fall prevention

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Project Data Analysis: Use a provided template to report your data collection methods and instruments, as well as assess the degree to which the data demonstrates achievement of project outcomes.

Introduction

The purpose of this assessment is to explain the data collection methods and instruments for your project as well as analyze the data to determine the extent to which you have achieved desired project outcomes.

Instructions

For this assessment you will complete the  Data Analysis Template [DOCX]  Download Data Analysis Template [DOCX] .

This template will help you structure your report on your data collection methodology and data analysis, including instruments used and outcomes achieved. You are not expected to submit your raw data for this assessment; however, you should store your raw data securely so you can provide it if necessary.

Your assessment will be graded on the following criteria:

· Explain the design of the doctoral project.

· Explain IRB-approved data collection methods for the doctoral project.

· Analyze project data and present the outcomes of the interventions, findings, and recommendations related to the problem statement using appropriate writing and graphics.

· Apply APA formatting and style throughout, with special attention paid to data charts, figures, and tables.

· Communicate in a clear, concise, and well-organized manner, using tone and vocabulary appropriate for a professional and scholarly report.

Additional Requirements

· Data Collection Instruments: Be sure to reference any instruments used in this assessment via citation (external items) or inclusion in an appendix (internal items).

· Apply APA formatting and style throughout, with special attention paid to data charts, figures, and tables.

cf_data_analysisrevision.docx

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For the instrument, I’ll use The STEADI program, developed by the CDC ( https://www.cdc.gov/steadi/index.html). Also, we talk about The Plan-Do-Study-Act (PDSA) method is a way to test a change that is implemented. Remember, we'll train the nurses to use the tools to prevent falls in adults; there is no control group, needs to be more simple.

Design and Instrumentation

Explain the project design and the methods you used for collecting data. The methods you describe must be reliable and have been previously approved by the IRB. If you used any tools or instruments, explain their validity and reliability, citing support from the literature as relevant. If an external tool was used, note the permission to use the tool and cite the tool appropriately. Any internal tools proven valid and reliable should be submitted in an appendix.

Formative Evaluation (if applicable)

Confounding Variables (if applicable)

Analysis

Explain which statistical tests were used for the statistical analysis to determine if the selected intervention produced the outcome desired. Provide outcomes, findings, and recommendations related to the problem statement. If you are still collecting data, you may have enough data to report preliminary findings; if this is the case, please note which findings are preliminary. For outcomes for which you have insufficient data to draw findings, please note this under each relevant outcome and briefly explain findings that would indicate some degree of outcome achievement. You may wish to use Level 2 headings to separate your analysis for each outcome, the problem statement, and so on. Use charts, data tables, and figures as relevant to improve the communication and comprehension of your data. Even if you do not have all final data collected, you should still be able to draft appropriate charts, data tables, and/or figures that would appropriately report the data you have collected or are planning to collect for a given outcome.

Summary and Conclusion

Briefly synthesize the key conclusions from the data analysis. Note any additional data collection and analysis to take place this quarter or additional analyses you plan to undertake.

References

[List references here.]

Appendices

STEADI-Algorithm-508.pdf

Centers for Disease Control and Prevention National Center for Injury Prevention and Control

As a healthcare provider, you are already aware that falls are a serious threat to the health and well-being of your older patients.

More than one out of four people 65 and older fall each year, and over 3 million are treated in emergency departments annually for fall injuries.

The CDC’s STEADI initiative offers a coordinated approach to implementing the American and British Geriatrics Societies’ clinical practice guideline for fall prevention. STEADI consists of three core elements: Screen, Assess, and Intervene to reduce fall risk.

The STEADI Algorithm for Fall Risk Screening, Assessment, and Intervention outlines how to implement these three elements.

Information about falls

Case studies

Conversation starters

Screening tools

Standardized gait and balance assessment tests (with instructional videos)

CDC’s STEADI tools and resources can help you screen, assess, and intervene to reduce

Educational materials for providers, patients, and caregivers

Online continuing education

Information on medications linked to falls

Clinical decision support for electronic health record systems

Algorithm for Fall Risk Screening, Assessment, and Intervention

RESOURCE

You play an important role in caring for older adults, and you can help reduce these devastating injuries.

Additional tools and resources include:

your patient’s fall risk. For more information, visit www.cdc.gov/steadi.

Stopping Elderly Accidents, 2019 Deaths & Injuries

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STEADI Algorithm for Fall Risk Screening, Assessment, and Intervention among Community-Dwelling Adults 65 years and older

Available Fall Risk Screening Tools:

SCREEN for fall risk yearly, or any time patient presents with an acute fall. START HERE

• Stay Independent: a 12-question tool [at risk if score ≥ 4] Important: If score < 4, ask if patient fell in the past year (If YES  patient is at risk)

• Three key questions for patients [at risk if YES to any question] Feels unsteady when standing or walking? Worries about falling? Has fallen in past year?

» If YES ask, “How many times?” “Were you injured?”

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SCREENED NOT AT RISK SCREENED AT RISK

ASSESS patient’s modifiable risk factors and fall history.

PREVENT future risk by recommending effective prevention strategies.

• Educate patient on fall prevention

• Assess vitamin D intake

If deficient, recommend daily vitamin D supplement

• Refer to community exercise or fall prevention program

• Reassess yearly, or any time patient presents with an acute fall

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Common ways to assess fall risk factors are listed below:

Measure orthostatic blood pressure (Lying and standing positions)

Ask about potential home hazards (e.g., throw rugs, slippery tub floor)

Identify medications that increase fall risk (e.g., Beers Criteria)

Evaluate gait, strength, & balance Common assessments:

• Timed Up & Go • 30-Second Chair Stand

• 4-Stage Balance Test

Check visual acuity Common assessment tool:

• Snellen eye test

Assess vitamin D intake

Assess feet/footwear

Identify comorbidities (e.g., depression, osteoporosis)

Centers for Disease Control and Prevention National Center for Injury Prevention and Control

INTERVENE to reduce identified risk factors using effective strategies. 3

Poor gait, strength, & balance observed • Refer for physical therapy • Refer to evidence-based exercise or fall prevention program (e.g., Tai Chi)

Medication(s) likely to increase fall risk • Optimize medications by stopping, switching, or reducing dosage of medications that increase fall risk

Reduce identified fall risk • Discuss patient and provider health goals Below are common interventions used to reduce fall risk:

• Develop an individualized patient care plan (see below)

Orthostatic hypotension observed • Stop, switch, or reduce the dose of medications that

increase fall risk • Educate about importance of exercises (e.g., foot pumps)

Home hazards likely • Refer to occupational therapist to evaluate home safety

• Establish appropriate blood pressure goal • Encourage adequate hydration • Consider compression stockings

Visual impairment observed • Refer to ophthalmologist/optometrist • Stop, switch, or reduce the dose of medication

affecting vision (e.g., anticholinergics)

• Consider benefits of cataract surgery • Provide education on depth perception

and single vs. multifocal lenses

Feet/footwear issues identified • Provide education on shoe fit, traction,

insoles, and heel height

Comorbidities documented • Optimize treatment of conditions identified

Vitamin D deficiency observed or likely • Recommend daily vitamin D supplement

• Refer to podiatrist

• Be mindful of medications that increase fall risk

FOLLOW UP with patient in 30-90 days.

Discuss ways to improve patient receptiveness to the care plan and address barrier(s)

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  • RESOURCE Algorithm for Fall Risk Screening, Assessment, and Intervention
    • Additional tools and resources include:
    • 1 SCREEN for fall risk yearly, or any time patient presents with an acute fall.
    • 2 ASSESS patient’s modifiable risk factors and fall history.
      • Evaluate gait, strength, & balance
      • Identify medications that increase fall risk
      • Ask about potential home hazards
      • Measure orthostatic blood pressure
      • Check visual acuity
      • Assess feet/footwear
      • Assess vitamin D intake
      • Identify comorbidities
    • 3 INTERVENE to reduce identified risk factors using effective strategies.
      • Reduce identified fall risk
      • Poor gait, strength, & balance observed
      • Medication(s) likely to increase fall risk
      • Home hazards likely
      • Orthostatic hypotension observed
      • Visual impairment observed
      • Feet/footwear issues identified
      • Vitamin D deficiency observed or likely
      • Comorbidities documented