Fall prevention in stroke patients PDF
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Added on 2021-06-18
Fall prevention in stroke patients PDF
Added on 2021-06-18
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FALL PREVENTION IN STROKE PATIENTS 1EVALUATION OF PRACTICE: FALL PREVENTION IN STROKE PATIENTSBy [Name]CourseInstitutionLocation of InstitutionDate
FALL PREVENTION IN STROKE PATIENTS 2Task 1: Introduction and Background InformationThe fall in Stroke patients is a common phenomenon during and after treatment. When the patients fall, they get injured and can contact other infections such as fractured bones. In Australia, approximately 14% of stroke patient fall during their movements (Maeda et al., 2015). A recent study showed that 40 individuals in every 150 stroke patients fall during rehabilitation (Cho, and Rhee, 2015). Factors that lead to the falls include little strength in the legs; occasional loss of sight; issues with the foot, and difficulty in sensing objects (Kim, and Kim, 2015). Rectification of the falling includes strategies such as: correcting the eyesight, provision of walking aids for the patients and giving a wheelchair to patients (Maeda et al., 2015). The prevention mechanism is an area that has limited literature. This paper examines the major causes of falling in Stroke patients. Furthermore, it uses the PICO model to develop strategies forpreventing the frequent falls in stroke patients. The article gives a well-researched and evidence-based explanation on the fall preventive strategies. The paper compares and contrasts the literature with the actual methods of falls prevention at the South West Sydney Hospital, Stroke Ward. Moreover, it looks at the barriers to the implementation of evidence-based practices by practitioners. Furthermore, students and researchers should find solutions to the obstacles within this paper. Additionally, the article looks at possible strategies to promote Evidence-Based Practice (EBP) in health facilities.Task 2: PICO FormatThe issues surrounding falls by Stroke patients and possible preventive mechanisms can be summarized using the PICO format. Letter (P) stands for Patient/Problem/Population (Higson,Emery and Jenkins, 2017). The patients involved are the stroke patients. Letter (I) stands for intervention (dos Santos, Rabiais, and Amendoeira, 2016). The problem is the falling of the
FALL PREVENTION IN STROKE PATIENTS 3patients. Some of the intervention measures include providing the patients with walking aids to prevent them from falling. Letter (C) stands for comparison (Higson, Emery and Jenkins, 2017). There are aspects of similarities and differences between the literature on the prevention measures and the real situation at South West Sydney Hospital. Letter (O) stands for the outcomeof the defensive mechanisms (Higson, Emery and Jenkins, 2017). When the measures assume center stage, the number of injuries by falling of stroke patients will reduce. Therefore, the research question is: what are the causes of falls in stroke patients and which are the intervention measures?Task 3The three main areas of the research are:Causes of falls and preventive mechanisms in stroke patients,Barriers to Evidence-Based Practice (EBP) and ways to overcome them, andStrategies that promote EBP at South West Sydney HospitalThe research method involved interviews with health practitioners and nursing students in Sydney, Australia. Additionally, stroke patients at the Stroke Wards filled questionnaires on the possible causes of the falls. The internet helped with the evidence-based literature on the three areas. Some of the sources include (Journal of physical therapy science, International Journal of Nursing,Journal of Continuing Education in the Health Professions) and others. The research narrowed down on the three sources and thirteen others due to their accuracy and reliable evidence.Task 4: Causes of falls in Stroke PatientsStroke results from the blockage of blood entering the brain cells. Moreover, bleeding of the blood vessels leads to the onset of stroke. Red blood cells transport oxygen to the central
FALL PREVENTION IN STROKE PATIENTS 4nervous system (CNS) (Maeda et al., 2015). Once blood cannot reach the brain cells, the CNS, the functioning of the brain slows down. The brain coordinates the maintenance of body balance and movement in humans (Maeda et al., 2015). Therefore, the improper functioning of the brain causes stroke patients to lose balance hence they can quickly fall.The falling over also results from reduced muscle mass and loss of senses such as that of touch and listening. Other causes of falls include: decline in concentration by the patients and reduced vision by the patients (Cho, and Rhee, 2015). One of the causes of stroke is the shutdown of nerve functions. Once the Peripheral Nervous System (PNS) cannot function normally, an individual loses the ability to sense an approaching object. Thus, the patient strikes the object and falls over.The cells that coordinate the levels of concentration reside within the CNS. Once the brain cells are malfunctioning, an individual loses the capacity to concentrate on their movement.Such individuals can quickly fall. For an individual to have a clear vision, the eye has to see an object first. Secondly, the neurons transmit that information to the brain cells (Cho, and Rhee, 2015). The CNS interprets the stumbling block, and the individual can now view the block and interprets it. Stroke patients have neurons which are dead (Cho, and Rhee, 2015). Additionally, their brain cells are not functioning well. Therefore, they have reduced vision. Once they cannot see an object ahead of them, the stroke patients stumble on the object and fall.Prevention of fallsThe first cause of falling is dizziness due to brain dysfunctions. Other causes include drugside effects, hypertension, visual impairments, and diet-related issues (Amorim, Goddard, Forbes, and Davis, 2016). The physician should issues drugs that have minimal side effects to thestroke patients. Every victim of stroke should observe balanced diet (Amorim et al., 2016). The
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