Early Mobility Implementation: Preventing Falls in Elderly Patients

This report examines the role of early mobility in preventing falls and improving the quality of care for elderly patients within the NHS framework. It highlights the importance of quality care in preventing diseases and promoting patient recovery, emphasizing the need for dedicated healthcare workers and effective communication skills. The report addresses the challenges in providing equitable services to both older and younger populations, the significance of statutory obligations and quality assurance, and the implementation of changes using the Kotter Change Model. Key aspects include creating urgency, forming guiding coalitions, establishing a clear vision, and empowering others to act on that vision. The report further discusses the evaluation process, leadership roles, and the implementation of quality frameworks to ensure continuous improvement in healthcare services and patient safety. The ultimate goal is to reduce risks associated with patient immobility and enhance overall health outcomes through proactive and mobilized care strategies.

Early mobility prevents and reduces risk falls in the elderly
EARLY MOBILITY PREVENTS AND REDUCES RISK
FALLS IN THE ELDERLY
1

Early mobility prevents and reduces risk falls in the elderly
Contents
1. Introduction............................................................................................................................3
2. Background............................................................................................................................4
3. Implementation for the change...............................................................................................5
3.1 Kotter Change model........................................................................................................6
3.1.1 Creation of Urgency...................................................................................................7
3.1.2 Form a Powerful Guiding Coalition..........................................................................7
3.1.3 Create a vision...........................................................................................................7
3.1.4 Communicate the Vision...........................................................................................7
3.1.5 Empower others to act on the vision..........................................................................7
3.1.6 Plan for and create short time wins............................................................................8
3.1.7 Consolidate improvements and produce more change..............................................8
3.1.8 Institutionalise new approaches.................................................................................8
3.2 Effect of the evaluation process and change....................................................................8
3.3 Leadership........................................................................................................................9
4. Conclusion............................................................................................................................10
References................................................................................................................................11
2

Early mobility prevents and reduces risk falls in the elderly
1. Introduction
Quality care needs to be provided to the people so that it could help in prevention and for
recovering them from the problems. This help in delivering the best services to the people
and making them to deliver the best solutions to the problem that takes place. NHS focuses
on the services that are provided with quality to the people so that it could help in motivating
and making them to deal with the changes that take place. The health workers are made to
work with dedication and honesty with the motive of providing the best healthcare services to
the patients. In UK, the care services are taken on a serious note and are made to be provided
with proper medication and treatment to the people. Health care needs to be given to people
with proper guidance and motivation so that they can be physically and mentally fit.
Healthcare workers need to have communication or interaction skills that make them to
communicate the problems of the patient and make them to feel motivated that help in getting
the best treatment. (Krishna Regmi, 2013)
The motive of health care organisation is to prevent the patients from the sufferings of their
diseases. This also plays an effective role in the prevention of the disease by making the
patients to be provided with the best treatment and motivational facilities. NHS focuses on
the perspective of quality health and services of the patients that can only be given by
providing them with the treatment that is clinically proven. This makes the organisation to
have the best outcomes that are healthy and quite beneficial for the people. This also ensures
adequate safety to the patients by keeping them at a distance from the risks and harms that
can affect them adversely (Al-Balushi, et. al., 2014). This makes them to take or adopt
effective methods for the precaution and harm avoidance. The most important and essential
criteria that are followed in the NHS is the observation of the behaviour of patients so that
they could be provided with the medication of treatment as per their needs. This improves the
quality of services that need to be provided to the people.
The mobility of people from one place to another helps in prevention of their diseases in an
easy and effective manner as this creates a positive attitude in them. This is made to generate
the outcomes within a few days so that the patient could recover in an easy and optimal
manner. The overcoming of the patient suffering from critical health issue is made for the
early mobilisation as this makes them to adopt the necessary changes that are required for
them for the improvement in health. The focus of the organisation is to provide the best care
3

Early mobility prevents and reduces risk falls in the elderly
services to the people that has increased in its expenditure and made it to provide the care that
suits them the best. The mobility of the older people would greatly impact on the services that
are provided to them and make them to give the best treatment. This help in generating the
outcome in an easy and effective manner that improves the health and stability of the patients
(Kasiri, et. al., 2017).
2. Background
Mobility has impacted on a large extent to the people those who are suffering from the
critical disease. This has revolved a huge change in the services or care that is provided to the
people in the organisation. NHS makes its effective and dedicated effort for the care services
and safety that needs to be provided to the people. The problem that takes place in the mind
of the people in the UK is that the organisation is more focused on older people rather than on
youth. This makes the difference in opinion of the people regarding the services that are
provided to them (Lee, et. al., 2012). The caregiver give more attention to the older people as
they resist the changes and the services they are provided to them. This makes them to have
effective communication with them so that mental stability could take place that leads to
effective service giving to the patients. NHS has to provide services to the patients with the
adoption of statuary obligations that are required to be adopted as per the audit report. Quality
assurance is considered as the vital aspect that makes the service providers to give the best
care services to the patients. For the estimation of the quality identified with the NHS, there
are numerous guidelines set up. The portrayals of the benchmarks are utilized to keep up the
nature of wellbeing and social consideration administrations (Rigger, et. al., 2018).
According to the contextual investigation, the clinic needs to keep up a record of the patients
so the association needs to keep up the quality in the administrations accomplished for the
patients of the medical clinic. As a matter of first importance, the base gauges are the norms
followed in keeping up the nature of the administrations. These principles are expanding the
productivity of the administrations given by the human services association. Consequently,
by utilizing this standard the general improvement can be accomplished effectively (Dye, et.
al., 2013).
The other fundamental standard is identified with the best practice which gives to keep up
quality to best practice which ought to be trained by the NHS. By this training, the Royal
medical clinic gives better quality administrations than the clients. The following principle
4

Early mobility prevents and reduces risk falls in the elderly
standard identified with wellbeing and social consideration is the benchmark, this is utilized
to contrast claim business and other prescribed procedures in the business of consideration
home. The execution markers are additionally coming in one of the models of wellbeing and
social consideration. These markers help the NHS in making progress. This is additionally
used to deal with the nature of social insurance administrations. (Merino, 2012)
3. Implementation for the change
Change is required in the organisation so that it can provide the patients with adequate health
care services. The difference in the opinion and thoughts of the people regarding the services
provided by the NHS needs to be reduced. This makes the organisation to have its goodwill
in the UK and makes it to fulfil its objective. The issues related to the funds that increase due
to the high-quality services provided to the old person that is 2.5 more than the expenditure
made on youth. The mobility of people reduces the risks that take place in the hospital and
make them to provide the services to the people. This also decreased the number of issues or
problems that take place in the UK due to the resistance of the people regarding the
treatment.
The change is required in the organisation due to the dissatisfaction that takes place in the
mind of people. The evaluation is generated from the effective communication that takes
place in the organisation between the employees and patients. This depicts the issues and
problems that take place with them and makes the NHS to adopt several measures to resolve
the same. The CQC reports also show evidence regarding the practices that are adopted in the
hospitals for the people in an authorised manner. This relates to the working capabilities of
the people and their behaviour towards the patients in the hospital (Dye, et. al., 2013).
For the clinic, the clients are likewise critical partners as they need wellbeing administrations.
So the association needs to deal with the quality in giving uncommon consideration to the
general population identified with wellbeing. The CQC additionally engaged with giving
wellbeing treatment and uncommon consideration to the general population alongside the
quality. The Care Quality commission used to give appropriate rules to keep up quality in
consideration given. The multi-dimensional methodology is utilized to dissect the points of
view of partners. This methodology is utilized to keep up quality in the administration
(Asaria, et. al., 2016). The CQC needs to make dire upgrades to make a legitimate record of
patients and shield individuals from different dangers. The different points of view of
5

Early mobility prevents and reduces risk falls in the elderly
partners are not just restricted to support availability (Batalden, et. al., 2016). The specific
another procedure like the conduct of workers, adaptability is additionally incorporated into
the points of view of partners. The emergency clinic needs to confront issues in the nature of
the administrations.
This is a free human services controller. This attempts to direct the elements of social
insurance administrations. The different experts are controlled by CQC which are NHS,
willful associations and different organizations. CQC keeps up the enhancements in the
human services benefits and keeps up the nature of the wellbeing administrations. The
commission keeps up a wellbeing practice and causes the regal medical clinic to keep up
records of the patients. The NHS trust likewise keeps up better wellbeing quality
administrations and help the Royal emergency clinic to keep up the record of the patients.
The dire upgrades to keep a patients record has been finished by NHS trust (Stoddart and
Evans, 2017).
The emergency clinic needs to pursue different ways to deal with actualize quality
frameworks. The consideration association needs to utilize a vigorous quality framework to
make legitimate and nonstop enhancements. The quality framework is the procedure that
improves the nature of the whole framework. The different methodologies are utilized to
actualize quality frameworks and getting positive outcomes. For actualizing the quality
frameworks, the jobs and obligations are utilized (Ettorchi-Tardy, et. al., 2012). The different
methodologies are utilized to execute a quality framework. The main methodology is
arranging strategies that are utilized to actualize quality in Royal medical clinic. The
arranging arrangements and strategies help in executing the quality in the administrations.
The best possible arranging of the execution gives the best possible quality effectively.
(Blokdijk, 2012)
3.1 Kotter Change model
The change model has been implemented in the organisation so that changes can be made
adequately in the organisation. The model relies upon the six steps that make it to meet the
requirement of changes in the organisation (Kotter, 2019)
6

Early mobility prevents and reduces risk falls in the elderly
3.1.1 Creation of Urgency
The change is required in an organisation as this make the organisation to attain success and
become powerful in the market. This is also required for the growth and optimisation of the
organisation as the new changes will increase the motivation in the people. The high level of
motivation leads to availing to quality services provided to the people. The employees need
to prepare for the changes that will be implemented in the organisation and make them to
participate in the decision-making process.
3.1.2 Form a Powerful Guiding Coalition
The other step that needs to be taken into consideration is a coalition with other people as this
makes the powerful decision-makers in the organisation. This help in giving collaborations of
team members so that it could help in giving the best decision to the people. The contribution
of people or employees for the improvement in the quality services makes the derivation of
the best outcome in the organisation (Dixon-Woods, et. al., 2012).
3.1.3 Create a vision
The vision is created for the people and employees in the organisation so that it could help in
meeting the situations in an easy manner. The aim of the change is made clear to the
employees so that it would help in making the fulfilment of objectives in an effective manner.
3.1.4 Communicate the Vision
The vision created in the organisation for the change is communicated to each and every
employee in the organisation. This helps in delivering the best services to the people and
makes them to provide with a high level of satisfaction. The message needs to be
communicated to every individual or employee so that working in the organisation can be
made properly (Quentin, et al., 2017).
3.1.5 Empower others to act on the vision
After the creation of vision and transmission of the message to the people, they are guided for
the removal of obstacles. The chances for the reduction in the success get reduced and make
them to act upon the goals that are set for them. Measurable plans are made for the reduction
in the chances of failure in the organisation. (Wentworth, et. al., 2018)
7

Early mobility prevents and reduces risk falls in the elderly
3.1.6 Plan for and create short time wins
The organisation makes some short plans as a reward for the employees in the organisation.
This makes them to deliver the best services as this acts as the motivations tool for them. The
efforts made by them would not get reduced and make them to earn high profits. This ensures
them to provide quality care and services to the people in the organisation (Dabholkar, 2015).
3.1.7 Consolidate improvements and produce more change
The implementation of change is required in the organisation but it cannot be successful all
the time. This needs to be taken into consideration whi8le implementing the changes in the
organisation. This makes them to develop and sustain some new ideas so that improvements
could be made in the change plan. This will establish a good change in the organisation for
providing services and satisfaction (Connelly, 2018).
3.1.8 Institutionalise new approaches
The implementation of changes should be familiar to the people in the organisation. This
makes them to empower the rules and regulations. This makes NHS to have an
implementation of change for the mobility so that it could be adopted by everyone. The pros
and cons needs to be clarified to the employees and patients so that they would take this
approach in a positive manner. This will help in implementing and adopting the changes
frequently and an easy manner. (Journal of Change Management, 2015)
3.2 Effect of the evaluation process and change
The change model will help in improving the services that are provided to the people and
elder that will increase the satisfaction level among them. The mobility will help in reducing
the risk and make the organisation to have the easy transformation of people. The change
model will make the people to adopt the change in an easy manner. This also ensures that,
people accept the medication or treatment provided to them without resisting it. This
increases the quality of the services that are provided to the people by the NHS. This also sets
standards for the people on which the organisation relies. This improves the communication
and coordination level among the employees and patients as well (Burwell, 2015).
There is an immense effect on individuals who have taken wellbeing and social consideration
medicines. The general population are currently progressively expected towards taking
8

Early mobility prevents and reduces risk falls in the elderly
wellbeing and social consideration medicines in an ordinary way. Fundamentally, this sort of
methodology has an exceptionally decent effect on the general population who are living in
towns, in communities (Mosadeghrad, 2014). The clients of the NHS have an incredible
impact because of the quality administrations of human services. So the association needs to
deal with the quality administrations to draw in more clients towards their association. Since
the general population who are living in towns they for the most part not want to go to the
specialists in all respects effectively have their own outlook. In any case, after this
methodology, their attitude has been completely changed. This association offers care to
500,000 individuals living in neighbourhood networks. They have developed their confidence
in this sort of action. The ladies are likewise impacted by this sort of movement (Barlow, et
al., 2013).
By and large, by the confidence of the general population on this sort of movement, the
administration has likewise begun the nursing courses for the welfare of the ladies. In such a
case that the ladies are engaged with the treatment procedure at that point, there will be less
faltering for ladies to go for a checkup. They will feel progressively good. From a study, it
has been seen that 1302 protected ladies have a way to deal with clinical treatment after the
contribution of the ladies in the treatment procedure. Presently as the innovation is
developing step by step so it tends to be utilized in a decent way to deal with the general
population. A decent informal organization can be developed, by gazing toward the
achievement of this (Lowthian and Cameron, 2012).
3.3 Leadership
Leadership is an effective strategy that is adopted in every organisation so that it would make
the employees to work for their interest. In the NHS, employees are made to be provided with
training and practices so that they can work accordingly. This also makes them to guide the
other people for the achievement of desired goal and objective of the NHS. The leadership
practices are required in an organisation so that the achievement of desired goals and
objectives could be met. This also helps in making the employees and patients to adopt
changes that are required for the NHS. The assessment of mobility will help in deriving the
best outcome with the reduction in risks in the hospitals. Leadership makes the people
influenced and makes them to know the facts related to it so that changes can be adopted in
an easy manner (Valverde, et al., 2015).
9

Early mobility prevents and reduces risk falls in the elderly
4. Conclusion
The above report describes about the needs of change in the organisation or in the hospital
that makes them to provide with the quality services. NHS focuses on the services that are
provided with quality to the people so that it could help in motivating them and making them
to deal with the changes that take place. The impact of mobility has also been taken into
consideration in the above report. This makes the organisation to have good results for the
patients with a low level of risks. The change model has also been adopted for the
implementation of change in the NHS. The impact of leadership and its requirement in the
NHS has been evaluated that help in meeting the objectives in a useful manner.
10

Early mobility prevents and reduces risk falls in the elderly
References
Al-Balushi, S., Sohal, A.S., Singh, P.J., Al Hajri, A., Al Farsi, Y.M. and Al Abri, R., 2014.
Readiness factors for lean implementation in healthcare settings–a literature review. Journal
of health organization and management, 28(2), pp.135-153.
Asaria, M., Ali, S., Doran, T., Ferguson, B., Fleetcroft, R., Goddard, M., ... & Cookson, R.
(2016). How a universal health system reduces inequalities: lessons from England. J
Epidemiol Community Health, vol. 70(7), 637-643.
Barlow, J., Roehrich, J. and Wright, S., 2013. Europe sees mixed results from public-private
partnerships for building and managing health care facilities and services. Health Affairs,
32(1), pp.146-154.
Batalden, M., Batalden, P., Margolis, P., Seid, M., Armstrong, G., Opipari-Arrigan, L., &
Hartung, H. (2016). Coproduction of healthcare service. BMJ Qual Saf, vol. 25(7), 509-517.
Blokdijk, G. (2012). Change Management 100 Success Secrets - The Complete Guide to
Process, Tools, Software and Training in Organizational Change Management. Dayboro:
Emereo Publishing.
Buller, J. (2015). Change leadership in higher education. San Francisco: Jossey-Bass.
Burwell, S.M., 2015. Setting value-based payment goals—HHS efforts to improve US health
care. N Engl J Med, 372(10), pp.897-899.
Call for Papers: Journal of Change Management. (2015). Journal of Change Management,
vol. 15(2), pp.161-163.
Connelly, L.M., 2018. overview of Quality Improvement. Medsurg Nursing, vol. 27(2),
pp.125-126.
Dabholkar, P.A., 2015. How to improve perceived service quality by increasing customer
participation. In Proceedings of the 1990 academy of marketing science (AMS) annual
conference (pp. 483-487). Springer, Cham.
11

Early mobility prevents and reduces risk falls in the elderly
Dixon-Woods, M., McNicol, S. and Martin, G., 2012. Ten challenges in improving quality in
healthcare: lessons from the Health Foundation's programme evaluations and relevant
literature. BMJ Qual Saf, vol. 21(10), pp.876-884.
Dye, C., Reeder, J.C. and Terry, R.F., 2013. Research for universal health coverage.
Ettorchi-Tardy, A., Levif, M. and Michel, P., 2012. Benchmarking: a method for continuous
quality improvement in health. Healthcare policy, 7(4), p.e101.
Kasiri, L.A., Cheng, K.T.G., Sambasivan, M. and Sidin, S.M., 2017. Integration of
standardization and customization: Impact on service quality, customer satisfaction, and
loyalty. Journal of Retailing and Consumer Services, 35, pp.91-97.
Kotter. (2019). The 8-Step Process for Leading Change - Kotter. [online] Available at:
https://www.kotterinc.com/8-steps-process-for-leading-change/ [Accessed 3 Apr. 2019].
Krishna Regmi, S. (2013). Health Care Commissioning: The UK Health Policy
Reforms. Primary Health Care: Open Access, 03(02).
Lee, S.M., Lee, D. and Kang, C.Y., 2012. The impact of high-performance work systems in
the health-care industry: employee reactions, service quality, customer satisfaction, and
customer loyalty. The Service Industries Journal, 32(1), pp.17-36.
Lowthian, J. and Cameron, P., 2012. Improving timeliness while improving the quality of
emergency department care. Emergency Medicine Australasia, 24(3), pp.219-221.
Merino, N. (2012). Health care. Farmington Hills, MI: Greenhaven Press.
Mosadeghrad, A.M., 2014. Factors influencing healthcare service quality. International
journal of health policy and management, 3(2), p.77.
Parsells, R. (2013). Change and Learning in the Workplace. Change Management: An
International Journal, 12(1), pp.61-71.
Quentin, W., Geissler, A. and Berger, E., 2017. Measuring, reporting and improving quality
of ambulatory care: an international comparisonElke Berger. European Journal of Public
Health, 27(suppl_3).
12