Inpatient Rehabilitation Case Study

The occupational therapist considers the physical and psychosocial/behavioral health needs of clients. Some of the areas a community based occupational therapist can provide would be Activities of Daily Living to include dress through the use of adaptive equipment, modified techniques, energy conservation, proper mechanics and energy conservation to name a few. Other areas for ADL retraining would include use of specialized or adaptive equipment to maximize safety. This will be done when while incorporating fall prevention strategies to foster awareness of safety and limitations in the

Falls can result in, reduced quality of life, functional

Falls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is

SAVAHCS “Fall Prevention Program” utilizes the interventions discussed in the literature review and includes a post fall assessment (PFA). Post fall huddles (PFHs) are discussed within the Fall Prevention Program, however, they are not consistently used. The PFA currently captures information discussed in the literature including intrinsic and extrinsic factors and includes the physical attributes of the patient, and extrinsic environmental factors. In a cyclic process, patients are assessed for fall risk. If a patient is found at risk, he/she is placed on the hospital’s

has intermittent pain and weakness in her right knee, she is at risk of falling. To address this concern, an appropriate nursing diagnosis is the risk of falls related to altered mobility from pain and weakness. Subjective data related to the risk of falling are the self-report of seasonal dizziness and intermittent increases in pain and weakness. The objective data that support this diagnosis are her age, unsteady gait and difficulty rising from the chair and low toilet.

Significance of the Problem for Nursing: Prevention of falls in the elderly is an extremely important facet of nursing. Elderly falls often result in fractures, pain, decreased mobility, traumatic hemorrhages, as well as increased healthcare costs. Due to the increased prevalence of injuries acquired from elderly falls, increased risk of morbidity in the elderly experiencing falls, and the growing number of elderly patients, it is of vast importance that nurses research and incorporate evidence-based fall prevention practices to prevent falls in the elderly

Present the Evidence: Prevention of Patient Falls According to the Centers for Disease Control (CDC), each year, one third of those who are 65 and older fall (2013). These falls contributed to $34 billion in direct medical costs in 2013 (cite). With these statistics, it is apparent that health care professionals and health care settings need to make fall prevention a priority in their facilities. The aim of this paper is to explore a fall prevention policy and practice guidelines to evaluate recent evidence and offer recommendations.

Risk factors associated with fall related minor injury are young age, male gender and cognitive impairment whereas with fall related major injury the risk factors include functional autonomy, and length of stay in hospitals. In further statistical analysis, controlling for functional autonomy, disruptive behaviours and neuroleptic use were found associated with fall related major injury. To add on falls also have significant psychosocial consequences as those who have been victims of falls often develop a post fall syndrome which is fear of falling. The elderly than further reduce their activities as to prevent further falls thus precipitating a cycle of increased dependency, loss of function, loss of confidence, social isolation and depression which leads to decreased quality of

This act created a major revision of standards of care for nursing homes. This legislation also changed the expectations and the quality of care that patients should receive in long term care facilities. This Nursing Home Reform Act passed by congress specifically stated “that each residents have the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. While there may be some benefits to using restraints in nursing homes, however, studies have shown that using restraints in nursing homes negatively impacts patients and for the most part does not prevent them from falling or from other incidents that may occur. There are very high levels of risks associated with the use of restraints (Lapane,150).

Problem Identification Getting out of bed is one of the dangerous things that the elderly patients do when they are admitted in the hospital. Study conducted by Ambrose, Paul & Hausdorff, (2013) on patient falls reveals that a majority of falls in the elderly patients occur between 0700 and 1900, especially when they are getting out of bed to use the rest room. The cause of their falls is mainly due to unsteady gait, memory loss, confusion that comes with age. Memory loss and vision problems which occurs during old age in the elderly patients puts them at risk for falls. Other factors that can lead to falls are; Presence of throw rugs, psychotropic medications, lack of Vitamin D, and weakness of the lower extremities.

The thought and actions of taking care of a stroke victim may seem easy, but contrary to belief, most caretakers are not aware of the enormous and strenuous road that lies ahead of them. One of the main issues amongst stroke victim caretakers is that they aren’t aware of the important risk factors or preventable measures of a stroke. In most cases involving strokes, caretakers are left with an onerous responsibility of providing care for a stroke victim. Particularly, stroke rehabilitation is a critical step immediately following survival of a stroke. It is important that caretakers and stroke victims understand and receive education regarding his or her condition and know the continuing limitations that occur after stroke rehabilitation.

A fall is defined as moving downward, in a rapid and freely without control from a higher position to a lower position. There are many contributing factors that increase the risk of falls including age, medications, disease and changes in environmental needs. This paper contains an overall assessment of fall prevention including current protocols in place to decrease the incident of falls and barriers to overcome. Included will be evidence based research that on the current standards in place for fall prevention and where there are improvements to be made. The incident of falls has an overall impact on the cost of healthcare and with fall prevention measures the decrease can be

Front-line staff members are a facility 's best resource in developing practical interventions that are tailored to the unique needs of each individual resident. Interventions for Activity Professionals As a member of the interdisciplinary team, activity professionals play an integral part in the facility 's fall prevention program. During the care planning process, activities should be part of the approaches for residents who are identified as "at risk for falls. " It is important to share information about the identified residents with the rest of the activity staff so that each member of the team can do their part for the fall prevention

In the case of Mr. J. the low level of care is evident, why the facility policies were not followed?. Evidently the nursing staff require more education about the facility policies and procedures. Nurses should have applied the nursing-quality of care indicators for falls risk, Branden pressure risk assessment, restraints protocols and procedures, turn and reposition of patients, and cultural competencies. There is a clear evidence of neglect in patient's care, and believes by the nursing staff and the supervisor. The facility policies and standards of care must be re-valuated,

Outpatient rehabilitation refers to services a person receives when they are not admitted to the hospital and have the ability and functionality to return home with or without assistance. These inpatient and outpatient clinic can range from nursing homes, pediatric clinics and Rehabilitation tackles the privations of people with injuries, illnesses, or insufficiencies in their occupational functioning as a result of existential causes and is also a primary staple in occupational therapy. The overall goal of rehabilitation is to restore the health and functional abilities of people after an injury or acute illness (AOTA n.d.). Moreover, it is not enough to just know what rehabilitation and disability means in occupational therapy, it also helps to include those who receive services, other services that are provided, and the roles of those who facilitate and help assist the Occupational Therapist and