Falls In Acute Care Hospitals Essay

2675 words - 11 pages

At Brigham and Woman Hospital, this fall prevention program has been instituted throughout the facility. The protocol requires all patients to be screened for fall risk factors upon their admission to the hospital. Upon admission, nurses must conduct a throughout medical assessment, and use the Morse Fall Scale to assess patients mobility, muscle strength, gait, vision of patients because those conditions can put patients at increase risk for falls. At the end of each assessment, a number is provided to each patient determining the degree of fall and documented in the patient chart. For example, a patient might be a low risk for fall while another might at high risk for fall. In addition, the nurse must create a plan of care and place the “Please Call, Don’t Fall” sign in the patient’s room and bathroom to alert them of their fall risk status, and remind them to call for help when needed. Moreover, upon hospital admissions pamphlets and other written materials on fall prevention information are given to both the patient and family in different languages .

As stated above, all patients admitted to an acute care settings must be screen for fall regardless of ages, background, socioeconomic status and medical history. Researchers have found that there are a lot of way to reduce the occurrence of fall in hospitals. Ang, Mordiffi ,and Wong(2011), in a randomized research study tested the effectiveness of a "targeted multiple intervention strategy" in decreasing the rate of patient fall in an acute care settings"(p. 1985). In this study a total of 6498 participants were assessed for fall risk, however, only 1822 of those patients were recruited into the study. During the study, 910 patients were randomized into an intervention group while the others were randomized into a control groups. " The baseline characteristics for both, the intervention and control groups, were homogenous for mean age, race, current condition and Hendrich score"( Ang et al., 2011). In order to participate in the study, a patient had to be 21 years of age or older, and has score 5 or more on the Hendrich II Fall Risk Model tool "( Ang et al., 2011).Participants from both the control group and interventions group who were identified to be at risk for falls had to wear a green-colored band tied around their wrist and a green-colored notification of falls risk was placed in their rooms, most specifically above their head board. In addition, high risk participants received education relating to falls which involved nurses instructing participants not to get out of bed without assistance, to press the call-bell for assistance and how to use the call-bell. As part of this study protocol, participants in the intervention group received usual care which include: fall risk assessment, placing the call-bell, TV remote control, eyeglasses, dentures, and hearing aids within the patient’s reach. Other interventions that have been used were bed and chair alarms, bed was...

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