients are weakand possess a high risk of falls. Older people with various healthproblems have the largest risk of falls since their posturalstability and falling appears very limited. The paper focuses ondeveloping a foreground question and the statement of challengesaligned to high fall risk.
Thequestion is designed under the guidelines of PICO to give way for ananswer that involves information contained within published researchliterature (Hoang, Baysan, Gunn Cameron, Freeman, Nitz & Lord,2016). The clinical foreground question applying PICO in high fallrisk follows as in a 65 years old female at high risk of fall, and apotential fall risk does educate nursing staff and multidisciplinaryteams, and creating awareness to adults help in identifying olderpersons with high risk of fall maintain a secure environment forseniors? This question will assist practitioners to direct theirlimited time on the evidence that is in a direct relevance to adults’clinical requirements.
Statementof the Problem
Fallsare the main contributors of chronic health, frailty, immobility andacute impairments in older persons. Fall risks, in turn, finish thefunction by influencing injuries’ activities limitations, mobilityloss and receding fears among the elderly and supporting programs aredeveloped to enhance prevention of physical injuries (Brodie, Menz,Smith, Delbaere & Lord, 2014). Strategies and standard safetymeasures to reduce these injuries are embraced to maintain a suitableenvironment for adults and debilitated patients in hospitals.
Theincidents of fall risks within the old causes most injuries such aship fractures, pelvic and humerus, and forearms fractures. Falls canbe said to be inadequate health care and decreased functions and areusually connected with the high rate of morbidity. Mitigation of fallrisks must outline the diversity of ages including the health statusof the old person population and it should address variety drivers offalls without tampering with the quality of life and patients’independence (Hylek & Ko, 2016).
Therefore,to curb this problem creating awareness to adults and educating bothnursing staff and multi-disciplinary teams is the most importantstrategy to ensure a safe environment for patients. These processesare objected to identifying older people at high risk of fall andprovide tools that educate families or caregivers of patients withhigh potential fall hazards (Härlein,Halfens, Dassen, and Lahmann, 2010).The strategies are also capable of outlining procedures that developpersonal development plans in health care that helps to curb the riskof great fall in adults.
Children,patients, and older people are the most susceptible group to highfall risks. Prevention is the most significant pillar in the healthcare that is used to control and remedy the increased fall risk.Injuries obtained from falls are easily manageable since they includefractures, soft tissue injuries, and traumatic brain injuries but attimes they generate prolonged hospitalization of the elderly.Mortality rates from falls rise depending on age, sex ration, andethnic groups. Foreground question and statement of the problem willhelp in managing high falls of risks.
Brodie, M. A.,Menz, H. B., Smith, S. T., Delbaere, K., &Lord, S. R. (2015). Good Lateral Harmonic StabilityCombined with Adequate Gait Speed Is Required for Low Fall Risk inOlder People. Gerontology, 61(1),69-78. Doi: 10.1159/000362836
Hoang, P. D.,Baysan, M., Gunn, H., Cameron, M., Freeman, J.,Nitz, J., Lord, S. R. (2016). Fall risk in people withMS: A Physiological Profile Assessment study. MultipleSclerosis Journal – Experimental, Translational, and Clinical, 2,205521731664113. Doi: 10.1177/2055217316641130
Hylek, E. M.,& Ko, D. (2016). Atrial Fibrillation and Fall Risk. Journalof the American College of Cardiology, 68(11),1179-1180. doi:10.1016/j.jacc.2016.07.714
Härlein, J.,Halfens, R. J., Dassen, T., & Lahmann, N. A.(2010). Falls in older hospital inpatients and the effect ofcognitive impairment: a secondary analysis of prevalencestudies. Journalof Clinical Nursing, 20(1-2),175-183. doi:10.1111/j.1365-2702.2010.03460.x
Zhou, Q.,Chen, Y., & Zhu, L. (2014). Effects of drugpharmacokinetic/pharmacodynamics properties, characteristics ofmedication use, and relevant pharmacological interventions on fallrisk in elderly patients. Therapeuticsand Clinical Risk Management,437. doi:10.2147/tcrm.s63756
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