Preview

B. O.: 87 Year-Old Patient

Good Essays
Open Document
Open Document
362 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
B. O.: 87 Year-Old Patient
B.O. is an 87-year-old patient who was hospitalized for syncope. Her syncope episode caused her to lose consciousness for a minute, which resulted in a fall at her nursing home. There were no fractures as a result, but she did experience some bruising. She had experienced several other episodes of dizziness within the past month. The patient has a history of confusion, osteoporosis, osteoarthritis, tremors and anemia, all of which can contribute to an increased risk for falls. A relevant nursing diagnosis for B.O is risk for falls related to syncope, osteoporosis, osteoarthritis, tremors, and anemia.
Problem
The elderly population is highly prone to falls; they are also three times more likely to fall if they are in a long-term nursing care

You May Also Find These Documents Helpful

  • Good Essays

    Fall Prevention

    • 1301 Words
    • 6 Pages

    The fall prevention program include fall screening tool, medication regimen, bedside hand off communication, hourly rounding as well as rounding during shift change, continuous observing to the patient who has fall within 12 months, providing education material to staffs, patients, and families to learn about how to prevent falls (Trepanier & Hilsenbeck, 2014). There is no evidence that one intervention would be most effective to prevent fall injury, multiple fall prevention intervention would be the best way to decrease falls and keeping patient safe from harm. The study has shown based on evidence practice that use of standardized fall prevention program decreases the fall injuries rate of 37.5% in first year and 33 % comparing to the second year; however, the limitation of study made difficult to generalize findings such as unable to find which intervention was most effective to prevent…

    • 1301 Words
    • 6 Pages
    Good Essays
  • Better Essays

    The client is a 70 year old, Caucasian male who is a retired siding salesman from Riverside, IA, who has an extensive history with Paralysis agitans (Parkinson’s disease). The client was first admitted to the long term care facility in December 2012. The client explained that he came to be at this facility after “already being in two places like this”. He was removed/discharged from the last long-term care facility for being what he called “disruptive”. The client described the staff at the last facility as not very kind to the residents. There was an incident where the drugs that were prescribed to the client made him hallucinate and he became unruly with the staff and was restrained and…

    • 4616 Words
    • 19 Pages
    Better Essays
  • Good Essays

    Kruschke and Butcher (2017) research supports “The purpose of the current fall prevention evidence-based practice guideline is to describe important strategies that will identify individuals at risk for falls, especially those 65 and older” (p. 16). A risk assessment tool is commonly used throughout hospitals to assess clients to determine if they are a fall risk. This screens the client based on several difference factors such as their age, fall history, medications, mobility, and several others. Another tool is the use of the 10-step protocol to screen the client. “The use of the 10-step protocol provides the tools needed to screen and/or assess for falls, screen for gait and balance, and develop an individualized fall intervention program intended to reduce falls in the aging population” (Kruschke & Butcher, 2017, p. 21). All fall prevention tools may assess the client differently but have the same goal in mind: maintaining safety and preventing the client from falling and injuring themselves. Along with assessment tools, there are other preventive measures that can be done. Yellow is standard throughout hospitals for high fall risk. A yellow arm band, yellow socks, and yellow gowns can indicate that the client is a high fall risk. Bed alarms are also used to alarm the nurses that the client is trying to get up out of bed. Educating the client to ring the call light and waiting on help before getting up is also a preventive measure. Goodwin et al. (2014) noted that multifactorial interventions, where each client’s interventions are tailored to their needs, have shown to reduce the rate of falls (p. 2). This means that one client may just have yellow socks and yellow arm band on to let staff know the client is a high fall risk and another client may have the arm band and socks on but also the bed alarm must be…

    • 1156 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Falls can result in injury, loss of independence, reduced quality of life, and death in the elderly (Mauk 2010). According to the Hendrich II Falls Risk Model, Ms. Lee is at great risk. Confusion, disorientation and impulsivity are showed by Ms. Lee. She forgets that she is cooking and leaves the stove on and burns pots and pans. It is unable to tell if Ms. Lee is taking her medications as scheduled because pills are scattered out of the containers. Ms. Lee often forgets and uses a tape recorder to remind her of several tasks. Ms. Lee shows signs of depression because she lives alone and never speaks of engaging in activities. She does not mention of friends or other family members who stop by to see her. Ms. Lee does not have any…

    • 740 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Hip Fracture - patient fell in her home and broke her hip (admitting diagnosis). Vascular Dementia brought on by several TIA’s (Etiology/Pathology) Pts. progressive cognitive deficits led to her fall, and inabilility to perform normal ADL’s and self care. Since being admitted to Thompson, pt. has had consults with oncology in regards to her breast cancer diagnosis, with a GI specialist in regards to her dysphagia, and with a social worker in regards to her mental acuity and appropriate social activities related to her cognitive level.…

    • 674 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Greta Balodis is a 75-year-old elderly lady who is widowed and now lives with her daughter Anna and her family in a single-story house due to being diagnosed with a right-sided cerebral vascular accident (CVA), in addition to atrial fibrillation (AF) (Case World). Greta previously lived independently in her home but due to the decline in her current health over the last two years has affected her day to day living, activities and is requiring more assistance with certain tasks that her daughter assists with (Case World). In addition, Greta also has, “mild residual left-sided hemiplegia and resolving dysphagia” (case world). In this scenario Greta is to transition into residential health care and into late adulthood, it looks into the complications…

    • 652 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Fall Prevention Case Study

    • 3462 Words
    • 14 Pages

    Falls in the hospital are the major cause for the morbidity and the mortality in the elderly population. Falls among the elderly is increasigly being recognised and it is a major concern for the developed as well as the developing country. The purpose of this paper is to descibe the epidemiology of fall in the elderly in the hospital , incluidng the charateristics, circumstances and fall related related injuries. The focus of this program is to support the staff in identifying the system issues which gives rise to the error and the near miss situation. A quality improvement initiative was conducted to determine the effectiveness of a fall prevention program using education and a fall prevention kit…

    • 3462 Words
    • 14 Pages
    Better Essays
  • Better Essays

    Their mark of accreditation has become a respected seal of approval, indicating that a particular facility or program meets a particular set of high standards. They have put forth safety goals intended to encourage nurses and other health care providers to approach potential dangers with a multifaceted plan for intervention and prevention of errors, accidents and injury. Preventing falls will be an ongoing, evolving and improving process with regard to future nursing practice. Nurses will always need to think critically and utilize the knowledge, tools and equipment available to keep patients from falling and injuring themselves. Futuristic equipment may provide a more convenient, safer, faster way to assist patient mobility. Computer health care networking may make complete health history more readily available for review and consideration. Nothing, however, can replace the critically thinking nurse. “Nurses are leading practice innovations to systematically assess patients’ risk for falls and implement population based prevention interventions.” (http://www.nursingworld.org) For this reason, The Joint Commission sets standards and safety goals to encourage those within the field of nursing to actively assess, prevent, educate and evaluate. With due diligence, such standards and safety regulations can greatly increase overall…

    • 1134 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Executive Summary 2

    • 1178 Words
    • 4 Pages

    Falls are not only limited to hospital settings but home settings as well and according to the Center for Disease Prevention (CDC) in 2010 fall injuries for adults aged 75 and older per 1,000 individuals were 43 (2012). Research conducted globally has not shown a reduction in inpatient falls and the falls amongst patients still pose a great threat to patients. A program designed to eliminate or reduce falls can help patients across the world. There are numerous reasons that contribute to falls such as medications, weakness, disorientation, and environmental factors. The main key in preventing falls is education and appropriate interventions based on the individual patient needs. Designing a inpatient fall program as well as an outpatient home fall program can reduce falls both inpatient and outpatient. The program will target individuals 65 and older who have a history of falls, patients who have diagnosis of dementia, and those who may be experiencing muscle weakness that places them at a…

    • 1178 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    Nurse Rounding

    • 3219 Words
    • 10 Pages

    Staggs, V. S., & Dunton, N. (2013). Associations between rates of unassisted inpatient falls and…

    • 3219 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Falls are a common occurrence among medical, surgical and elderly patients in hospitals. One of the largest categories of reported adverse events in hospitals are patient falls, which are estimated to cost more than $20 billion a year. (2010 Lippincott Williams &Wilkins, Inc.)…

    • 1136 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Essay On Fall Prevention

    • 513 Words
    • 3 Pages

    Cangany et al. (2015) found that the growing evidence based practice has been involved to reduce the fall by applying the planning and intervention technique; however, the nurse needs to prioritize the patient specific needs to prevent fall prevention in acute care settings. The article indicates that further study needed to find out successful outcome and identify the effective strategies. Abreu et al. (2012) article indicates that fall prevention is difficult, but it is important for the nurse to monitor the patient and understand the guidelines to prevent fall. The article also represents that health professionals also needs more guidelines and training to recognize the effective interventions to prevent falls. Throughout the literature…

    • 513 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Safety is a huge concern with all ages across the life span but elderly are at a higher risk for safety issues. Falls, automobile accidents, and injures related to burns or fires are a big risk for the older adult. Prescribed medications can even alter their balance or affect…

    • 1870 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Health Care Reform

    • 1704 Words
    • 6 Pages

    An article in live science last year indicates that a senior over 65 years of age is most likely to die from falls resulting in head trauma. (Live science, 2013) “Traumatic brain injury (TBI) is a major cause of death and disability in the United States, contributing to about 30% of all injury deaths. Every day, 138 people in the United States die from injuries that include TBI. Those who survive a TBI can face effects lasting a few days to disabilities which may last the rest of their lives. Effects of TBI can include impaired thinking or memory, movement, sensation (e.g., vision or hearing), or emotional functioning (e.g., personality changes, depression). These issues not only affect individuals but can have lasting effects on families and communities (Centers for Disease Control and Prevention, 2014).” Falls resulting in traumatic brain injury for seniors, if the trauma is severe, may result in months – if not the remainder of the individual’s life and leave the individual in need of around the clock nursing care. The ensuing results, if the individual survives a traumatic brain injury, may render the individual’s personality (change in mental status, mannerisms, or habits) being adversely affected to severe deficits in the senses. The capability of walking and/or talking, the…

    • 1704 Words
    • 6 Pages
    Good Essays
  • Better Essays

    Teo , J. et al(2006) Do sleep problems or urinary incontinence predict falls in elderly women? Australian Journal of Physiotherapy,52,19-24…

    • 1053 Words
    • 5 Pages
    Better Essays