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Hourly Rounding and fall prevention among the Elderly in Long Term Care: A change Process

Journal of Geriatric Medicine 2021年第1期3卷 1-5页

作者： Joice A.Anu South University SavannahGAUSA.

Long term care facilities have a rising rate of falls and fall related injuries with increasing cost and more *** rounding®is an evidenced based intervention that is proactive for nursing staff to be able to identify patient’s *** helps with positive fall prevention out*** project focused on process improvement efforts for 10 weeks and examining the education and implementation of an evidenced-based hourly rounding program that assisted in reducing the number of falls in the pilot *** implementation of the intervention took place in a long-term care facility located in Dallas,*** hourly rounding tools used in this project were the Studer Group hourly rounding log and competency checklist with *** staff members were included in the sample,age 18 years and 60 *** unit has 41 residents who were included in the pilot case study *** members were first educated regarding hourly rounding and documentation on the hourly rounding log was done two days before implementation and the pre and post fall rate was retrieved from the facilities fall *** checklist was completed prior to implementation and post implementation to evaluate staff understanding of the main tenets of the 4 P’s(potty,pain,possession,and position).For this project,descriptive statistics was used to help determine fall *** was used to analyzed data and to determine if it was clinically *** the ten weeks following the hourly rounding implementation,participants performed hourly rounding by incorporating it to each resident’s daily routine and documented their rounds on the log *** results indicated that it is statistically significant and with a P-values=-<0.0001 and t-value=-5.81.

关键词： Rounding and education fall risk fall reduction Older adult patients Quality improvement fall prevention fall and fall related injury

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Proposal of Walking to Prevent a fall of a Planetary Exploration Legged Rover Using Effect of Loose Soil Caused by a Propagation of Vibration

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Journal of Artificial Intelligence and Technology 2021年第3期1卷 153-165页

作者： Tomohiro Watanabe Kojiro Iizuka Graduate School of Engineering and Science Shibaura Institute of TechnologySaitama City 337-8570Japan Department of Systems and Engineering and Science Shibaura Institute of TechnologySaitama City 337-8570Japan

In this study,a walking method that prevents a fall of the planetary exploration-legged rover is *** the proposed walking method,the leg is sunk by giving vibration to the *** posture of the rover is changed to prevent a fall of the rover by sinking the ***,the relationship between the kind of vibration and the subsidence of the leg is *** this experimental result,the leg is shown to be easy to sink to the ground by giving ***,the larger the vibratory force is,the easier the leg sinks to the ***,the legged testbed walks on the loose ground with a slope using the proposed walking *** this experimental result,the testbed is difficult to fall down when it uses the proposed ***,the angle of a slope that the testbed can walk becomes large by using the proposed walking.

关键词： planetary exploration legged rover fall prevention loose ground vibration

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Effectiveness of a Group Exercise Class vs. Home Exercise Program as a Follow-up to Physical Therapy for Older Adults with High fall Risk

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Journal of Geriatric Medicine 2020年第2期2卷 11-16页

作者： Martha Hinman Patrice Hazan PT DPTEdDMHEdProfessor and ChairSchool of Physical TherapyAnderson UniversityGreenvilleSCUSA PT DPTMAGroupHab Physical Therapy and WellnessSimpsonvilleSCUSA

This quasi-experimental study compared the results of a traditional model of physical therapy(PT)care to a PT wellness model known as *** traditional model included discharge from PT with a home exercise program(HEP)to be self-administered with or without the addition of a community-based exercise *** wellness model included participation in a PT-designed and supervised group exercise program(GroupHab class)in an outpatient clinical setting following discharge from *** t-tests were used to compare the number of falls,exercise frequency,and exercise duration between the two groups.A repeated measures,analysis of variance(RM-ANOVA)compared changes in balance confidence scores both within and between groups,and a multivariate analysis of variance(MANOVA)analyzed group differences across multiple quality of life ratings using the *** data were analyzed at the 0.05 alpha level using SPSS 24 statistical *** results showed a significantly greater reduction in recurrent falls among the GroupHab wellness group compared to the HEP group(t=2.811,p=0.009).The resulting odds ratio for subsequent falls was 2.2 among HEP participants and 0.2 among GroupHab *** adherence was also greater for those who participated in the GroupHab *** documented greater exercise frequency(t=-3.253,p=0.002)and more exercise minutes(t=-7.188,p<0.001)than those who participated in the *** comparing changes in the participants’balance confidence,we found an average increase of 5%among GroupHab participants compared to a 6%decrease among HEP participants(F=16.877,p<0.001,power=0.981).Although our multivariate analysis of the SF-20 scores revealed no significant difference overall(F=0.768,p=0.73),the univariate analyses showed significantly greater improvements among GroupHab participants in selected areas of physical *** results suggest that at-risk older adults who are discharged into a functionally-based group exercise

关键词： fall prevention Balance confidence Exercise adherence Quality of life Physical therapy Physiotherapy

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Effect of structured nurse-patient conversation on preventing falls among patients in an acute care hospital:A mixed study

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International Journal of Nursing Sciences 2024年第5期11卷 513-520,I0001页

作者： Kathrin Weber Susanne Knueppel Lauener Mieke Deschodt Florian Grossmann RenéSchwendimann Department of Practice Development in Nursing University Hospital BaselBaselSwitzerland Department of Public Health&Primary Care KU LeuvenLeuvenBelgium and Competence Center of NursingUniversity Hospitals LeuvenLeuvenBelgium Department of Acute Medicine University Hospital BaselBaselSwitzerland University Hospital Basel BaselSwitzerland and Institute of Nursing ScienceUniversity of BaselBaselSwitzerland

Objectives:Inpatient falls are a major patient safety issue in acute care *** inhospital fall prevention programs have shown reductions in falls and related *** common element of successful programs is active patient *** study objective was to explore patients’and nurses’experiences with a structured intervention to foster patient ***:This study was conducted between September 2020 and April 2021 in a university hospital neurological *** studied intervention consisted of a falls information leaflet,and a structured nurse-patient conversation about fall risk-reduction *** were trained to deliver the intervention and supported throughout the ***’and patients’experiences regarding personal involvement,satisfaction,and confidence were surveyed and analyzed quantitatively and ***:Fifty-six patients recruited by ward nurses received the *** receiving the intervention,patients reported high levels of satisfaction with the in-hospital fall prevention ***-one nurses indicated that they would use the leaflet and communication ***-one nurses commented on intervention facilitators and *** specific facilitators included their shared perception that“handing out the leaflet to patients was not problematic”and that the leaflet was seen as“applicable in many patient situations.”Their comments indicated two particularly prominent barriers to conducting the intervention in clinical practice:1)“finding the time for the implementation in the daily clinical routine and workload”and 2)“environmental factors like a noisy and busy atmosphere on the ward.”Conclusions:This study provides insights into a patient involvement intervention featuring a structured nurse-patient discussion about fall *** accompanying information leaflet and communication guide require adaptations to facilitate sustainable implementation into the hospital’s fall p

关键词： Conversation fall prevention Hospital Leaflet Nurses Patient involvement Patient engagement

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