Reduction of the Risk for Falls

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Reductionof the Risk for Falls


Fallsshould be avoided and the odds against it in a hospital settingimproved. It is important because it belongs under the nurse`spurview, and they do play a significant role in patient care. Fallsbring about an injury, and severe related injuries can includefractures, excessive bleeding, subdural hematomas and even death.Injuries also bring about higher costs of healthcare, making fallprevention an important public health issue and an important patientsafety (Quigley &amp White, 2013).

Nursescan ensure patients are safe by being proponents of better patientcare in the prevention of falls by utilizing an evidence-basedpractice which will help strengthen the focus on falls, reducevariation, and promote standardization. Fall prevention programsshould adopt the application of risk assessment measures (Quigley &ampWhite, 2013).

Thesystem designs should be improved by decreasing disturbances to thepatient, avoiding exhaustion, reducing physician stress, use ofchecklists, decreasing interruptions, and improving the environmentalconditions. The environment should be modified and enhanced to reducethe risk of tumbling this can be done by improving the lighting,better flooring to absorb the impact of falling, and doing away withhazards that may cause someone to trip by raising the edges. The useof sloping ledges and pavements should be adopted, marking risks toincrease their identification, and use of hand rails to assist withambulation (Quigley &amp White, 2013).

Accordingto Quigley and White (2013), identification and review of evidencedescribing interventions should be examined, including patienteducation, post fall review, staff training, scheduled and supervisedtoileting, medication review, and footwear advice. Hospitals shouldmonitor the existing structures, process, and outcome.


Quigley,&nbspP.&nbspA.,&amp White,&nbspS.&nbspV. (2013). Hospital-based programmeasurement and improvement in high reliability organizations. TheOnline Journal of Issues in Nursing, 18(2).doi:10.3912/OJIN.Vol18No02Man05

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