Chapter 12 Assignment

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Health Medical

NUR3289 Fundamentals of Gerontology

Miami Dade College

Description

T.J. is a 76-year-old man that recently lost his wife. He lives alone now in an ALF where he has some friends that he associates with. They are "good for his overall well-being" claims the administrators of the facility who befriended T.J. when he lost his wife six months ago. The facility that T.J. lives in is convenient for many aspects of his life, including entertainment and even some of the healthcare associates from neighboring clinics that have partnered with the facility to allow visits with the residents.

Over the years, the associates from the neighboring clinic have grown close to some residents and have followed them during some of their crisis, both emotional and physical. Christine, a nurse practitioner from a neighboring clinic, has followed T.J. for many years and is now assessing his fall risk through a tool called the "Hendrick Fall Risk Tool II" a popular means of assessing the fall risk that may exist for an elderly person.

An entry by the ARNP recently on T.J. demonstrated that there was enough information, recognizing previous and present knowledge to utilize the tool to give T.J. a score representing his fall risk. the entry reads: "T.J. is a 76-year-old that is evaluated today for his fall risk. He has a MedHx of BPH, COPD, seizures, eczema, and anxiety. He has been seen monthly and he described some episodes of nocturia that still persists. A list of his recent mediation includes Alprazolam, Phenytoin, Dutasteride, and ibuprofen prn. By administering the Get Up and Go Test, we find that he only had a brief episode of not being able to rise but he performed well after that completing it in 12 seconds. He demonstrates an improvement in his depression experienced in the past exhibited for several months after the loss of his spouse. His friends at the facility keep him busy and he is much improved in his outlook for the future." C. Miller ARNP

Instructions:

  1. Read the Fall Risk Assessment for Older Adults article.
  2. Complete the Hendrich II Fall Risk Model tool form completely.
    • Assign the correct scores for the Fall Risk Tool.
    • Summarize the scores derived as per fall risk.
  3. Develop a summary of the risks for T.J., so that the facility can respond to those risks and provide a safe environment.
  4. Describe the level of safety that the facility should plan to give T.J.
  5. Finally, explain whether you feel like the score from the Fall Risk Tool is accurate and if the tool is worth the effort to develop.
  6. Your paper should be:
    • One (1) page or more.
    • Use factual information from the textbook and/or appropriate articles and websites.
    • Cite your sources – type references according to the APA Style Guide. Include at least 3 references no older than 5 years.

Unformatted Attachment Preview

general assessment series Best Practices in Nursing Care to Older Adults From The Hartford Institute for Geriatric Nursing, New York University, College of Nursing Issue Number 8, Revised 2016 Editor-in-Chief: Sherry A. Greenberg, PhD, RN, GNP-BC New York University Rory Meyers College of Nursing Fall Risk Assessment for Older Adults: The Hendrich II Fall Risk ModelTM By: Ann Hendrich, PhD, RN, FAAN Patient Safety Organization (PSO); Ascension Health WHY: Falls among older adults, unlike other ages tend to occur from multifactorial etiology such as acute1,2 and chronic3,4 illness, medications,5 as a prodrome to other diseases,6 or as idiopathic phenomena. Because the rate of falling increases proportionally with increased number of pre-existing conditions and risk factors,7 fall risk assessment is a useful guideline for practitioners. One must also determine the underlying etiology of why a fall occurred with a comprehensive post-fall assessment.8 Fall risk assessment and post-fall assessment are two interrelated but distinct approaches to fall evaluation, both recommended by national professional organizations.9 Fall assessment tools have often been used only on admission or infrequently during the course of an illness or in the primary care health management of an individual. Repeated assessments, yearly, and with patient status changes, will increase the reliability of assessment and help predict a change in condition signaling fall risk. BEST PRACTICE APPROACH: In acute care, a best practice approach incorporates use of the Hendrich II Fall Risk ModelTM, which is quick to administer and provides a determination of risk for falling based on gender, mental and emotional status, symptoms of dizziness, and known categories of medications increasing risk.10 This tool screens for fall risk and is integral in a post-fall assessment for the secondary prevention of falls. TARGET POPULATION: The Hendrich II Fall Risk ModelTM is intended to be used in the adult acute care, ambulatory, assisted living, long-term care, and population health settings to identify adults at risk for falls and to align interventions that will reduce the risk factor’s presence whenever possible. VALIDITY AND RELIABILITY: The Hendrich II Fall Risk ModelTM was originally validated in a large case control study in an acute care tertiary facility with skilled nursing, behavioral health, and rehabilitation populations. The risk factors in the model had a statistically significant relationship with patient falls (Odds Ratio 10.12-1.00, .01 > p
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Explanation & Answer

Attached.

Running head: FALL-RISK ASSESSMENT

1

Fall-Risk Assessment
Name
Institution
Date

FALL-RISK ASSESSMENT

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Fall-Risk Assessment for Older Adults
Falls in older people, different from other ages, may happen due to multi-factorial
etiology, including chronic and acute diseases, treatments as a prodroma to other illnesses, or as
idiopathic incidents (Hendrich, 2016). Since the falling rate is directly proportional to the nature
of preexisting diseases as well as risk factors, fall-risk assessment is a critical procedure for
practitioners. It is also important to establish the underlying cause regarding the reasons for a fall
occurring using a detailed post fall assessment. Tools for fall assessment are mostly utilized
solely on admissions or regularly during an illness or even in an individual’s primary-care health
management. Regular assessments, annually, and with patient-status changes, increases its
efficiency and assists in predicting condition changes that indicat...


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