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Falls

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Hospitalized patients may require bedside help depending on their health conditions. The bedside help is referred to as 1:1sitter ratio and it involves having a person to continually take care of the patient.  Research shows that many hospitalized patients who lack the 1:1sitter ratio suffers more injuries from falls than those with such care. The care includes assistance in cleaning the patient’s body, turning them occasionally as well as feeding. The increase in the hospitalization period may necessitate a permanent care taker assigned to help the patient. The caretaker may be a nurse as well as other family members. The only requirement for the care taker is to understand the cause of illness plus the type of special care needed. 

Without the 1:1sitter ratio, the hospitalized patients may occasionally fall out of their beds and therefore suffer more injuries. The injuries include the head, hands, knees, forehead and mouth. The most affected patients are normally aged above 60 years. Most fall results when the patients attempts to turn on the beds (Gluck, Wientjes, & Rai, 1996, pp. 105). They may as well fall while they try to pick something from either side of the bed.

Essentially, it is necessary to implement change in the hospitals in order to alleviate falls amongst hospitalized patients. The care takers should identify the fall risks especially among the most prone patients. Consequentially, nurses and health personnel ought to introduce and implement individualized approaches). These strategies include assigning every fall prone patient an individualized care taker. Additionally, these strategies ought to be resourced adequately with appropriate equipment in order to allow for effectiveness.

Additionally, all the hospital health care providers have to be more involved in a multifactor falls prevention program for more effectiveness. This program is necessary to allow all staff members to exercise the 1:1 sitter care to hospitalized patients. In addition, intensive training ought to be done to the mature people in the family. This acts as an essential part in the prevention and curtailing of harm from falls thereof.

Most important in the fall prevention and management is the need to maximally adhere to the strategies laid down. This is primarily important in ensuring that all patient receive due attention so that deaths due to injuries are alleviated. The care taker should help the patient reduce the fear of being injured this can be achieved by involving them in constructive activities. Additionally, some time should be provided to practice all the strategies agreed upon by staff. Thereafter, intensive assessment ought to be done to monitor for improvements.

As mentioned earlier, the preventive measures as well as the training program requires a lot of money and other kinds of investments. Therefore there is need for the government to allocate adequate resources in the hospitals. The resources may be needed to purchase the hip supports, necessary vitamins supplements as well as constructing appropriate walk areas. The hospital may also need to add the number of beds for the fall related hospitalization cases. This may be necessary since falls are caused by dizziness, drunkenness, old age and epilepsy. Thus appropriate care should be taken to reduce the falls incidences.

The hospitals should use the cost-effectiveness analysis to compare between cost and outcomes of health care alternatives taken.  The political contribution towards prevention of falls is by introducing anti drug campaign. This is necessary especially for men who get overly drunk and on falling suffer head injuries as well as body fractures.  It is also necessary to put up special programs to train all people in the remote areas on the need for a healthy living (Lane, 1999, pp 43). Generally, prevention of falls is better than curing.

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