Saturday, February 15, 2020

The Fall Prevention Among High Risk Patients Research Paper

The Fall Prevention Among High Risk Patients - Research Paper Example to population at high risk, and one step closer to this goal is through this study by raising awareness about this problem and propose solutions in minimizing falls, more specifically for patients at high risk. Literature Review A fall is an incident when a patient â€Å"unexpectedly comes to rest on the ground, floor or another level† (Haines et al, 2007). Falls are a major safety concern for hospitals, which accounts to 32.3% of incidents related to safety, and 35.3% of those incidences resulted to harm and even death (Healey et al, 2007). Medicaid has a greater utilization costs resulting from falls (Shumway-Cook et al, 2009). Fortunately, there are already a vast number of studies which were addressed for falls and fall prevention is already a part of the nursing curriculum a long time ago. Researches in risk identification for falls are abundant especially the studies among the elderly population. The study of Rubenstein (2006) tabulated the risk factors for falls from th e most frequent to the less common; the most prominent risk factor is weakness, followed by balance deficit, gait deficit, visual deficit, limited mobility, cognitive impairment, impaired functioning and postural hypotension. Other risk factors identified by Faulkner et al (2009) are height, fear of falling, â€Å"fast-paced walking speed†. Lee & Stokic (2008) investigated the risk factors for falls in patient undergoing rehabilitation identified the diagnoses of stroke, amputation and large co-morbidities as additional risk factors for falls. Among the postmenopausal women, the risks factors for falls were related to age, education, hearing status, history of fracture and hypothyroidism (Barrett-Connor et al, 2008). In terms of visual deficit, visual field loss appears to be the specific risk... This study aims to reduce the incidence of falls among the populations who are at high risk for falls in the hospital setting. This study will take place at a community hospital in Maryland. This study is a non-experimental, retrospective, descriptive case study. This design is selected since the paper will identify the risk factors that are present in the study setting without any manipulation of the variables. This study will try to investigate the fall incidences and the risk factors present retrospectively rather than prospectively. It is a case study since it will attempt to investigate in-depth the institution selected by the researcher to understand the issues underlying the risk factors and fall incidents in order to come up with fall prevention strategies in response to the risks identified. This study has a major strength in data collection, which does not require experimental treatment and is convenience for the researcher to gather data using available records. However, weaknesses of this study is the sampling bias (though the convenience sample of the hospital selected), small sampling size and poor generalizability of the findings. The study will use descri ptive statistical measures through the use of SPSS. This study will only identify the risk factors and use simple statistical tables in determination of the most frequently observed risk factors and to be place on a graph. Relationship of the variables will be assessed using the product-moment correlation coefficient.

Sunday, February 2, 2020

History paper Essay Example | Topics and Well Written Essays - 750 words - 3

History paper - Essay Example Children’s Rights narrates the story of the horrible neglect of children by responsible elders and the cruelty inflicted on them. It also tells us how the lawmakers finally realized the need to protect the children, both physically and mentally. Mary Ellen’s case in 1874 is taken in this book as a fine example of the extent to which child abuse can reach. Born to an immigrant woman, the baby Ellen’s fate was to grow under the carelessness of different mothers, finally ending up in the cruel hands of Frances Conolly. She could not know even the warmth of a kiss, or caress, her body carried the bruises of perpetual whipping, starved beyond imagination, and could not even see the sunlight. A social worker, Etta Angel Wheeler, who discovered the plight of Mary Ellen, failed to get help either from police or from any charitable institutions to rescue the child, as they wanted legal proof. â€Å"Though social workers often witnessed scenes of cruelty, poverty, and gri ef, Wheeler found Mary Ellen’s plight especially horrifying†, says the writer (Stevens). Finally it was the founder of American Society for the Prevention of Cruelty to Animals, Henry Berg, who came to her aid. The child was considered as a living animal, which was subjected to cruelty, and a case was registered with enough proof. Mary lived a decent life thereafter. Conolly was punished and the world opened its eyes to protect the children from abuses. Thus Children’s Rights reflects the utter ignorance of the society and the government on a very vital issue. The Needless War with Spain shows America’s greed for aggressive and expansionist policies. It is about America’s involvement in the domestic affairs of Cuba. McKinley was the President of America at that period. He was a very weak President. If he had possessed the sharp political will, the war with Spain could have been avoided. But,