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Sample Essay on Reducing Fall in the Nursing Homes

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Sample Essay on Reducing Fall in the Nursing Homes

Annotated Bibliography

Anye, N. N. (2016). Fall prevention at home among elderly people: A Nursing assistive approach: A Literature Review. Retrieved October 25, 2017, 

The author asserts that falls are commonly experienced by people of all age groups and are caused by a wide range of factors.Some of these factors include behavioral, biological, socioeconomic, and environmental factors. The author states that falls are however frequent and re-occur among elderly people, especially those living in nursing homes.There are estimations that 20-40 percent of older people aged 65 and above fall every year.Anye also argues that falls are likely to lead to serious irreversible conditions such as the use of wheelchair over a lifetime and psychological distress. There is an emphasis on the main types of falls experienced in nursing homes including anticipated, accidental, and unanticipated physiological falls.

Anye’sstudy will be crucial to supporting the research topic as it extensively examines falls and recommends carrying a fall risk assessment on suspected fall risk elderly people as one of the ways of reducing the problem.

Burland, E., Martens, P., Brownell, M., Doupe, M., & Fuchs, D. (2013). The evaluation of a fall management program in a nursing home population. The Gerontologist53(5), 828-838. 

The authors argue that falls and fall-related injuries are commonplace in nursing homes among older adults resulting in severe psychological, physical, and financial consequences for them, their family and friends, the nursing home staff, and the community at large. They also affirm that older adults living in nursing homes are independent and cannot do most tasks on their own, and therefore, are at a higher risk of falling compared with their counterparts dwelling in the community. According to them, there are several risk factors associated with falls and injuries in the nursing homes including hazardous environments, polypharmacy, improper footwear, and other nonmodifiable factors such as age, chronic disease, and cognitive impairments.

This resource is of relevance to the research problem as it identifies the innumerable risk factors for falls and suggests fall management, which aims at encouraging mobility and functionality, as one of the approaches to reducing falls in the nursing homes.

Gray-Miceli, D., de Cordova, P. B., Crane, G. L., Quigley, P., &Ratcliffe, S. J. (2016). Nursing Home Registered Nurses’ and Licensed Practical Nurses’ Knowledge of Causes of Falls. Journal of nursing care quality31(2), 153-160. 

Gray-Miceli and other researchers argue that the protection of patients from harm caused by falls is one of the priorities and responsibilities of the healthcare workforce when providing care to older adults in nursing homes. They state that the older adults residing in nursing homes are susceptible to falls as they possess multiple chronic illnesses and functional limitations. The authors believe that other than preventing falls, nursing home staff must focus on protecting patients from injuries resulting from falls. They further give insight into the repercussions of falls in nursing homes including fracture injuries, lacerations, lengthy hospitalizations, reduced functionality and mobility, as well as significant direct and indirect costs on the overall economy. The authors emphasize that falls are normal or inevitable part of the aging process.

This resource is relevant to the research at it cites the numerous effects of falls among adults in nursing homes, and therefore the need to reduce the falls.

Jacobs, D. (2014). Evidence Based Falls Management Program in the Nursing Home. 

The author gives insight into the staggering costs of fall-related injuries for both nursing homes and patients. He lists costs financial and legal costs incurred by nursing homes in the case of lawsuits and increased financial costs for care fore patients injured in falls. According to the author, nursing homes are occupied by residents aged 65 and above who cannot live independently or manage tasks on their own. This places the older adults at a much higher risk for falls as compared to the other members of the community.He further argues that even though not all risk factors involved can be changed, there are those that can be modified. The study also suggests that reduction of falls in nursing homes can include individualized interventions and the participation of all nursing home staff.

This resource will be used to support the research topic as it extensively examines falls and gives strategic recommendations for reducing falls in nursing homes.

Van Doorn, C., GruberBaldini, A. L., Zimmerman, S., Richard Hebel, J., Port, C. L., Baumgarten, M., … &Magaziner, J. (2003). Dementia as a risk factor for falls and fall injuries among nursing home residents. Journal of the American Geriatrics Society51(9), 1213-1218. 

The authors reiterate that nursing home residents are at a much higher risk for falls as compared to community residents. They also state that 4 percent of falls occurring annually in nursing homes result in fractures whereas 11 percent of the same result in soft tissue and other related injuries. They believe that other than the mentioned injuries, falls in nursing homes have adverse consequences including the loss of functionality caused largely by discouraged or reduced activity from the side of care providers. According to them, dementia is one of the leading risk factors for falling in nursing homes as it results in impaired judgment, visual-spatial perception, and jeopardizes the ability to recognize and avoid environmental hazards.

This study is relevant to the research topic and problem as it extensively examines falls innursing homes while highlighting the consequences of falls from the perspective of patients and that of nursing homes.

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