Adams, Aisha, RN

Groner, Tyler, BSN, RN

Handwerk, Carl A, BSN, RN

Macbride, Emily, RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingFear of Falling: Can We Reduce It?Aisha Adams RNLehigh Valley Health Network, Aisha_A.Adams@lvhn.orgCarl A. Handwerk BSN, RNLehigh Valley Health Network, Carl_A.Handwerk@lvhn.orgEmily Macbride RNLehigh Valley Health Network, Emily.Macbride@lvhn.orgTyler Groner BSN, RNLehigh Valley Health Network, Tyler_C.Groner@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/patient-care-services-nursingThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtAdams, A. Handwerk, C. Macbride, E. Groner, T. (2019, March 28). Fear of Falling: Can We Reduce It?. Poster presented at: LVHNVizient/AACN Nurse Residency Program Graduation, Lehigh Valley Health Network, Allentown, PA© 2014 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaFear of Falling: Can We Reduce It?- Elderly post-operative patients can be at higher risk for post-operative falls (Voshaar et al 2006).- Though there are a multitude of contributing factors, studies have shown that patients “fear of falling” holds significant impact on ambulatory outcomes (Hill et al 1996).- As a network, LVHN does not currently acknowledge a patient’s fear of falling.• Damar (2017) found that 50% of older patients who fall experience a fear of falls before mobilization. 42.2% of older patients experienced a severe fear of falling in their first mobilization after total knee replacement or total hip replacement. • Voshaar et al (2006) found that cognitive functioning and fear of falling assessed 6 weeks after surgery consistently predicted functional recovery, whereas pain and depressive symptoms were no longer significant. • Johansson et al (2018) found that small-group learning environments in combination with learning by doing, could be an effective approach for the translation of knowledge into everyday life and valued activities leading to a decrease in falls and fear of falling. • Some patient’s fear of falling is an ever-present concern, and one education session may not be enough to decrease that fear. Perhaps a screening and teaching every shift would decrease patient’s score of fear of falling.• Screening patient’s right after providing fear-specific education does not allow them time to utilize the techniques discussed. Screening patients hours or days after the initial teaching may have shown different results.• The screening tool was time consuming for RN’s and would likely have a low compliance rate. • Screening a large sample size may have given different resultsAisha Adams, RN, Carl Handwerk, BSN, RN, Emily MacBride, RN, Tyler Groner, BSN, RNBackgroundPICOEvidenceLessons LearnedImplementation Plan• Post operative patients were surveyed regarding their fear of falling prior to first post operative ambulation.  • Those identified as having a fear of falling were divided into a control and test group. Both were provided general fall prevention teachings• The test group will have their fear of falling acknowledged and be provided with an educational session specific towards their fears, led by the bedside nurse. The control group will not be given this additional session.• Those patients who received additional education will be surveyed afterwards regarding their fear of falling.• Post education surveys will be analyzed to determine if there is a decrease in fear/anxiety levels of the test group compared to those who did not receive additional education.Project Purpose: To reduce fear of falling in post-operative patients with history of falls. PICO Question- In post-operative patients with fall history, does the reinforcement of specialized bedside ambulation education decrease the patient’s fear of falling compared to traditional pre/post education. P- Post-op patients with fall historyI- Reinforced bedside ambulation education. C- Standard pre/post-operative education. O- Decrease in fear of fallingOutcomesResults for pre/post fear specific education did not have large differences as expected. Many patient’s scored remained the same or decreased by one point. A total of 23 patients were  screened and 65.1% had no change in pre/post education scores. ConclusionsReferences• Balen, V., Steyerber, E. Polder, J., et al.  (2001).  Hip fracture in elderly patients.        Outcomes for function, quality of life and type of residence tool.  390;  232.243.• Damar, H., Bilik, O., Karayurt, O., & Ursaras, F.  (2017).  Factors related to older patients fear of falling during the first mobilization after total knee replacement and total hip replacement. Geriatric Nursing, 17, 1–6. doi:10.1016/gerinurse.2017.12.003 • Hill, K. D., Schwarz, J. A., Kalogeropoulos, A. J., & Gibson, S. J. (1996). Fear of falling revisited. Archives of Physical Medicine and Rehabilitation, 77(10), 1025-1029. doi:10.1016/s0003-9993(96)90063-5 • Johansson, E., Jonsson, H., Dahlberg, R., & Patomella, A. (2018). The efficacy of a multifactorial falls-prevention programme, implemented in primary health care. British Journal of Occupational Therapy, 81(8), 474-481. doi:10.1177/0308022618756303 • Voshaar, R. C., Banerjee, S., Horan, M., Baldwin, R., Pendleton, N., Proctor, R .(2006). Fear of falling more important than pain and depression for functional recovery after surgery for hip fracture in older people. Psychological Medicine, 36(11), 1635. doi:10.1017/s0033291706008270 • ., 024681012Patient1Patient2Patient3Patient4Patient5Patient6Patient7Patient8Patient9Patient10Patient11Patient12Patient13Patient14Patient15Patient16Patient17Patient18Patient19Patient20Patient21Patient22Patient23Fear of Falling (measured on a 0-10 scale)Fear of Falling Score Before and After Fear-Specific TeachingFear of Falling Score Before Teaching Fear of Falling Score After Teaching

Fear of Falling: Can We Reduce It?

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=2122&context=patient-care-services-nursing

Fear of Falling: Can We Reduce It?

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