Falls Prevention in Elderly Individuals
Added on 2020-01-23
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ANINVESTIGATIONOFACLINICALGOVERNANCEORCLINICALPRACTICEISSUE1
TABLEOF CONTENTSTitle of the project...........................................................................................................................3Aim of the project............................................................................................................................3Relevance of clinical governance to the project..............................................................................3Problem is worth solving.................................................................................................................4Key stakeholders..............................................................................................................................5CPI tool............................................................................................................................................6Summary of proposed intervention.................................................................................................7Barriers to implementation and sustaining change..........................................................................7Evaluation of the project..................................................................................................................8References........................................................................................................................................92
TITLEOFTHEPROJECTClinical Practice Improvement Project ReportAIMOFTHEPROJECTThe main aim of the present research study is to prevent falls in aged care facility. RELEVANCEOFCLINICALGOVERNANCETOTHEPROJECTClinical government is considered as a systematic approach that helps in maintaining andimproving the quality of patient care within a health care system. It is a basic framework throughwhich health care organizations are can continually improve the practices through adding qualityaspects in the service provision (Pearce, Phillips, Dawson and Leggat, 2013). High standard ofcare services can be added in the care dimension which creates an environment in whichexcellence in clinical care could be flourished. The three major attributes of clinical governanceis recognising high standards of care, managing transparent responsibility and accountability forhealth care standards and adopting constant dynamic of improvement. Since, it applies only tohealth and social care organizations; therefore the concept is entirely related to delivery of careto the patients. The concept of clinical governance is relevant in the present case as application of theconcept could assist health care entities to adopt new and preventive measures to reduce the issueof falls in the aged care facility. Further, this is also useful in improving the quality of care and atthe same time the issue of falls in Australian aged care facility can be managed. In this case, themajor components of clinical governance can also be applied; hence all the risks anduncertainties can be managed respectively (Halton and et.al., 2016). Risk management isessential to include about it is all about identifying the factors that influence the care provision.Hence, appropriate actions can be taken to minimize the identified risks. Further, clinicalauditing could also be developed wherein practitioners should appropriately measure the qualityof care they offer. Health care practitioners must get prominent training and education so thatthey can emphasize more on professional development.As per the guidelines determined by The National Institute for Health and ClinicalExcellence, health care entities should provide evidence – based care to the patients so that topromote good health for the patients. In the issue of falls, staffing and staff management should3
be appropriate so that to provide high- quality care. Lastly, the pillar of clinical governancearticulates that feedback should be included in carer experience so that areas of improvementscan be identified. PROBLEMISWORTHSOLVINGFalls is a major issue prevailing in Australian aged care facilities and it is also regarded asone of the adverse events; however it is preventable if appropriate actions are taken. In the year2009 – 2010, there were about 20,000 cases wherein falls were recorded as major issues in healthservice area (Sherrington and et.al., 2016). In order to minimize the issue of falls in aged care facility, Australian Commission onSafety and Quality in Health Care have developed several provisions for the purpose ofcoordinating improvements in the safety and quality of health care nationally. Falls are one of thelargest causes of harm in aged care facility and during care episodes, older people needs to gothrough a period of intercurrent illness because of unfamiliar setting (Sherrington and et.al.,2016). Residents in a residential aged care facility experienced an incidence of falls nearly fivetimes more than people of same age in their own home. In the year 2005 – 2006, 21% of seriousfalls occurred in residential aged care facility; hence this is considered as the one of the mostfrequent places to fall. Every year around 30% of the Australians above the age of 65 years fall wherein 10% ofthese falls leads to injury. However, it has also been analysed that the 80% of falls- related casesremain in home. In terms of impact, this increases the issues of decreased muscle tone along withphysical inactivity (Dugue and et.al., 2016). Moreover, falls rates in residential aged care facilitydiffer from 4 to 10 per 1000 resident bed days; while on the other rates between one and fivefalls per resident per year have also reported. Fall injury rates in residential aged care facility inpeople over the age of 65 years and older are approximately 7200 falls per 1,00,000 people. Thehip and thigh are the most common injured areas in both men and women sustaining falls. Fallsmay increase the risk of complications which also includes the likelihood of getting a fear offalling or loss in confidence while standing, walking and other activities (Preventing Falls andHarm From Falls in Older People. 2009).Additionally, it has also been observed that the total estimated health cost is attributed tofalls- related injury and this also keeps on increasing almost threefold from A$ 500 million. In4
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