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Description
Falls are a leading cause of disability in the older population. In hospitalized patients, falls account for approximately 11,000 annual deaths in the U.S. (JCO, 2014). Falls can occur for a complexity of reasons. Orthostatic hypotension (OH), the change of blood pressure with position changes, is common amongst the elderly. Some believe that because of orthostatic symptoms, such as dizziness, change in vision, and vertigo, a patient is at higher risk for falling. However, the actual relationship of orthostatic hypotension to falls is uncertain. This project involves reviewing credible research studies to determine whether identifying positive orthostatic results in the elderly is an effective method for predicting a fall. The goal of this research is to apply the findings to the current method of Fall Risk evaluation in the Phoenix VA Medical Center (PVAMC) inpatient units. The consensus from the five research studies that were reviewed is that orthostatic hypotension is not a reliable predictor of falls in the elderly. These findings lead to the recommendation of utilizing the Morse Fall Scale as an evaluation tool for fall risk level. A comprehensive, individualized assessment to assess the risk of falls and complementary interventions is also recommended for a hospitalized patient. It is further suggested that a committee be formed to alert the appropriate staff of the designated Fall Risk level when utilizing the Computerized Patient Record System (CPRS) at the PVAMC. Proper evaluation of fall risk in hospitalized patients is critical in the prevention of falls and in providing high quality care.
ContributorsPalos, Elizabeth (Author) / Butterbaugh, Karen (Thesis director) / Paige, Leslie (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05