Knowledge Fall Prevention Essay

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1 Knowledge Assignment: Fall Prevention Maryam Sarkees West Coast University NURS 498L Integration of Nursing Practices 202011FAII 27 Professor David Osipov December 18, 2020 2 Knowledge Assignment: Fall Prevention Mrs. L is an 89-year-old widow who lives independently in her home. Although Mrs. L does not currently take any medications, she has gone through other medical conditions that put her at risk of fall. The medical conditions that put her at risk for fall are Bilateral hip replacements, Detached retina × 2 (right eye), Osteoarthritis, Depression, Orthostatic hypotension, Falls at home × 1, Urinary frequency, and Insomnia (sleeps about 3 hours per night). Since Mrs. L was admitted to the hospital, it is the nurses’ responsibility to do a comprehensive assessment of the patient and implement the appropriate care plan. According to The Hendrich II Fall Risk Model, the patient scores 11, which means a high risk for falls (Hendrich, 2016). In The Pittsburgh Sleep Quality Index (PSQI), Mrs. L scored 17 with a range of 0-21 points, “0” indicating no difficulty and “21” indicating severe difficulty in all areas (Buysse et al., 1989), which put her at a high risk of losing balance and falling. Another fall indicator was her Mini-Cog screening for cognitive impairment. Mrs. L scored 2 out of 5, which means she is experiencing dementia, which is also an important contributor to falls (Borson, n.d.). To implement safety goals for Mrs. L in the Environmental and equipment category, we need to make sure that her room is clean and all the wires are tacked away from her walkway. Also, emphasizing using a call light during the hospital stay is important. Regarding gait and mobility, we should encourage the patient to use a walker and wear her non-skidding socks all time.

Moreover, when the patient is prescribed new medications, especially for geriatric dementia patients, we need to emphasize using a daily pill box that organizes the medications for each day to avoid forgetting or overdosing. We need to help patients in practicing relaxation 3 techniques such as applied relaxation, progressive muscle relaxation, cue controlled relaxation; mindful breathing; biofeedback) to reduce their depression and anxiety. 4 References Borson, S. (n.d.) Mini-Cog screening for cognitive impairment in older adults. Retrieved from https://mini-cog.com/ Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index (PSQI). Retrieved from http://www.sleep.pitt.edu/research/ewExternalFiles/PSQI%20Instrument.pdf Hendrich, A. (2016). Fall risk assessment for older adults: The Hendrich II Fall Risk model. Try This, 8. Retrieved from https://consultgeri.org/try-this/general-assessment/issue-8.pdf …

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.Knowledge Fall Prevention Essay

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Knowledge Fall Prevention Essay

Knowledge Fall Prevention Essay