Falls Among Older Persons With Dementia

998 words - 4 pages

“Fall may be defined as an unexpected event in which the person comes to rest on the ground, floor, or lower level” (Struksness, Lindström, Lord, Slaasletten, Johansson, et al., 2011). In older populations, falls are quite common, but with a mental illness such as dementia, the problem is worsened. This cross-sectional study showed that the most common causes of falls reported by nursing staff were individual factors like physical impairment and mental impairment.

Background:
Falls are a common cause of death for people over the age of 65. Following accidents, fall related mortality rate has relatively stayed constant over the last four decades. The dementia disorder continues to add an increase in fall-risk. Despite their knowledge about these conditions, nursing staffs have been unsuccessful mostly in their attempts to prevent falls among impaired cognition patients. The objective of this study was to get a thorough understanding of the nursing staff’s thoughts and opinions of falls in older patients who suffer from dementia. Causes of the falls, fall-preventing interventions, routines of documentation and reporting and the nurses experience from when the fall took place were also collected and used in this study (Struksness et al., 2011).
Caring for older people with dementia is a complex process and it needs careful assessments by qualified nursing staff. Different group of nurses were included in this study such as registered nurses (RNs) enrolled nurses (ENs), and few unskilled nurses aids. This study is significant to nursing, because it shows that ongoing comprehensive systematic assessment, documentation, and continuing education can prevent falls in older people with dementia (Struksness et al., 2011).

Methods:
First and foremost, this study was approved by The Data Inspectorate in Norway. Informed consent (both oral and written) was taken from all the respondents by one of the researchers. The confidentiality of the questionnaire responses was maintained by coding. (Struksness et al., 2011).
This particular study was conducted in multiple nursing homes. The qualitative research method was used to conduct this study, due to the fact that questionnaires and responses from the responders were collected. For this study, nurses working with older people who had dementia, and who were permanent employees were selected to participate in this research. The permission to conduct this research was obtained from the section leaders of all the nursing homes in the local community. The samples used in this study were experienced nurses who worked in four nursing homes with older people with dementia (Struksness et al., 2011).
The procedures were conducted using the format of questionnaires. The questions on the questionnaire were based on these four main areas: cause of falls, nursing staffs intervention in fall prevention, routines of documentation and report, and experiences and reactions of nursing staff related to fall...

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