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Leadership in Nursing

   

Added on  2020-03-16

12 Pages3516 Words31 Views
Running head: NURSING LEADERSHIP 1 Nursing LeadershipNameInstitution

NURSING LEADERSHIP 2Nursing leadershipIntroductionFalls and associated injuries are common and serious issues which affect the olderpeople. The people with the age of 65 and above are susceptible to falls and it has been foundthat 30 percent of people older than 65 years and also 50percent of those older than 80 years atleast falls once in a year in the United Kingdom (Gazibara et al., 2014). The impact of fallinginclude, pain, mortality, distress, loss of confidence and loss of independence. However, fallingcan affect the quality of life of the people affected and even those of their families. The patientshould be routinely asked if they had fallen earlier, the frequency of fall, the context of the falland the features associated with the fall. These ideas could prevent the patient from further fallsin hospital.The essay will address the case of patient aged 84 who was admitted to hospital witha history of falls.Risk assessmentsThe patient should have been assessed on the risk of falls by the use of comprehensiveassessment approach. This is the method which nurses and geriatricians use to examine and treata patient who is at risk or even the one who had recently fallen. However, this approach may bepart of overall geriatric assessment or just particular to the risk factors for falling and one of theparts of pots fall evaluation (Aranda-Gallardo et al., 2013). Furthermore, the comprehensiveassessment involves in-depth medical assessment of the previous cognition, gait, and falls,strength, balance, chronic diseases, nutrition, chronic ailments and other medications. Theapproach could have assisted the patient in identifying the intrinsic factors which could havebeen treated to minimize the possibility to fall. However, the multifactorial falls risk assessment

NURSING LEADERSHIP 3should have been done on the patient (How croft et al., 2013). This involves identification offalls history, evaluation of osteoporosis risks, the assessment of visual impairment and theassessment of the cognitive impairment.BedrailsBedrail should have been placed in the bed to prevent the patient from falling. Bedrailsare crucial for adults’ hospital patients to keep them from falling. Studies have shown thatintroduction of bedrails in the beds of fall patients prevent them from falling (Moore et al.,2013). Practical and ethical considerations imply that bed rails are appropriate for only patientswho need them. As for the patient in the case study, there was a need for bedrail because thepatient had a history of falls. Thought the patient eventually fell, there was a need for the nursesto know that fatal bedrail entrapment can be prevented by getting rid of outdated equipment.They should have ensured there is a good combination of bedrail, bed and mattress and Ibelieved that it could have saved the patientFall risk avoidance measures and culture on careSituational awareness and human factors such retrogressive cultures, individualperception on medications and fear to undertake certain interventions are great factors whichaffect service delivery on elderly hence education should be offered to assist patients toovercome them(Toebes et al., 2015). Education interventions are significant measures meant toincrease the knowledge on the fall preventions and also offered appropriate knowledge topatients concerning their risks of falling and strategies of fall preventions (Toebes et al., 2015).

NURSING LEADERSHIP 4The approach is one of the programs which results in positive outcomes like behavioural change,increased mobility and decrease the fear of falling. The education measures commonly take theform of fact sheets and the evidenced-based items. It offers preventive measures which can assistthem from falling. They also come up with a check list that can assist them to identify all formsof fall hazards at their homes and settle on the necessary preventive measures. Furthermore, theaffected patients are informed on places where they can get help in case of falls in order to shunthe long lie condition. Nurses have a great role in ensuring that patients are well educated onmatters concerning their health (Olsen & Bergland, 2014). The psychology department hasplayed role in many hospitals in the United Kingdom in counselling patients about the safety oftheir health. However, the clinical leadership should increase their engagement with the familiesof the patients and not patients only. The move will ensure that family members will be in aposition to assist the patients at their homes.Another risk measure is the home assessments. It involves clinicians visiting the homesof the affected patients and evaluate how the environment of the home is suitable in relation topatient's mobility. The conditions of the elderly should always be checked to ensure that they aresafe from any risk factors and this calls for frequent checkup and assessments. An assistiveequipment is then prescribed to the patients in an aim to reduce the falls within the surroundingof home (Kendrick et al., 2014). Clinicians will eventually develop adaptations through theinstalled assistive equipment in order to enhance the independent living and also alleviate thepossibilities of falls. Technology-based interventions have been used in many types of falls preventioninstances. It encompasses diagnosing and treating the falls, detecting falls, keen adherence to the

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