Patient falls in hospitals

Patient falls in hospitals remains an unaddressed area in the healthcare sector. Hospital Falls cause injuries, increase chances of readmission, prolong hospital stay and cause legal complaints. According to the available literature, single interventions in randomized trials have failed to identify mechanisms that can reduce fall outcomes. Multifactorial interventions seem to be the only way of preventing falls but it is still there is no recommendations on the effective combination of factors that must be present to reduce the falls. Multifactorial falls programs are uncommon because of the cost of implementation, the ability to confuse the patients and perceived decline on the effectiveness of the constituent components. The nonalignment between the problem and the identifiable multifactorial solution calls for the need for a single interventional that can be rolled out more efficiently with minimal limitations to both the patients and hospital attendants and capable of having a lasting solution.

Out of the multifactorial program tested earlier, patient education program appears to be at the top in minimizing falls. The underlying assumption intervening is that patients can get assistance from the physiotherapist to take responsibility for their safety. It, however, requires the willingness and availability of the nursing within the level of the patient to assist and supervise to enhance the safe performance of the activities that expose to falls like toileting.

The population under investigation will be geriatrics with illnesses that do not hinder their mobility but requires them to get hospitalized to get care attention within the hospital premises. This group is considering as the most appropriate because it is the most vulnerable to falls because of the different room arrangements, the positioning of light switches. They are weak physically, and the need to visit washrooms increases their chances of experiencing falls.

The proposed intervention is subjecting them to education programs, specific to the rooms they are admitted and one that meets their healthcare needs and their observable ability to protect themselves from falls. The program is expected to inform them about the location of all the necessary devices like light switches, telephones, and drinks. It will also focus on showing them the most accessible washrooms and how they can contact nurses in case of an emergency.

The target population will be divided into two. One will be subjected to the education program immediately after the admission and reminded on the location of each of the items they need during their admission and regularly during their admission period. The other group will not be subjected to a patient education program. The purpose of this group will be to act as a control group for the proposed intervention.

The two groups will be compared at the end of the study to find out whether the group subjected to the education program will have reduced cases of patients within the wards.

The expected outcome of the study is that the group with an education program will have reduced cases hospital falls within the same ward. The group not educated will have more hospital falls because they will lack information that can help them ensure personal safety.

The expected time for this study is a period not exceeding three months. The time is reasonable enough to observe the patients and collect data. It will also facilitate the collection of data in more than one hospital to compare the results.

 
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