Preventing Accidental Falls in Older Adults: A Minor Project

This minor project report delves into the critical issue of accidental falls among older adults, a significant public health concern associated with increased morbidity, mortality, and healthcare costs. The study examines the risk factors contributing to falls, including age-related physical changes, underlying health conditions, and environmental hazards. It also explores various prevention strategies, such as risk assessment, safety interventions, and the role of healthcare professionals, particularly nurses, in identifying high-risk patients and implementing appropriate care protocols. The report emphasizes the importance of a multidisciplinary approach, including patient education, environmental modifications, and the integration of technology to reduce fall rates and improve the quality of life for the elderly population. The research highlights the need for ongoing research and the implementation of evidence-based practices to effectively address this growing public health challenge. The report also discusses the significance of identifying high-risk patients, providing safety companions, keeping patients engaged, and employing safety rounds to prevent falls. The report also explores the importance of nurses' involvement in anticipating drops and applying protocols to prevent slips.

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Abstract
The study was seen to be based upon analyzing the fall of older people, along with finding the
reasons for this and to get the prevention strategies. The study was also aiming towards
evaluating literature evidence for facilitating knowledge margin along with preventing accidental
falls in older people. It was also discussed about methodologies, where primary data source was
stated to be used for ensuring authenticity to get managed in the business process.
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Table of Contents
Table of Contents.............................................................................................................................3
Introduction......................................................................................................................................4
Background......................................................................................................................................6
Project design...................................................................................................................................9
Outcomes.......................................................................................................................................10
Conclusion.....................................................................................................................................12
Reference list.................................................................................................................................13
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Introduction
The study was based on analyzing the data on accidental falls for the people whose age
was 65 and more than that. From the surveys, it can be seen that mortality rates and hospitality
separation rates for accidental falls seem to be highest for the people whose age was 65 and more
than that. The unintentional falls were the real and leading cause of morbidity and death among
the elderly generation. In compared to other issues or illnesses, it can be seen that accidental falls
were said to remain connected to more significant incapacity and long-term care center
induction. The involvement of inadvertent drop by the older people was seemed to be considered
as a critical open wellbeing issue, since of the recurrence, problems, and costs on the healthcare
framework. Falls that drive to hospitalizations were said to be the most pressing issue, and thus,
intensive care was said to be provided to those people.
Aim: The aim of conducting the study was to facilitate better understanding along with
developing areas of knowledge margin along with preventing accidental falls in older adults.
Rationale: Injury-related visits seem to be made by the elderly to the hospital's
emergency wards before a specific date. Falls was said to be the leading cause of external
damage that was supposed to be the 24% of those visits. Due to inadvertent drops, trips to the
emergency division were generally seen in children up to age five and adults over 65. Compared
to the children, it was understood that older adults were more likely to get admitted to the
hospitals and were more likely to face the passing condition. The injury was said to be another
trigger after dropping, which was said to be the explanation for the inadvertent loss of 70 percent
in the elderly (Sotoudeh et al., 2016). Older adults who survive a fall face more substantial
damage that can be non-recoverable harm in the long term.
Last but not least, most drops do not result in passing or physical harm. There were a few falls
that bring the fear of falling along with bringing fear of doing any exercises into a profound
mental impact. Fear of potential drops and resulting institutionalization also entails dependency
and enhanced stability, has been followed by useful shortcomings and has increased the
likelihood of weakening. However, to prevent falls, it was said to develop the integration of the
technologies so that such an issue can be avoided effectively. However, the utilization of these
sorts of innovation was impactful in incrementing the knowledge of medical attendants working
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straightforwardly within the avoidance of falls within the elderly and diminishes falls after the
instructive intercession (Tao & Nguyen, 2019). It can also be seen that a global focus was on
creating an instructive blurb for clinical practitioners in tandem with the elderly patients who
were hospitalized along with their families to prevent unexpected falls. This approach was seen
to have a positive effect on older adults' reduction of drops.
Significance: Among older adults, the real and leading cause of morbidity and death was
said to be the coincidental falls. Inadvertent drops were related to higher capacity and more
chances of hospitalization and entry to long-term care facilities relative to other concerns or
diseases. Concurrent with the World Wellbeing Organization, falls were said to be the cause
integrated with major open wellbeing issues, not as it has fallen to about 20-30 percent of
mellow to extreme wounds, but moreover as more than 50 percent of drop hospitalizations were
long-term and more seasoned among 65 individuals. The events related to the coincidental drops
were said to get happened within the boundaries of the elderly individuals' independence and
freedom as they encounter the rate of breaks directly. As age increases, the elderly bunches were
at higher risk of passing or severe harm when they become involved (Padrón-Monedero et al.,
2017). Thus inquiry was said to be critical about an audit because it examines the vital role that
clinical caregivers play in predicting drops. Recognizing the risk of a decline to senior
awareness, treating high patients who have dropped, and applying correct protocols for
preventing slips was critical. In order to control the falls, nurses need to take care of the patients
and inform the facilities to care for the elderly to avoid falling factors (Huang et al., 2016). It was
also seen that falls were not a random event, and it was said that it can occur due to multiple
integrations of risk factors that can be a visual deficiency, vitamin D deficiency, and foot pain.
Context and setting: as per the definition of the Victorian Quality Council, it seemed to
get defined that accidental falls were known to be the concept of fall over any surface (Guirguis-
Blake et al., 2018). Several explanations were said to be collapsed and factors related to health,
such as;
 Balance issues and dizziness
 Muscle weakness and stiff joints
 Poor eyesight
 Low sensation in the leg and feet
 Little reflex action
 Difficulty in focusing
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 Hypotension  Dementia
 Adverse reaction of medicines
Wet walls, unattended clothing, dim light, and the use of the bathroom at night was said to be
going up or down the staircase.
Background
The study was based upon analyzing different types of strategies for analyzing along with
preventing accidental falls of older adults. In the systematic review of the research, elderly
patients were said to get included in developing hospitalized reports along with developing a
practical approach to the business. It was seen that falls was said to be a common and genuine
cause of dreariness and mortality among the senior individuals (Luk, Chan, & Chan, 2015). In
compared to other disabilities, falls were seen to stay associated with more significant disability
along with providing long term care facilities. Falls in older people were said to be one of the
essential public health problems, which were supposed to be the reason for developing
complications along with increasing costs to the health system. Thus, falls in older adults were
said to be considered as an essential public health problem along with managing issues, and
expenses margin the health care system.
The elderly, especially with the progressing age, were at an expanded chance of passing or
genuine harm when encountering falls. Falls that drive to hospitalizations were said to be the
foremost real issue, and hence, it was meant to require more acute care. In any case, in several of
these cases, the elderly did not explore for wellbeing administrations for not seeing positive
results such as breaks or a couple of other sorts of harm (Tricco et al., 2017). Besides, some
cases were said to be treated in crisis organizations or inside the Family Prosperity Methodology
program, a reality that reveals that the issue has been thought small of inside the estimations
since it unfavorably impacts the quality of life. However, falls were said to be not a random
event, and it was said that it can happen due to several risk factor integration and those are;
deficiency in seeing, deficiency of Vitamin D, foot pain and Urinary incontinence, malnutrition
and cardiac arrhythmia (Crandall et al., 2016).
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In order to reduce the fall rate, the hospital was seen to be undertaking several strategies, and
those are;
Identifying high-risk patients- It was said to give red socks to the patients who were at
high risk of falling. The hospital was also said to be putting the armband on patients who were at
risk for using visual cue from the outside of doors of the room of patients for alerting provides
about the fall risk (Chiba et al., 2015). It seemed to be more comfortable for the patients to
identify the patients who were at high-risk and based upon that staffs go for initiating protocols
for reducing the chances of falling.
Providing safety companions- the clinics were moreover said to extend the number of
security companions for the individuals who appears to be incapable of taking after heading.
Security companions allow nonstop recognition and offer assistance to patients to dodge falls
(Vieira, Palmer & Chaves, 2016).
Keeping the patients busy- doing regular exercise under observation was said to be
leading them towards less likely to leave the bed as they will feel tired. The staff was also
supposed to teach the family members of the patients about keeping them busy in bed or
preventing any damage by fall (Kwak, Kim & Lee, 2016).
Setting bed alarms- the hospitals were said to change the way of using bed alarms for the
patients, along with reducing the fall margin. The fear was supposed to be ringed when the
patient leaves the bed, and the signal starts to make a sound at that time. The staff was seen to be
establishing protocols to check the bed alarms get rang every one of two seconds for ensuring if
the patients have not gone too far (Donath, van Dieën & Faude, 2016).
Doing safety round- It was also said to be one of the essential aspects of developing and
facilitating better care for older patients. It was also said to be one of the most effective strategies
which were supposed to get used for preventing falls along with conducting twice-daily safety
rounds. The nurses were said to have the responsibility of looking after the risk patients were
okay and in bed (Uusi-Rasi et al., 2015). In case of any issue, the nurses need to be assisting the
patients in preventing the fall issues from getting happened.
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It can be seen that the compelling integration of medical attendants was fundamental to assist out
the ancient individuals. They were required to be helped and taken the appropriate care in each
diminutive for anticipating the drop. In the case of conducting a comprehensive evaluation, the
issues seemed to be showing up along with generating care to manage the dodge falls for
decreasing dismalness and mortality rates from falls among the elderly within the Australian
locale (Choi et al., 2017). Along with these, the instrumentalization of wellbeing experts,
especially restorative caretakers, inside the well-being care of the elderly, was caught on as
crucial.
It was also said that most of the patients happen due to a combination of factors and the fall risk
factors are;
Previous fall history- Patients who have fallen recently were more likely to drop once
more and beneath comparative circumstances unless the components that drive to the drop were
tended to (Sherrington et al., 2016).
Lower limb weakness and gait instability- It was said to be developing and facilitating
weakness margin along with de-conditioning from the inactivity periods along with managing
age-related changes in gait and balance. It was also found that lack of walking aids, bed rest, and
limited activity during hospitalization were also said to be the reason for exacerbating these
problems (American nurse today, 2018).
Urinary inconsistency- Medicines and V. liquids are given amid an acute hospitalization were
said to be increasing urinary direness and require for visit toileting. In order to dodge
incontinence, patients may get up rapidly or ambulate without a strolling aid/assistance, coming
about in a fall.
Agitation and impaired judgment- Patients who were said to be disturbed or befuddled
were said to be a hazard of falling out of bed or getting up without help (Kwak, Kim & Lee,
2016). In any case, indeed, patients who were caution and situated may overestimate their
capacities, not realizing that they're at hazard for falls.
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Seductive hypnotics- Hospitalized patients frequently get medicines that will be unused
or given in expansion to the solutions they take at domestic. Pharmaceutical side impacts may
cause tipsiness, shakiness, postural hypotension, and urinary urgency along with increasing fall.
Project design
Methodological approach- Research Philosophy was said to be an essential part of
research work as it provides a chance for the researcher to reflect his or her assumptions. It was
of three types; Positivism philosophy, interpretive philosophy, and Realism philosophy. In the
current research work, the researcher has chosen Positivism philosophy as it helps in gaining
factual knowledge from observation. The research Approach was essential in the dissertation as
it helps in showing the relevancy of aims or hypotheses. It was known to be of two types; an
Inductive approach and a Deductive approach. The research seemed to be selecting a Deductive
approach for showcasing the right path to the study (Patten & Newhart, 2017). Deduction
approach was said to be helpful for the researcher for conducting a practical evaluation of the
research along with ensuring effective outcomes to the goal so that meaningful solutions can be
generated for the study. Apart from this, in the case of Research design, it was also stated to be
impactful in meeting the goal of the research along with producing meaningful solutions to the
study. It was known to be of three types; Descriptive, Explanatory, and Exploratory (Leavy,
2017). The data source was also considered to be one of the essential aspects of the research,
along with ensuring the source of gathering data. In this case, the study was seen to be choosing
the primary data source among the two types of data sources; Primary and Secondary data
sources. The focus was said to be given on primary studies for understanding the interventions of
the nurses to reduce, along with preventing falls in the older adults, were included for generating
a systematic review. By the use of random sampling, method participants were said to be chosen
for conducting the research. Research Instruments were essential in a dissertation as it helps the
researcher to gain accurate information based on the research topic. It was also said to be
impacted upon maintaining reliability to the research process, along with managing the data to
get gathered practically.
Data synthesis- The synthesis process was said to get carried out expressively,
concerning goals, comes about, and conclusions reached from each one of them think about. At
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long last, within the final step, a report with the total portrayal of the steps was made. In the
study, the research seemed to be selecting qualitative and quantitative analysis for analyzing the
gathered data in a better way. It was also said that Data Analysis was effectively impactful in
managing the portion of research as it helps in providing an adequate explanation of the research
findings, theories, concepts, and framework, and so on.
Timeframe- it was deemed to be useful for managing the whole methodology process,
and the steps integrated to it are;
Week
1
Week
2
Week
3
Week
4
Week
5
Week
6
Week
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Topic Selection ●
Creating layout ●
Literature review ● ● ●
Formation of the plan for research ● ●
Selection of Research Techniques ● ●
Primary data collection ● ●
Analysis of Data Collection ● ●
Data Findings ●
Conclusion of the Study ●
Rough Draft Formation ● ●
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Submission of Final Work ● ●
Outcomes
The result of this request around overview shows up that prosperity instruction was an
outstandingly basic approach to generate help in the nursing part by dodging the rate of falls to
the older adults. They require continuing education and sharing data with the specialists to plan
them in carrying their commitments viably and offer to help the more prepared people with
proper instruction about their condition. Asking approximately review gives a complement on
the examination of chance factors as a procedure for diverting falls inside the older adults. The
evaluation was stated to be focused on creating an action plan along with preserving the key to
manage the separation by developing useful work circumstances. These were said to be the way
of developing generating and developing long term care to the business organizations.
Falls among older people were said to be one of the essential public health problems, which were
supposed to be the reason for developing complications along with increasing costs to the health
system. Thus, it comes to know that falls in older adults were said to be an essential public health
problem, along with managing complications and costs to the health care system. Wellbeing
instruction methodology was seemed to get happened in different ways depending on the
appropriateness and ranged from efficient instructive programs focused on to health experts of
the multidisciplinary group or particularly to nursing experts, as well as informative programs
outlined with the elderly. It was also necessary for the nurses to develop their efficiency level to
analyze the needs of patients along with developing integrity levels. It was said to be impactful
for the service as patients seemed to be sharing issues that they were facing. Based on that,
solutions get provided by the experts. Thus, it can be seen that educating nurses and family was
one of the necessary factors for preventing such issues.
Discussion
Limitations- The main barriers that rose were regarding time and budget, which impacted
upon the research quality. The analyst also confronted about time restriction as the time given for
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completing the assignment was constrained. This has made the analyst miss a few critical
variables leading to workers' stretch within the working environment. On the other hand, budget
limitations were also said to be impacting upon gathering primary data in a limited manner.
Barriers- barriers that the researchers were said to be followed throughout the research
were ethical bound. Participates were said to be not forced into the research process. It was
seemed to be impacting the research outcome as perceptions of the people were stated to be
necessary for managing integration to the gathered data.
Opportunities- Conducting this study was said to be impactful in analyzing the reason
which was integrated with patients fall. It was also seen about the precautions that can be taken
to mitigate such issues, along with generating better care for the people.
Recommendation- as a part of the proposal, it was said about using Assistive
technologies for encouraging the completion of exercises of day by day living. Among the
various types of assistive technology, to prevent the risk, it was said to use hard technology to
manage modern practices. On the other hand, the development of educational posters was said to
be impactful for the health care people by controlling the partnership with the older people and
also to their families were also seen to be helpful in this case. In expansion, utilizing of
innovation was also said to be impactful in decreasing help strategies to primary methods. The
devices created for multidimensional evaluation also seemed to help make choices, along with
managing social and wellbeing determination.
Conclusion
From the above study, it can be seen that it was necessary to recognize the hazard of a drop to
the senior understanding, along with treating the older patients who have fallen. In order to
manage the falls, the nurses were stated to be integrated for looking after the patients, along with
showcasing care to the older adults for preventing fall factors. It was also seen that falls were not
a random event, and it was said that it can happen due to several risk factor integration, which
can be the visual deficiency, Vitamin D deficiency, and foot pain. It was also mentioned about
developing and facilitating weakness margin along with de-conditioning from the inactivity
periods along with managing age-related changes in gait and balance. It was also found that lack
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of walking aids, bed rest, and limited activity during hospitalization were also said to be the
reason for exacerbating these problems. Limitations and barriers were also discussed, which
were said to be impactful in conducting strategic development to the business process.
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Reference list
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https://www.americannursetoday.com/preventing-falls-hospitalized-patients/
Chiba, Y., Kimbara, Y., Kodera, R., Tsuboi, Y., Sato, K., Tamura, Y., Mori, S., Ito, H. and
Araki, A., 2015. Risk factors associated with falls in elderly patients with type 2 diabetes.
Journal of diabetes and its complications, 29(7), pp.898-902.
Choi, S.D., Guo, L., Kang, D. and Xiong, S., 2017. Exergame technology and interactive
interventions for elderly fall prevention: a systematic literature review. Applied ergonomics, 65,
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Crandall, M., Duncan, T., Mallat, A., Greene, W., Violano, P., Christmas, A.B. and Barraco, R.,
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Kwak, C.J., Kim, Y.L. and Lee, S.M., 2016. Effects of elastic-band resistance exercise on
balance, mobility and gait function, flexibility and fall efficacy in elderly people. Journal of
physical therapy science, 28(11), pp.3189-3196.
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Moseley, A.M., Cameron, I.D., Mak, J. and Sonnabend, D., 2016. Exercise and fall prevention
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Sotoudeh, G.R., Mohammadi, R., Viitasara, E. and Soares, J., 2016. Epidemiological pattern of
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Robson, R., Sibley, K.M., MacDonald, H. and Riva, J.J., 2017. Comparisons of interventions for
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