RN Collaborative Healthcare United States PowerPoint Presentation 2022

RN COLLABORATICE
HEALTHCARE
N A M E :

RISK OF FALLS AMONG ELDERS-
NPSG.09.02.01 Problem Statement
Falls among the elders are a common phenomenon
They are the second leading causes of mortality and morbidity
in senior adults in the United States (Williams et al., 2015).
They are an indication of feebleness, disability, and severe
chronic health challenge in senior adults.
 Rationales
oMedical conditions i.e. arthritis, dementia, stroke etc
oEnvironnemental factors i.e. poor stairway design, poor lighting,
disorderliness, slippery floors etc.
oDemographic factors i.e. old age, race, living alone
(Gale, Cooper, & Aihie Sayer, 2016).

PEOPLE INVOLVED & ROLES
 The risk of falls among senior adults involves multiple people based
on the causes/risk factors.
Senior adults/patients
Nurses
Family carer
 Reasons
oSenior adults/patients- their cooperation with carer/nurse will either
increase/reduce incidences of fall
oNurses-the quality of the healthcare services provided will determine
the increase/decrease in the fall prevalence
oFamily Carer- services by the carer will help prevent/increase the risk
of fall. (McCann, Bamberg, & McCann, 2015; De Witt Jansen et al.,
2017).

SOLUTION ONE
Counseling and Health Education
Purpose: to reduce the risk of falls
Cost :$120
Desired Outcome
Reduction in incidence of falls
Better training and improved balance
Reduction in environmental hazards
Improvement in safety related skills and behavior
(Vieira, Palmer, & Chaves, 2016).

SOLUTION TWO
Exercise/Physical Therapy
Purpose: prevent falls and reduce risk of injury
Cost: $150
Desired Outcome
Increase alertness
Strong muscles and increased endurance
Improved and sustained posture
Aroused cardiorespiratory function
(Vieira, Palmer, & Chaves, 2016)

SOLUTION THREE
Environmental Modifications
Purpose: Prevent falls
Cost : $50 (occupational therapist).
Other costs depend on the modification to be done
Desired Outcome:
Home safety
Reduced environmental hazards
Reduced cases of falls
(Vieira, Palmer, & Chaves, 2016)

PREFFERED SOLUTION
Exercise/Physical Therapy
 Skeletal muscle and strength decrease with increasing age
and rigidity.
 Studies have attributed most falls and high risk of injury to
impaired strength
 Exercise/physical therapy works to
strengthen muscles
Foster watchfulness
Postural responses
Joint motion (Burton et al., 2015)

ACTION PLAN:PROMOTE PHYSICAL ACTIVITY AMONG THE
ELDERLY
Action Objective
Step1: Comprehend and promote
the benefits of physical activity to
the elderly
To Create awareness of the
significant of exercise among the
elderly
Step 2: Identify and utilize
current resources
To Explore existing, available,
effective, less costly, familiar
activities for the elderly
Step3: Find out the hindrances
and solutions for physical activity
in the area
To ascertain the most appropriate
physical activity for the elderly
Step 4: Implement the most
appropriate activity for the elders
To implement the best activity for
the elders
Step 5: Assess the success of the
Intervention and ascertain areas
of improvement
To evaluate the success or failure
of the intervention and determine
areas of improvement

SUMMARY
Falls are common among the elderly and second leading cause
of death and disability.
Studies have found exercise to be the most effective
intervention in reducing/preventing falls, however it needs
proper planning and expert advise.
The success of the intervention is greatly dependent on the
adoption by the senior adults, hence the need for promotion.
Moreover, activities should be chosen that meet the needs of
the adults.
The activity should also be evaluated to ascertain its
effectiveness

REFLECTION
 Through this learning i have learnt that most of the elders
aged 65 years and above are significantly affected by falls
 The most effective intervention is to try to make them
regain their strength and vitality through exercise
 Different exercises serve different purposes, therefore
the best exercise is that which meets the needs of the
patient
 This assignment has shown me that exercise is the most
appropriate intervention for reducing or preventing falls

REFERENCES
Burton, E., Cavalheri, V., Adams, R., Browne, C. O., Bovery-Spencer, P., Fenton, A. M., ... &
Hill, K. D. (2015). Effectiveness of exercise programs to reduce falls in older people with dementia living
in the community: a systematic review and meta-analysis. Clinical interventions in aging, 10, 421.
Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4330004/
De Witt Jansen, B., Brazil, K., Passmore, P., Buchanan, H., Maxwell, D., McIlfactrick, S. J., ...
& Parsons, C. (2017). Nurses' experiences of pain management for people with advanced dementia
approaching the end of life: a qualitative study. Journal of clinical nursing, 26(9-10), 1234-1244.
Retrieved from https://pure.qub.ac.uk/files/58471797/pain_management.pdf
Gale, C. R., Cooper, C., & Aihie Sayer, A. (2016). Prevalence and risk factors for falls in older
men and women: The English Longitudinal Study of Ageing. Age and ageing, 45(6), 789-794.
Retrieved from https://academic.oup.com/ageing/article/45/6/789/2499223
McCann, T. V., Bamberg, J., & McCann, F. (2015). Family carers' experience of caring for an
older parent with severe and persistent mental illness. International journal of mental health
nursing, 24(3), 203-212. Retrieved from https://onlinelibrary.wiley.com/doi/pdf/10.1111/inm.12135
Vieira, E. R., Palmer, R. C., & Chaves, P. H. (2016). Prevention of falls in older people living in
the community. Bmj, 353, i1419. Retrieved from
https://pdfs.semanticscholar.org/a11d/3f70d6681f10f5449621e8d88e6d761a3e27.pdf
Williams, J. S., Kowal, P., Hestekin, H., O’Driscoll, T., Peltzer, K., Yawson, A., ... & Wu, F.
(2015). Prevalence, risk factors and disability associated with fall-related injury in older adults in
low-and middle-incomecountries: results from the WHO Study on global AGEing and adult health
(SAGE). BMC medicine, 13(1), 147. Retrieved from
https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-015-0390-8