Thefallfreezone.Docx, Brendalyn C. Malimban
Apr 2019
Thefallfreezone.Docx, Brendalyn C. Malimban
brendalyn malimban
The falls prevention project for Kaiser Fremont is designed to decrease fall rates in the medical-surgical units by promoting accuracy in identifying fall risk patients and engaging patients in participating with their own safety. The project will follow Kotter’s change model to address the urgent need for reducing fall rates (Webster & Webster, 2018). A falls taskforce committee is already in place pursuing the goal mentioned. Engaging the staff members and leaders will be accomplished through reeducation of policies and procedures, admission process and the accurate use of the SCHMID Assessment Tool. These will take place during staff meetings, huddles …
Path Tortuosity In Everyday Movements Of Elderly Persons Increases Fall Prediction Beyond Knowledge Of Fall History, Medication Use, And Standardized Gait And Balance Assessments., William D. Kearns Phd, James L. Fozard Phd, Marion Becker Rn/Phd, Jan M. Jasiewicz Phd, Jeffrey D. Craighead Phd, Lori Holtsclaw Ba, Charles Dion Ma
Sep 2012
Path Tortuosity In Everyday Movements Of Elderly Persons Increases Fall Prediction Beyond Knowledge Of Fall History, Medication Use, And Standardized Gait And Balance Assessments., William D. Kearns Phd, James L. Fozard Phd, Marion Becker Rn/Phd, Jan M. Jasiewicz Phd, Jeffrey D. Craighead Phd, Lori Holtsclaw Ba, Charles Dion Ma
William D. Kearns, PhD
Abstract Objectives: We hypothesized that variability in voluntary movement paths of assisted living facility (ALF) residents would be greater in the week preceding a fall compared with residents who did not fall. Design: Prospective, observational study using telesurveillance technology. Setting: Two ALFs. Participants: The sample consisted of 69 older ALF residents (53 female) aged 76.9 (SD=11.9 years). Measurement: Daytime movement in ALF common use areas was automatically tracked using a commercially available ultra-wideband radio real-time location sensor network with a spatial resolution of approximately 20 cm. Movement path variability (tortuosity) was gauged using fractal dimension (fractal D). A logistic regressionwas …
Fall Prevention In Hospitals: An Integrative Review, Sandra Spoelstra
Dec 2011
Fall Prevention In Hospitals: An Integrative Review, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Purpose:This article summarize research and draws overall conclusions from the body of literature on fall prevention interventions to provide nurse administrators with a basis for developing evidence-based fall prevention programs in the hospital setting.Method: Data were obtained from published studies. Thirteen articles were retrieved that focused on fall interventions in the hospital setting. An analysis was performed based on levels of evidence using an integrative review process. Results: Multifactoral fall prevention intervention programs that included fall risk assessments, door/bed/patient fall risk alerts, environmental and equipment modifications, staff and patient safety education, medication management targeted to specific types, and …
Falls, Fall Sequale, And Healthcare In Aging Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra
Dec 2009
Falls, Fall Sequale, And Healthcare In Aging Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
The influence of cancer on elderly is examined in a Home and Community Based Waiver program during 2002-2007. A comparison of with cancer (865) to without cancer (8617) on falls, fractures and healthcare use occurred. Data were obtained from Minimum Data Set assessments, vital records, and claims. Mean age was 77.1 years, 67.8% female, 74.0% Caucasian. Cancers was 92.7% > stage 2. Falls were 35.9% (304) with cancer and 25.3% (2,174) with non-cancer, a significant difference (p-value 0.01); hip fractures were 4.6% (38) and 5.3% (449) p-value 0.38; service use: ER 35.4% (295) to 22.2% (1904) and hospitalization 13.1% (109) …
The Influence Of Cancer On Falls In Community Dwelling Elderly, Sandra Spoelstra
Dec 2008
The Influence Of Cancer On Falls In Community Dwelling Elderly, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Cancer survivors are living longer, and encounter physical, psychosocial, and economic impacts until the end of life. However studies examining whether a cancer diagnosis alters the rate of falls in elderly survivors are rare. This retrospective, longitudinal cohort study examined community dwelling elderly in a home based waiver program to identify if individuals with a diagnosis of cancer experience falls at a higher rate than those without cancer. The Minimum Data Set in a State in the Midwest was used to examine cancer, age, gender, race and ethnicity, poor vision, reduced ADLs, reduced IADLS, cognitive skill, incontinence, pain, or depression …
