Picot Question and Justification
PICOT QUESTION AND JUSTIFICATION 4
PicotQuestion and Justification
PicotQuestion and Justification
Pre-fallscreening is one technique for determining the risks among thevulnerable people such as patients with any disease that impairsmovement, the disabled, and the aged. According to Palumbo,Palmerini, Bandinelli, and Chiari (2015),the technique aims at identifying the intrinsic or extrinsic factorscontributive to fall risks. The intrinsic determinants refer to thefactors originating from the psychologicalstate of a patient (e.g. syncope or stroke), and extrinsic are thosethat arefacilitatedby the environment (e.g. slippery floor). However, many studiesestablish that pre-fall screening is for identifying the patients whorequiremore focused and detailed risk assessment. The reason for this isthat pre-fall screening is brief and involves a checklistwith few items (Fuzhong, Harmer & Fitzgerald, 2016). In thisstudy, the objective question is can pre-fall screening uponpatients’ admission in an assisted living likely to prevent orreduce the events of fall in comparison to other risk assessmenttool? Pre-fallscreening can reduce and prevent the incidences of fall among thegeriatric population in assisted living facilities more efficientlythan other risk assessment tools because it enable identificationof key factors that facilitate falls
Asmentioned above, fall problem affects the aged people, disables ofthose with impaired cognitive function affecting their movement. Inaddition, patients suffering from strokeor fits may be involved in fall events leading to injuries or deathin a fatalsituation (Palumboet al., 2015).These patients areusually takento the facilities where they are provided with health services as away of improving their experience, safety,and recovery. As a risks assessment intervention, pre-fall screeningfocus on determining the patient’s mental status, mobility,postural blood pressure, distant vision, morale, hearing, postureexamination, and ability to perform routine activities (Matarese,Ivziku, Bartolozzi, Piredda, & De Marinis, 2015). Analysis ofthese factors helps determine the likelihood of fall and its injuriesand consequently enables the caregiversto establish mitigation measures. In this case, and from ahypothetical stand, pre-fall screening can help prevent and reducefall risks.
Whencompared to other fall risk assessment tools, pre-fall screeningtends to be a shallow approach but efficient,unlike others that are more detailed, long, and sometimes expensive.For this reason, it isusedidentify those patients who requirean intense risk assessment (Fuzhong, Harmer, & Fitzgerald, 2016).Its effectiveness and outcomes,therefore,determinethe application of the established tools for detailed assessment.Regardless of its brief checklist, pre-fall screening tool iseffective in reduction and prevention of fall incidences as it formsthe basis on which detailed assessments are to beconducted (Matareseet al., 2015). Moreover, there are cases where identifies patientscan be provided with healthcare without further assessments, therebyreducing both time and further costs, the reason itis widely used inhospitals and assisted living facilities.
Inconclusion, pre-fall assessment tools can help in reduction andprevention of fall incidences particularly among the olderadultsor patients living in assisted living facilities when done duringadmission. In practice, it is brief, usually containing at most fiveitems in the checklist, and help identify the individuals or patientswho requiredetailed assessments. In this case, it determines the use of otheradvanced fall risks assessment tools. Consequently, caregivers canestablish the measures to prevent potential incidences of fall, ortreatment for the patients identified to exhibit the fall determinantfactors such as cognitive impairment, mobility, distant vision anddiseases such as stroke. Such measures will ultimate reduce theprevalence of fall incidences in assisted living facilities andhospitals.
Fuzhong,L., Harmer, P., & Fitzgerald, K. (2016). Implementingan Evidence-Based Fall Prevention Intervention in Community SeniorCenters.AmericanJournal Of Public Health,106(11), 2026-2031. doi:10.2105/AJPH.2016.303386
Matarese,M., Ivziku, D., Bartolozzi, F., Piredda, M., &De Marinis, M. G. (2015). Asystematicreview of fall risk screening tools for older patients in acutehospitals. Journalof Advanced Nursing, 71(6),1198-1209. doi:10.1111/jan.12542
Palumbo,P., Palmerini, L., Bandinelli, S., & Chiari, L.(2015). FallRisk Assessment Tools for Elderly Living in the Community: Can We DoBetter?PLoSONE, 10(12), 1-13. doi:10.1371/journal.pone.0146247
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