Abstract

Falls among older adults who reside in the nursing home setting are a major problem in the United States (Center for Disease Control and Prevention [CDC], 2015). The site of this project was a nursing home located in a small town in New Hampshire. This home had a problem with the number of falls that occurred on a monthly basis. The rate of falls on average was two falls per month. This project sought to reduce the number of falls to zero over the course of three months. A fall prevention program using evidence base interventions was developed to reach this objective.

The interventions included staff education, medication reviews, an exercise program and hourly rounding. However, the fall rate at the completion of this project increased to four falls per month. This increase can be attributed to the lack of staff buy in to the program and insufficient staffing numbers. Even though the results demonstrated an increase in the rate of falls it is important to note that there was only one fall related injury during this time. The remainder of falls did not result in injury.

Dorothy Normile

Author Details

Dottie Normile, DNP, MSN, RN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Older Adults, Fall Prevention, Hourly Rounding

Advisor

Linda Matheson

Second Advisor

Marylee Bressie

Third Advisor

Deborah Leveille

Degree

DNP

Degree Grantor

Capella University

Degree Year

2016

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2016-10-21

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