This is a project that you will be working on throughout the quarter and is hypothetical. You will not be implementing this project into your workplace. Falls in the hospital your project assignment

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This is a project that you will be working on throughout the quarter and is hypothetical. You will not be implementing this project into your workplace. Falls in the hospital

your project assignment this week you are submitting the Fishbone Analysis that you started in Module 08. For this assignment you should submit the following two pieces:

Your reference page for your Fishbone Analysis. You will include citations in your tags and a reference page for those citations and references for your images.

The actual Fishbone Analysis Diagram.  Review the

Module 09 Final Project Grading Rubric

and be certain include all required components for the Fishbone Analysis

This is a project that you will be working on throughout the quarter and is hypothetical. You will not be implementing this project into your workplace. Falls in the hospital your project assignment
NUR3508 Module 09 Final Project Grading Rubric Fishbone Diagram Criteria Points Using the 5 Whys technique- include at least 4 spines of fishbone (2 individual Nurse practice issues and 2 system issues- that correlate, so in actuality the student would only need to think of two topics or causes and look at them from nurse individual and system breakdowns) (using TERCAP ,2013 {Taxonomy of Error; Root Cause Analysis; and Practice Responsibility} an initiative of the National Council of State Boards of Nursing) it is a national nursing adverse event database designed to collect practice breakdown data to identify the root causes of nursing practice breakdown from individual persons and systems causes.  The categories would include: 1. Nurse characteristics, 2. Patient characteristics, 3. System factors and 4. Practice breakdowns. 15 Incorporates outline topics (from annotated bib) into Fishbone Diagram 5 Creates at least 3 categories/causes under each spine topic for a total of at least 12 topics(causes) resulting in the overall effect/outcome) 30 Overall Appearance: Fishbone is visually appealing and inviting refer to model in powerpoint,etc Proper APA formatting of cause with citations. No spelling or grammar errors. Add an additional page containing  APA references. Needs to be turned in to the drop box with Fishbone diagram. Total 60 Revised 051117_JO
This is a project that you will be working on throughout the quarter and is hypothetical. You will not be implementing this project into your workplace. Falls in the hospital your project assignment
Falls in Hospital Student’s Name Institutional Affiliation Date: Falls in Hospital Outline a) Fall in hospital refers to an occurrence of a descent to a floor without anticipation with a risk of injury to patients (Bouldin et al., 2012). Falls can lead to various injuries in patients that include internal bleeding, fractures, sprain and even emotional torture. b) According Weil, falls in the hospital have been in the increase globally with an estimation of 46% of 1000 patients. These statistics have continued to change with more cases being reported. The causes of fall in hospitals vary from one patient to another; these may include the following; a) Frailty of the patients due to illnesses. Due to long periods of ill health, patients can become weak with also some illnesses making patients weak and loose of body balance. b) Dizziness and sleepiness caused by the intake of some medicines. Some drugs have been known to create dizziness after consumption; these drugs expose individuals to injuries associated with falls in hospital (Bouldin et al., 2012). 3) a) increased safety of patients. b) Reduced time taken by patients in the health facility. c) Reduced mortality rate of patients affected by falls in hospital (Hempel et al., 2013). Prevention Increased number of nurses, doctors and hospital attendants. Well lit corridors and buildings. Well-constructed floors that is not slippery. Safe environs that are clutter free. 5 ) Nursing Interventions Close attention to old and frail patients (Dykes et al., 2010). Ensuring that patients are closely monitored Proper circulation of information to patients on effects of some of the drugs they are taking and the areas that may lead to tripping and falling. Close monitoring of post fall patients. References Bouldin, E., Andresen, E., Dunton, N., Simon, M., Waters, T., & Liu, M. et al. (2012). Falls Among Adult Patients Hospitalized in the United States. Journal Of Patient Safety, 1. doi: 10.1097/pts.0b013e3182699b64 Dykes, P., Carroll, D., Hurley, A., Lipsitz, S., Benoit, A., & Chang, F. et al. (2010). Fall Prevention in Acute Care Hospitals. JAMA, 304(17), 1912. doi: 10.1001/jama.2010.1567 Hempel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., & Johnsen, B. et al. (2013). Hospital Fall Prevention: A Systematic Review of Implementation, Components, Adherence, and Effectiveness. Journal Of The American Geriatrics Society, 61(4), 483-494. doi: 10.1111/jgs.12169
This is a project that you will be working on throughout the quarter and is hypothetical. You will not be implementing this project into your workplace. Falls in the hospital your project assignment
Tovell A, Harrison JE and Pointer S, (2014) Hospitalized injuries in older Australians, 2011-2012, Injury research and statistics series no. 90, cat. no. INJCAT 166, AIHW, Canberra The above article explains fall in the hospital as an incident that rises in an individual appearing to lean unintentionally on a surface, a lower part of a room or bottom level. Additionally, the article also addresses that elderly individuals should be motivated to talk about all forms of falls without excluding those who did not contribute to damages. It states that the discussion should be done by professionals or medical care nurses to ensure it is comfortable for them to establish identify and speak about what tends to contribute to all falls. Substantive summary According to (Tovell, Harrison & Pointer 2014), hospital falls are the first ranked contributors of deliberate harms of elderly Australians. The article identifies that in the year 2011, 12, 96, 385 individual were the senior people aging 65 years and above. The data reflected that all these people needed health care support. However, the article conveys that the number of men nursed due to injuries caused by falls where twice the number of females who were admitted. Moreover, the authors of the journal claim that falls in health centers transcend lack of self-assurance and results to the awe of falling. Some of the body harms that patients face after falls include bruises gained from rough surfaces, open wounds, bones or cartilage breakages, unusual blood clotting and other times death incidences. The journal greatly focuses on why awareness should be done to older adults because they are the most affected, and they are at possible danger of functional decline. Therefore, they should have adequate knowledge about falls in the hospital and how to prevent them. Cumbler, E. U., Simpson, J. R., Rosenthal, L. D., & Likosky, D. J., (2013). Inpatient falls: defining the problem and identifying possible solutions. Part I: an evidence-based review. The Neurohospitalist, 3(3), 135-43 In this journal, the authors clearly define the cause of falls in health facilities and the instructions to practicing an excellent advanced projected concerning fall in health centers. Substantive summary According to the article, there are mutual subjects which show a rise in the risk of falls in the hospital. These themes range between three essential pieces of equipment and additional evaluations of falls which occurred before, conditions of mental bewilderment, requisite for often toilet visit, and movement of patients. However, the article also indicates that some medications like agents counteracting hypertension, benzodiazepines, and preventives of convulsions, and those that hinder depression greatly cause falls to patients. Additionally, the older people face falls because they suffer most serious sicknesses like heart failures and low blood pressure which result in lack of stability while walking, swoon or giddiness. The other causes include slippery surfaces, tools in rooms and impairments where patients are not able to see. On the other side, the journal states that professionals should work towards ensuring that great enhancement approaches are taken to interpose once a fall is imagined happening. However, they argue that the old neurology party program can assist in ensuring standard improvement in hospitals, but educational programs would be the best when advancing projects connected to reducing the rate of falls in hospitals. Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA., (2019) After a fall in the hospital: MedlinePlus Medical Encyclopedia. Retrieved 28 January 2019, from https://medlineplus.gov/ency/patientinstructions/000441.htm The above journal, however, touches on two areas concerning falls in health centers. First and foremost, it explains what should be done when people in hospitals fall, and secondly, it defines what should be done after the incidence of fall has happened. Substantive summary According to Laura and his fellow contributors, when a patient staying in the hospital is suspected to fall or falls, the person close to the client or the professionals like nurses should use their bodies to stop the fall. It can be achieved when the helpers are preventing their back by ensuring their legs have a significant physical extent from side to side, and the knees are in curved angle. Moreover, professionals should make sure that the person undergoing the fall impact does not hit the ground or the floor with his head. The article also addresses what should be done after a patient experiences a fall. For example, the people caring the affected should continuously examine the breathing rate of the patient, the beat of blood flow and pressure. If in any case the patient seems not to be breathing and does not indicate any hit, caregivers should seek medical assistance from practitioners in hospital and begin a CPR process. Additionally, the article reflects that after a fall those caring the patients should examine harms they might have gained from the falls such as cuts and fractures. In other situations, when a sick person falls and gets hurt on the head, neck or at the back, nurse’s advice caregivers not to raise them until the practitioners examine the form of injury. Stolov, W. C., & Clowers, M. R. (2000) Handbook of Severe Disability: A Text for Rehabilitation Counselors, Other Vocational Practitioners, and Allied Health Professionals. Collingdale, PA: DIANE Publishing. In this journal, Stolov and Clowers argue about the suitable measures against hospital falls that nurses and other professionals should take within a short or long-term duration. The article also points out the event those results in unwholesomeness and conditions of death. Substantive summary The authors indicated that incidences like defamatory falls could result in great unwholesomeness and deaths to patients. The article shows data of 3 percent to 20 percent of patients who stay in hospital falling once after admission. Moreover, it also displays that among the total patients admitted in health centers 70 percent of them are aged people who are at high chances of facing falls. Due to this reasoning, they claimed that all sick individuals in medical centers could incur the risk of falling and therefore all registered professionals should be aware of the best precautions to use to prevent the risk of falling. The primary measure that practitioners in hospitals should take include carrying out the nursing program, lowering the dangers of falls, and ensuring that patients do not face harm in case a fall happens. In the first precaution of adhering to the professional’s process, the authors argued that nurse should also carry evaluations, identify the cause of any fall, come up with results of identification, provide some strategies, move an idea from a concept they have learned to reality, and lastly conduct an assessment that helps prevent the fall. In this measure, nurses should communicate effectively and work together to ensure they accomplish their goals. Secondly, they can lower the chances of patients falling by understanding the forms of falls whether casual, introduced physiological falls or non-anticipated physiological collapse. In this measure, the gradual monitoring process is essential when reducing the dangers of hospital collapses. Moreover, the subjects causing the three forms of falls should also be reduced. Lastly, professionals should have adequate knowledge of how to keep patients safe from harms. For example, the use of protective tools like surface marts and hip guards, moreover, they should learn how to use prevention toolkits when doing evaluations and diagnosis to patients with fall harms. Booth, A. (2016). STRATEGIES TO DISSEMINATE AND SUSTAIN EVIDENCE-BASED FALLS PREVENTION PROGRAMS AND NETWORKS the Gerontologist, 56(Suppl_3), 637-637 doi:10.1093/geront/gnw162.2584 The article by Booth tries to address how professionals use evidence-based exercise to retire falls in health environments. Secondly, it also explains how the interdisciplinary approach is important in avoiding the negative impacts caused by healthcare falls. Substantive summary In this journal, EBP is commonly employed in handling dubious fields in sick houses. Some of the debatable sectors mentioned in the article include care developments for sick people, action paths, prevention precaution, excellent profitable projects, and medical recording processes. However, evidence-based exercise offers an essential perception to formerly done examinations and studied procedures. While carrying out EBP, the first step involves ascertaining crucial factors resulting in additional possibilities of falls in healthcare. Other practices included in the exercise include offering harmless healthcare surroundings for sick people, conducting careful clinical evaluations, promoting the level of education in both the healthcare professionals and patients and lastly improving means of communication to staffs. Nevertheless, the employment of EBP is crucial because practitioners in a hospital can reduce the chances of patients facing falls and enhance patient certainty. Additionally, in this article interdisciplinary approach is considered vital for the reason that the evidence discussed above is completely transparent. It means that it works by tracking any defect, for example, when the fall-prevent activities are that involve clinical staffs are not operative. The approach ensures that a group is chosen to create a change. This interdisciplinary approach continues to spot and diminishing all fall dangers by separating regularly occurring actions before an event, and it gives sufficient details about what causes a fall. King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2016) Impact of Fall Prevention on Nurses and Care of Fall Risk Patients. The Gerontologist, gnw156 doi:10.1093/geront/gnw156 This journal explains the challenges experienced by nurses and other clinical staffs while handling patients falls to ensure zero falls in hospital. Secondly, it also explains the measures to minimize the stress faced by nurses while preventing sick people from collapsing. Substantive summary According to the article, healthcare institutions goals is to ensure there are zero falls. The formulation of zero falls appears to cause disappointment to many clinical professionals. The reason behind their stress is that in case any fall happens, and they assist through bringing down the patient on the room surface to stop harm, they are charged to have caused the fall. Moreover, trained medical officers experience a lot of pressure from high and middle ranked nursing officials when trying to reduce the number of falls. On the other hand, the article points out measures like creating a collaborative team and ensuring good communication between nurses’ administrators and care giving professionals. For example, Dr. King from the report suggested that clinical managers should transform how they speak

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