In an APA format paper, approximately 3-5 pages in length, address the following questions. (Please note that you will continue to write in the same document you completed for part 1 and 2 of this ass

Falling in the hospitals

Student’s name

Institutional affiliation

Falling in the Hospital

PICO Question: Can the use of alarm sensors reduce accidental falls in hospitalized patients over the age of 65 years?

PICO Overview of Topic

The Elderly require close attention that is necessary for managing falling risks at their age. Their increasing population poses a great falling risk on the available resources in health care in the provision of quality medical facilities. A Growing number of older patients need more education and emotional support in order to manage their falling risks (Liu et al., 2016). Falling leads to limitations on a person's daily activities. Furthermore, this can lead to hospitalization or being transferred to a nursing home resulting in a poor quality of life.

However, falling risks emanate from several factors including having a history of falls, impaired mobility or cognition. Besides, some of these falling conditions are manageable in medical institutions. The hospitals have resources such as bed alarm that can help the older population to counter this issue of falling.

Aging population requires a variety of resources to help them control falling disorders. They need appropriate guidance and support in the management of their critical falling conditions. Family members, as well as hospital employees such as nurses, must ensure for the safety of older adults in the community.

Population

The population that is on the verge of experiencing falling risks are older patients. Approximately, the number of older patients is increasing due to the increase in life expectancy. This leads to many older people to experience falling conditions. In the future, the hospitals have to set aside a budget to support the aging population with such a problem.

Intervention

Bed alarms will be great an advantages benefits. The bed alarms will alert the nurses whenever the patient try to get out of bed or when the bed rails is not up this will alert staffs whenever there is a change in the position or when the patient almost falling off from the bed.

The health centers need to expose its staff to adequate training of using bed alarms to take care of older patients. When an alarm goes off, it gives a health profession an adequate time to rash to their patients before involving in the severe fracture. Nurses act as patients' advocates, and they have a responsibility of educating the family on the support needed to the older patients in society with this problem (Verma et al., 2016). These efforts aim to provide a quality improvement in healthcare services. It leads to a quality-based performance through proper management of the resources with corresponding older patients.

Comparison

According to recent researches, hourly rounding is the procedure in which every time an employer either the nurse or nursing aide enters the patient room to determine their needs (Jefferson 2017).It helps the nurses to keep track of their respective patients with falling possibilities. This enables older patients to receive better care services in hospitals. Therefore, nurses will have a passion in their profession of helping older patients due to their falling risks. This eliminates neglect of the older patients in the health facilities, as each patient will be satisfied with his or her needs.

Outcome

Older patients at risk of falling may incur severe injuries due to their critical condition. Fractures in the older population are because of falling leading to a massive number of older patients under nursing care. Serious fractures have resulted in a limitation of physical fitness, lack of mobility, isolation from the rest and even death to some members. Falling risks are critical conditions that require the attention of all individuals to improve the quality of life to the aging population.

Conclusion

Falling risks is a crucial matter that needs immediate concern to avoid such an instance in the future. Bed alarms have assisted the nurses mostly in monitoring their falling patients. This has improved the quality of services as opposed to hourly patrol of the nurses.

Respects for persons

Respect for persons is a principle that ensures that every person has the right to fully exercise their autonomy. This system ensure that all persons have the right to be respected and make their own choice in life. Autonomous respect thus means respecting a person’s decisions and choices in life without obstruction of his/her day to day life (Schmidt & Brown, 2019). In addition, vulnerable population such as the children, pregnant, prisoners, mentally disabled and the economically challenged are entitled to protection and deserve respect from others. Nurses and other health care workers are entitles to respect the autonomy of every patient they handle. Nurses and health practitioners are obligated to respect the vulnerable population and acquire informed consent during treatment. Nurses should respect the rights of the elderly above 65 years during treatment in the hospitals. (Schmidt & Brown, 2019).The elderly mostly those above 65 years are among the vulnerable population who deserve total respect of autonomy from the nurses and other health care practitioners in the hospitals. Every elderly in the study be has a right to be respected on their decisions regardless if they take part in the research or not. Respect of individual decision include getting informed consent to be in the research. Elderly have a right to refuse the study or be part of the study. (Schmidt & Brown, 2019)

Beneficence

Beneficence is a principle of doing good. The concepts that arises in doing good include one should prevent evil or harm, one should always practice good, one should prevent evil or harm and lastly one should not practice harm or evil in the society. Nurse in the hospital s and the researchers should encourage the concept of doing good with the patients and the people being handled. (Gabel, 2011,) In a nut shell the researchers in this situation should consider doing their research with no harm at all. Researchers should find ways of reducing the harm and risks to the elderly over 65 years during the research in the hospitals. For this study, it is very vital to identify the risk falling of the elderly during hospitalization. The principle of beneficence state that if there is any risk or harm during the research the elderly should be informed. (Gabel, 2011,) Many years ago the principle of beneficence has not been taken to consideration. In this research the principle of beneficence will be focused on and there will be no harm to the elderly. The intervention measures such as using of bells to signal nurses when the elderly fall is used. This research will aid in identifying the harm of the falls such us the fractures and bruises of the elderly. This study will further divide the elderly who are at risk of falling and having severe fracture and those with minor fractures. The project will maximize the benefits and minimize the harms by putting bed bells to signal the nurses when the elderly are falling. Other ways to minimize harm in my project will be educating the families on how to take care of the elderly and avoid the falling while at home or the hospitalized. (Gabel, 2011,)

Justice

The principle of justice is the moral obligation to act on the basis of fairness in the society. The principle entails fairness and equality. Every person in the society has the right to be treated equally and should have equal treatment and access to health care services. Principle of justice states that minority groups should not be used for studies because they are easily available instead the research should include the minority and majority ethnic groups. Persons who don’t take part in research should not be denied medical services. (Sari et al 2018) Individuals ought to be treated equally regardless of their background, skin color, ethnic, race, religion, economic or social status, or education In this research, the elderly will be giving an equal chance in treatment and acquiring quality health services in the hospitals. The selection of the study will be based on the first come first served basis. The principle of justice will ensure that the elderly selected during the study are treated fairly and equally during the research. The study will benefit the vulnerable population where possible during the research. This study will help the nurses in the hospital to identify more ways of preventing falling of elderly in the hospital and provision of quality education. (Sari et al 2018)

Principle of autonomy

Autonomy states that the patients should have freedom to make their own choice about their lives. Showing respects to patient’s autonomy acknowledges the patients to have decision making capacity and have the right to make their own informed decisions. (Sari et al 2018)

When collecting data and doing out the research it is important for a researcher to respect the autonomy of the people. For the persons with diminished autonomy, such as someone with altered mental status, the researcher is still obligated to let the subject know of the study, getting consent from proper source, and even letting the subjects know of what, why and how of the study. The study will ensure every elderly right are respected and taken care of. Those elderly that have mental disorders who will be include to the research, informed consent will be obtained from the family members before carrying out the research. The selection of individual will be somehow perfect to prevent autonomy. (Sari et al 2018)

Conclusion

The ethical model enables nurses to make decisions that are best for patients. A nurse as a health practitioner has to make decisions based on issues of autonomy, confidentiality, beneficence, and non-maleficence.one cannot make a treatment choice for instance without providing enough information to the patient and their family and allowing them to make their own choice. (Gabel, 2011,)

References

Gabel, S. (2011, May). Ethics and values in clinical practice: whom do they help?. In Mayo Clinic Proceedings (Vol. 86, No. 5, pp. 421-424). Elsevier.

Jefferson R. S( 2017).Silicon Valley’s Answer to preventing fall

Liu, L., Stroulia, E., Nikolaidis, I., Miguel-Cruz, A., & Rios Rincon, A. (2016). Smart homes and home health monitoring technologies for older adults: A systematic review. International Journal of Medical Informatics, 91, 44-59. doi: 10.1016/j.ijmedinf.2016.04.00

Sari, D., Baysal, E., Celik, G. G., & Eser, I. (2018). Ethical Decision-Making Levels of Nursing Students. Pakistan journal of medical sciences, 34(3), 724.

Schmidt, N., Brown, J. M. (2019). Evidence-Based Practice for Nurses, 4th Edition. [Bookshelf Ambassadored].

Verma, S., Willetts, J., Corns, H., Marucci-Wellman, H., Lombardi, D., & Courtney, T. (2016). Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States. PLOS ONE, 11(3), e0150939. doi: 10.1371/journal.pone.0150939