Fall Prevention in Dementia Unit Through Continuous Education to Cna and Nurses to Avoid Complication Related to Fall
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The hospital's first priority is acute medical care; patients come to the hospital because they are ill and their primary purpose is to receive treatment for their illness. The goal of patient safety practices like fall prevention is to prevent additional harm to patients while they are hospitalized. Hand hygiene to prevent spread of nosocomial infection is an example of a patient safety practice that avoids patient harm without interfering with the patient's medical care. As you read through this section, think about how you can integrate your fall prevention program with the variety of acute medical treatments that your hospital must deliver. Another key point to remember is that fall prevention alone cannot be the goal of a fall prevention program. A theoretical example can illustrate this point. In theory, we could prevent all falls by restraining all patients, thereby preventing them from leaving the bed (in actuality, restraints may not prevent falls). But restraining patients would be unethical and represent poor care. It would conflict with the principles of patient autonomy and cause all the complications of bed rest, such as deconditioning, pressure ulcers, aspiration, and deep vein thrombosis, thereby keeping the patient in the hospital longer and making it harder for the patient to recover.
To accomplish this coordination, high-quality prevention requires an organizational culture and operational practices that promote teamwork and communication, as well as individual expertise. Fall prevention activities also need to be balanced with other considerations, such as minimizing restraints and maintaining patients‘ mobility, to provide the best possible care to the patient. Therefore, improvement in fall prevention requires a system focus to make needed changes.
When falls occur, nurses often become the “second victim” expressing increased stress, anxiety, guilt, concern for liability, and self-doubt about the quality of care they provide.
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