Responseto Discussion Week 6
Ishigh monitoring likely to immobilize patients at the expense ofreducing falls in patients? Too much monitoring such as classifyingpatients as high risk is likely to outdo the gains made in helpingpatients recover. I agree with the use of hourly rounds in reducingfalls among patients in hospitals. Of importance as described aboveis the ability to have all the hospital staff trained in theassessment of the 4Ps so as to avert the danger of falling. However,I believe that fall prevention in hospitals requires aninterdisciplinary approach. Since the use of hourly rounds is ahighly routine procedure, hospitals should use other aspects that aretailor made to patients’ specific risk profiles (Carroll, Pappola &McNicoll, 2009). This involves the use of red socks, armbands andvisual cues on high risk patients. Nurses alone cannot be able toavert the risk of falling and thus a quick intervention that engagesall individuals is highly effective (Joint Commission Resources,2008). In achieving such coordination, the management must ensurethat practice that enhances communication and teamwork are in place.
Carroll,D., Pappola, L. & McNicoll, L. (2009). Fall preventioninterventions in acute care settings: the Rhode Island Hospitalexperience. MedHealth R I,92(8):280-2.
JointCommission Resources, Inc. (2008). Reducingthe risk of patient harm resulting from falls: Toolkit forimplementing national patient safety goal 9.Oakbrook, Ill: Joint Commission Resources.
Doesthe organization practice hinder mobilization of patients? Anorganization that had adopted early mobilization practices inpatients noted increased hospital falls that led to increased staysdue to injuries. However, a turn around on its practices throughinclusion of all staff led to improved patient mobility. Earlymobility is an important function in improving respiration, speedingrehabilitation and preventing complications arising from being inbed. I agree with the mobility strategy noted above where allinterdisciplinary teams should facilitate the process to avert risksand ensure that they meet the patient’s needs. According toJohansson & Chinworth (2012) developing a patient friendly toolsuch as a mobility chart will help patients set goals and assist themin achieving the set goals on a daily basis. On the other hand, theachievement of an early patient mobility is dependent on a culturechange, staff education, deliberate focus, and full engagement(America Nurse Today, 2014). With the event of risk eminent, themobilization process is a balancing act between the patientreadiness, complications, goals as well as tolerance. Achieving thisbalance will achieve both long and short term recovery goals.
AmericaNurse Today (2014). CurrentTopics in Safe Patient Handling and Mobility.Retrieved fromhttp://www.americannursetoday.com/wp-content/uploads/2014/07/ant9-Patient- Handling-Supplement-821a_LOW.pdf
Johansson,C., & Chinworth, S. A. (2012). Mobilityin context: Principles of patient care skills. Philadelphia: F.A. Davis Company.