SOLVED39

write a peer review on the following topic: Title: Implementing Fall Prevention among the older adults – Subtitle: Proposal for Older Adults – Prepared for the Older adults to prevent falls in the communities. – Date: 02/01/2024 Table of Contents: 1. Executive Summary 2. Background of the Problem 3. Problem Statement 4. Potential Solutions and Evaluation Criteria 5. Explanation of the Proposed Solution 6. Plan for Implementation 7. Healthy Steps for Older Adults 8. proposal’s visual design on fall prevention 9. Safety, Risks, and Warnings 10. Conclusion 11. References 1. Executive Summary: Falls account for one of the most common and serious issues contributing to a disability, especially among older individuals. According to (Tinetti et al) defined a fall as an event that results in a person coming to rest on the ground or other lower-level unintentionally, which is not as a result of a major intrinsic event (such as stroke) or overwhelming hazard. There is a direct correlation between falls and mortality, morbidity, and reduced functionality. Falls occur with high frequency in the older adults, children, and athletes. Among older adults, associated medical comorbidities correlate to an increased propensity to fall, and in turn, increased susceptibility to injury 2. Background of the Problem: falls are associated with increased health care use, including increased length stay and higher rates of discharge from hospitals into long term care facilities. Even a fall that does not cause an injury can trigger a fear of falling, anxiety, distress, depression, and reduced physical activity. Falls are a leading cause of nonfatal injuries and treated hospitalization in the United States, and have been linked directly with the quality of nursing care in the hospital sitting. Falls are patient safety priority among hospital. The creation of patient safety team engaged frontline staff in patient safety and falls prevention. This intervention decreased the fall rate from 1.90 to 0.69 falls per 1,000 occupied bed days. Both single and multiple intervention approaches have been considered for patients who have fallen. Given the various causes of falls, prevention, and management must be multidimensional and interprofessional. The Comprehensive Geriatric Assessment (CGA) is a multidisciplinary instrument used in the evaluation of older patients at risk of falling. In addition to the history and physical examination, assessment of pain with visual analog scale and pharmacological history should be completed as well. Evaluation scales included in the CGA assessment include the Berg Balance Scale to evaluate static and dynamic balance, the Falls Efficacy Scale to assess the fear of falling, and the Timed Up and Go Test to assess a patient’s mobility. Other scales may include the 6-minute Walking Test and the 10 meters Walking test when indicated 3. Problem Statement on data: 1. 28.7% of older adults experience at least one fall. 2. At the national level, elderly people experience 29 million falls that result in 7 million injuries; 3. The average cost of medical treatment for a fall is US$10,000. 4. Negative consequences of falls include a temporary or permanent loss of independence and mortality. 4. Potential Solutions and Evaluation Criteria: – The management of falls can be complicated. A combination of interventions such as medication review, an exercise program, vitamin D supplementation, and home assessment for groups of older people has been suggested. Given that the causes of falls are often multiple, the treatment should be tailored to each patient based on the history and physical examination. The existing evidence specifies that an exercise program should always be part of the management. There is also support for other treatment measures such as treatment of cataracts and home assessments.
SCIENCE
HEALTH SCIENCE
NURSING

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