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EDUCATION OF THE PATIENT AND THE PATIENT'S FAMILY AS ONE OF THE COMPONENTS OF THE INTERVENTION PROGRAM FOR PREVENTION OF FALL OF HOSPITALIZED PATIENTS
Abstract
At present, the patients' safety is the key parameter of quality of health care provided. Falls of hospitalized patients constitute the most frequently reported accidents in health care facilities. A fall may occur for different reasons, e.g. due to weakness or balance disorder, sudden change of health condition, sight disorder, effects of medicines, slipping due to unsuitable shoes, disorientation in unknown environment. The prevention of falls constitutes the base of nursing care for a fall-endangered patient. Each health care worker should know the information on individual interventions leading to reduction of occurrence of such incidents. The workers should be trained on measures leading to reduce the risk of fall, as well as on the way of ensuring a safe environment. The endangered group consists mainly of geriatric patients. Repeated warning and education has a great importance for geriatric patients. Fall-endangered patients, as well as their family should be informed on the reasons and ways of fall, on measures reducing the risk of fall, on undesirable effects of the medicines prescribed (e.g. due to the sleepiness and dizziness they cause), on the use of locomotory aids, on the use of signalling devices. The patients' involvement in their own health care seems indispensable. The patients are not only passive recipients of care, but they play an important role in assuring their own safety. The care for the patient should involve also the patient's family who should be offered sufficient information. The nurse should be able to make use of the information acquired from the family and educate the family on the strategy to reduce the occurrence of falls. The goal of this paper will consist in presenting one of the outcomes of the project called Analysis of factors influencing the risk of falls - potential involvement of nurses and pharmacists in minimization of the risk, implemented by the Faculty of Health and Social Sciences of the University of South Bohemia in ?eské Bud?jovice and the Faculty of Pharmacy of Charles University in Hradec Králové in the Czech Republic. Supported by Ministry of Health of the Czech Republic, Grant No. 16-33463A. All rights reserved.
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References15
Topinková E. Geriatrie pro praxi, Praha, Galén, pp 44, 2005.
Šedová L., Olišarová V., Kimmer D., Martínek L. et al., Podpora zdraví a udržení aktivního životního stylu v kontextu prevence civilizačních chorob, Studia Kinanthropologica, vol. 14, issue 3, pp 225-231, 2013.
Tzeng H. M., Yin C. Y., Perspectives of recently discharged patients on hospital fall-prevention programs, Journal of nursing care quality, vol. 24, issue 1, pp 42-49, 2009.
Hill A. M., McPhail S., Hoffmann T., Hill K., Oliver D., Beer C., Brauer S., Haines, T. P., A randomized trial comparing digital video disc with written delivery of falls prevention education for older patients in hospital. Journal of the American Geriatrics Society, vol. 57, issue 8, pp 1458-1463, 2009.
Haines T. P., Hill A., Hill K. D., McPhail S., Oliver D., Brauer S., Hoffmann T., Beer C., Patient education to prevent falls among older hospital inpatients: A randomized controlled trial.", Archives of internal medicine, vol. 171, issue 6, pp 516-524, 2011.
Clarke H. D., Timm V. L., Goldberg B. R., Hattrup S. J. Preoperative patient education reduces in-hospital falls after total knee arthroplasty, Clinical Orthopaedics & Related Research, vol. 470, issue 1, pp 244-249, 2012.
Hill A., McPhail S. M., Francis-Coad J., Waldron N., Etherton-Beer C., Flicker L., Ingram K., Haines, T. P., Educators’ perspectives about how older hospital patients can engage in a falls prevention education programme: a qualitative process evaluation, BMJ Open, vol. 5, issue 12, pp e009780, 2015.
Hook M. L., Devine, E. C., Lang N. M., Using a computerized fall risk assessment process to tailor interventions in acute care. In: Henriksen K., Battles J. B., Keyes M. A., Lewin D. I. eds. Advances in Patient Safety: New Directions & Alternative Approaches, Washington,DC: AHRQ, 2008.
Haines T. P., Bennell K. L., Osborne R. H., Hill K. D., Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial, BMJ, vol. 328, issue 7441, pp 1-6, 2004.
Healey F., Monro A. Cockram A., Adams V., Heseltine D., Using targeted risk factor reduction to prevent falls in older in-patients: a randomised controlled trial, Age and ageing, vol. 33, issue 4, pp 390-395, 2004.
Vassallo M., Vignaraja R., Sharma J. C., Hallam H., Binns K., Briggs R., Ross I., Allen, S., The Effect of Changing Practice on Fall Prevention in a Rehabilitative Hospital: The Hospital Injury Prevention Study, Journal of the American Geriatrics Society, vol. 52, issue 3, pp 335-339, 2004.
Fonda D., Cook J, Sandler V., Bailey M., Sustained reduction in serious fall-related injuries in older people in hospital, Med J Aust, vol. 184, pp 379–382, 2006.
von Renteln-Kruse W., Krause T., Incidence of in-hospital falls in geriatric patients before and after the introduction of an interdisciplinary team-based fall-prevention intervention, Journal of the American Geriatrics Society, vol. 55, issue 12, pp 2068-2074, 2007.
Cumming R. G., Sherrington C., Lord S. R., Simpson J. M., Vogler C., Cameron I. D., Naganathan, V., Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital, BMJ, vol. 336, issue 7647, pp 758-760, 2008.
Horová J., Brabcová I., Krocová J., The effectiveness of intervention programs for preventing patients from falls, Kontakt, vol. 19, issue 2, pp e105–e115, 2017.
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