Fishbone DiagramCriteriaPointsUsing 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 w

Project Outline

Kristina Pike

Rasmussen College – Overland Park

Author’s Note:

This assignment is being submitted on January 20, 2019 to Rachel Salgado’s NUR3508 Quality & Safety in Nursing Practice Course

Project Outline

I. Introduction:

For people over the age of 65, falls are one of the most common causes of injury and accidental death, and people who reside in long-term care facilities are at an even greater risk for falling (Kruschke & Butcher, 2017). There are many different reasons why a person is at an increased risk for falling, but by improving upon the quality and safety of current fall-prevention guidelines, falls will become less common.

II. Definitions:

1. Types of Falls

   1. Anticipated physiological

   2. Unanticipated physiological

   3. Accidental

2. Statistics

   1. Analysis and current journal on evidence-based practice

3. Impact of falls on cancer patients

III. Fall with injuries:

A. Types

1. No apparent injury

2. Minor

3. Moderate

4. Mayor

5. Death

B. Risk factors in general

1. Cognitive dysfunctions

2. Gait and mobility

3. Medications variables

4. Environment (patients surrounding)

5. Communication

6. Visual impairment

IV. Prevention:

1. Hourly rounds

2. Bedside rounds

3. Create fall groups in each unit

4. Fall screening

V. Nursing interventions:

1. Educate importance of creating a safe environment

   1. Patients and families

   2. Providers and nurses

2. Tools to assess and prevent falls

1. Risk fall assessment

2. Comorbidity of cancer patients

3. Medication (chemotherapy) assessment

4. Sensory assessment

5. Physical and motor deficits

6. Assessment of patient environment

VI. Conclusion

References

Kruschke, C., & Butcher, H. K. (2017). Evidence-based practice guideline: Fall prevention for older adults. Journal of Gerontological Nursing, 43(11), 15-21. doi:10.3928/00989134-20171016-01