NUR1201 - Preventing Falls: A Reflective Analysis of Patient Care

This essay provides a reflective analysis of preventing falls and the harms associated with them, particularly in the context of elderly patients, using a case study of a 75-year-old man named William who experienced a fall. It explores William's experience with public hospitals, his feelings about seeking treatment, and personal values related to caring for older people. The essay applies theories like resource dependency to understand the challenges in healthcare service delivery. It evaluates the impact of negative experiences on patient perceptions and emphasizes the need for improved management and efficiency in public healthcare institutions. The analysis identifies inadequate care aspects and suggests improvements such as increased staffing, technology adoption, and better training programs. An action plan is proposed to enhance healthcare facilities and improve patient satisfaction, concluding that addressing these issues is crucial for building a healthier society. Desklib provides resources for students including past papers and solved assignments.

Running Head: PREVENTING FALLS AND HARMS OF FALLS
Nursing study: Preventing falls and
harms of falls
October 20
2018
Reflection

PREVENTING FALLS AND HARMS OF FALLS
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Preventing falls and harms of falls
Falls cause serious issues at any age, but in the case of older people, these are more dangerous as
they are more likely to fractures (Palvanen, et al., 2014). In medical science, falls are the
accidental incidents which may cause a serious harm to human health. Therefore, falls must be
prevented at the topmost priority (Tricco, et al., 2017). Harms and other consequences of falls
can be described with the help of a case study. In this discussion, there is a case study of 75-year-
old William who had experienced a fall and shared his experience. This discussion is supported
by theories like resource dependency, institutional, and population ecology theory.
Description: Falls of any kind cause a serious harm to the body and sometimes may cause
permanent damages as well (Liu, You, Lu, & Chen, 2015). In the given case study, Mr. William
Taylor shared his experience about all the case scenario of his injuries he got with an accidental
fall. He said that this falls occurred when he was returning back home from his routine morning
walk. He tripped over a price of concrete and got several injuries. In this accident, he flopped
into a gutter which took off his sin from his nose and chin. Also, his right shoulder got wrecked
and his left elbow skin was peeled off. In the treatment context of this fall, his experience was
very bad with public hospitals as he described his past experience. In his past experience of a
public hospital, he had to wait for a long time period of 11b hours before he got to see by a
practitioner.
I think Mr. William’s experience justifies his decision to not to visit a public hospital for the
treatment of his accidental fall. In my opinion, his falls were very serious and he got some
serious injuries as well. In such situations, I think visiting a doctor would be beneficial but the
past experience like how he had to wait for 11 hours before got seen by a doctor, made me think
he took a right decision. I believe that if we do not get any response at some place then we
should avoid such actions if we can handle it with more comfort.
Feelings: In my opinion, Mr. William felt more comfortable being in pain at home rather than
visiting a public hospital as he knew that he will have to wait over there too. I think he believes
in being comfort zone as much as possible. I think experiences he had in past made him stay at
home for the whole night and in the morning as well. I would have done the same if I had such
experience. But at some point, I think he could visit the hospital in a hope that he might get a
quick treatment. This would have helped him to take some preventing actions responding to his
injuries.
Values and beliefs
I believe in caring older people first as it is hard for them to wait for treatment and being in pain
for a longer time, in this case scenario the patient had wait for many hours before meeting to a

PREVENTING FALLS AND HARMS OF FALLS
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doctor, this was against my values and impacted my feeling more. The older people have right to
be treated earlier as possible as other do, therefore priority should have given to Mr Willams.
Although Mr. William took the right decision in his opinion, the literature suggests that some
practices are resource dependent and so their outcomes. Resource dependency theory suggests
that resources are the key elements of an organization; therefore, operations of the organization
are dependent on its resources and their availability (Yeager, et al., 2014). In nursing practices,
the time taken to attend a patient depends on the available practitioners at that particular time
point. This suggests that it might be possible that at the time he visited the public hospital, the
hospital may have fewer practitioners to attend him. And this time he might get a quick response
in the same hospital. And as described Mr. William's injuries were serious he should have visited
a hospital as soon as possible (Moss, Good, Gozal, Kleinpell, &Sessler, 2016).
Evaluation: This study emphasizes the caretaking process of public hospitals and patient's
perception towards the healthcare facilities. Falls cause serious harms and people must take care
of injuries, due to falls immediately. In this case services and management of public hospitals
have been identified as negative indicators impacting the future change in the public healthcare
sector. Inefficient management and less effective services will drag the public health care to a
low level where people will hesitate while taking service of public healthcare organizations
(Busse, Aboneh, &Tefera, 2014). Mr. William, in this case, avoided taking service of the public
hospital because of his bad experience in the past. This experience was the reflection of services
and management of public hospitals which were not up to the mark. If such practices are ignored
continuously then public health care will lose its efficiency and health issues will arise more and
more. To make a healthy society, the efficiency of public health care institution must be
improved for future sustainability (Dietz, et al., 2015).
Analysis: From this scenario some it is identified that authorities can employ more staff as
nursing practitioners in public healthcare institutions and adopt technology to attend patients
with more efficiency. Some of the aspects of care were inadequate because, Mr wiliams
experienced an serious accident which injured him critically, especially at this age the patent
should be provided with instant treatment so that he can feel relax in his pain, but the patient did
not receive fast treatment and he had to change his mind to visit that hospital gain there for the
care aspects were inadequate. For example the instant treatment might have provided him cure
timely and could have built trust in the hospital facilities. Experience shared by Mr. William
shows that healthcare institutions use technology to examine the exact cause as well as to cure
some diseases. These aspects of healthcare institutions are identified as a positive indicator for
public health care services. These indicators will direct the future services of public health care
institutions towards more efficient as well as effective services to build a healthy society. In the
future, more nursing staff will serve better and will take care of patients efficiently. Also, the use
of new technology will make it easier for practitioners to access more people at a time to
enhance the efficiency of public healthcare institutions.

PREVENTING FALLS AND HARMS OF FALLS
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Action Plan: This whole discussion concludes that falls cause serious injuries to the human body
and needed to be treated effectively. Some, barriers to an immediate visit of patients to a public
institution are identified and are serious challenges to the public healthcare institutions. Also,
different theories given in the literature, support different aspects of patients' perception of public
health care services. These aspects need to be evaluated and understood by authorities to
improve their services for the development of a healthier society.
Conclusion: In order to remove the negative indicators and implement positive indicators, public
health care institutions need a proper action plan describing the actions and their sequence as
well. For bet implementation actions plan will suggest to employee more nursing staff in public
healthcare institutions. This will take some time of around 3-4 months. Then after these newly
appointed staff members should be provided with an essential training program to introduce
them to the technical equipment used in health care practices. After a successful training
program, these staff members should be appointed to the required institution with a proper
facility of technical equipment. This sequential execution of the action plan will definitely
improve the healthcare facilities at public institutions and will make people feel happy while
visiting these institutions whenever needed.

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