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Understanding the Need of Services for Fall Prevention

Aged care population: Re-conceptualizing the need of services and awareness to develop fall prevention approaches for better quality of life.

  • Elderly population have the significant needs towards the effective and quality services that would help in improving the quality of life.
  • The policy will focus on improving the overall safety and key measures from the aspects of aged care settings.
  • There are many causal factors such as ageing, dependency, and poor muscle strengths have the contributory factors towards the falls.
  • Developing the awareness and knowledge to implement new approaches with the help of tools and framework to prevent fall among in elderly people of Victoria at aged care settings.
  • Evidence-based practices are identified as the key factors that would help in improving the quality-of-care services and also, focus on enhancing the fall prevention strategies within the aged care settings.

The healthcare services improving and imposing the knowledge of self-assessment will help in enhancing the quality of life. The chosen population is elderly population are considered as vulnerable due to their continual challenges associated with the health outcome (Bhandari et al., 2020). With the re-conceptualisation and understanding the potential benefits of certain key elements, it will help in developing the ability to maintain the independence within the old age.

It has been found that elderly population have significant need towards to maintain and enhance their living. The provision of care services to reduce falls have been identified as the key factor that may have significant impact on the overall health outcome. Managing and enhancing the fall preventive measures would help in addressing the hospital care and reduces the length of stay in the hospital. It will also focus on reducing or managing any potential health condition or adverse health issues associated with it. The long-term effects such as fractures due to falls and other adverse effects would be minimised and addressed with the maintenance of effective fall prevention measures. It is important to understand that the maintaining the physical and mental capabilities will help in improving the quality of life and therefore, the policy brief will re-discuss and identifying any innovative approaches that would help in enhancing the quality life for the elderly population (Abdi et al., 2018).

There are policies and guidelines that would help the healthcare providers to deliver the needful resources and support to improve the fall prevention among the elderly. The policy of “Falls facts for nurses” is focused on providing the adequate prevention strategy that nursing professionals will implement in their practices (Safety and Quality, 2009). In the government website of fall prevention in Victoria has developed and maintain strategy identified on this current practice. However, it is important to understand that the population of elderly population is increasing and therefore, there is continual needs of the healthcare services that are focused solely on the aged care. Even after implementation of all the measures and interventions identified in the policy, around 31,693 Victorian elderlies were admitted or hospitalised due to fall. It was identified that admission rates were higher among female around 3,997 per 100,000 persons on comparing to men, which were around 2,406 per 100,000 persons. It was found that as the age increases, the falls related hospital admissions are increasing continuously (Health.Vic, 2022). The prevention strategy in the policy lacks the implementation of any specific tool, framework and other muscle strengthening exercise that would develop awareness among the people. It is important to tailored and develop the key impact on behavioural changes and overall modification in environmental that would have impact on healthy lifestyle (Safety and Quality, 2009). Therefore, it is essential to understand that fall is identify as priority area that need significant action and improvement that would help in enhancing the health outcome of older population.

Effective Strategies for Fall Prevention in Aged Care

It is important to note that it is the initial approach for bringing changes in the interventions and practices that would improve the health outcome. Healthcare sector is continuously evolving and therefore, the evidential-based approach with innovative action and ideas will help in adding benefits to existing policy and guidelines towards supporting the fall prevention measures. The guidelines must be updated with latest information and other key knowledge that would help in improving the key knowledge and concepts in improving the Australian health outcome (Triscott et al., 2021).  Certain changes such as adding new evidence-based exercise program, and innovative intervention will be added to existing policies for enhancing the overall key outcome to reduce the potential patient falls.

Fall are the most common issue among the elderly population and it has been found that it will have significant impact on the overall health condition. It has been found that falls may develop significant adverse events of injuries and in many cases, deaths. Therefore, the healthcare staffs while providing the care to the services should develop the significant key approaches that would focus on addressing and preventing fall (Park, 2018). It is important to implement the fall prevention assessment to identify the vulnerable population and provide the specific care to improve the overall condition and health outcome.

It is also essential for the healthcare providers to develop the education to the target population of older people to improve the overall health outcome. The significant provision of medication and analysing any history of falls that would help in analysing the risks towards the fall. Elderly people should develop certain physical activities such as constant movement, earing the sensible shoes that would avoid the risk of falls (Cuevas-Trisan, 2019). It has been found that there should be identification of potential hazards that would reduce the likelihood of risks among the elderly population (Thomas et al., 2019). For instance, removing any boxes or coffee tables on the pathway that may be considered as severe home hazards. The appropriate maintenance of environment such as lighting up the living space and other key elements were considered that will have impact on the overall assistive devices.

The StandingTall program is identified as the effective approach that would help in preventing the fall among older population. The program is developed with the implementation and usage of technology that would help in preventing falls among community-swelling elderly population. It is an effective approach for unsupervised progressive approach as it is a tailored exercise program (Delbaere et al., 2021). Thus, it will also be effective in delivering patient-centric care services within the healthcare setting or aged care settings. Older people need significant support to live independently at their home and therefore, this StandingTall programme will help them in doing exercise unsupervised at home. The programme will focus on behavioural change technique that would focus on enhancing the exercise uptake as well as developing long-term adherence. The programme will include technology that would provide the remote-based services and it is a long-term approach for improving the balance of elderly people resulting in reducing the risks of fall (Taylor et al., 2021). It is also considered as self-management approach that would be effective in improving balance. It has also been a great potential impact during the pandemic phase and hence, reduced the face-to-face contact and also enhancing the health outcome of elderly population. Continual advancement of technology has improved the health management and also developed the beneficial for the patients or service users to improve their quality of life (Maresova et al., 2019).

Policy Brief: Enhancing Quality of Life of Elderly Population

The usage of hip protectors is identified as the safety innovative product that should be provided to highly vulnerable patient to reduce the adverse event of fall among the older people. It will reduce the risk of hip fracture and improve the quality of life among the elderly. It is developed with hard plastic shields and many time, often used foam pads. It will absorb energy from the fall or any stunt force that may become serious injuries. Thus, it is an effective and adequate beneficial element to avoid fall or any associated loss of mobility among the elderly population (de Bot et al., 2020). The fracture of hip is one of the most genuine, weakening and, surprisingly, dangerous fall-related wounds that are excessively normal in the older. Old and the crippled battle to recuperate from a hip break and a short time later many individuals can't live all alone. The hip protector is a defensive piece of clothing to cover the more noteworthy trochanter and appears to be a clear strategy to lessen influence powers on the hip. By and by be that as it may, the old rarely wear hip protector items - jeans, underpants, or external wear (Korall et al., 2019). Recognizing that patient adherence to hip protector clothing stays a boundary for execution, innovation progresses are eliminating hindrances among the old. In the market, there are multiple names such as “smart belt” hip protectors that would help in improving key outcome in preventive measures. Some of the additional names are active protective technology, and others.

Similarly, to hip protector, “Tango Belt” is another innovative product that should be included within the healthcare and clinical practices that would improve the key condition and reduces the potential issues among the health outcome. It will use the artificial intelligence to support the motion sensing and it is an effective approach for decision-making (Quigley & Tarbert, 2021). It is a smart tango belt and it is a 3D smart sensor and it is provided to the most and highly risk fall patients. The belt will seek information such as motions. Whenever, the individual (service users or patient) is entering into the fall motion and may impose severe health impact (Quigley, Singhatat & Rebecca, 2019). The sensor will sense and deploy the airbags surround the hips. It will reduce the force of ground and minimise the force impact on the hip. Thus, these two innovative products would be a great and effective choice for managing hip fractures in the fall preventive measures.

After understanding the significant needs for developing the policy and developing the insightful knowledge associated with key factors that will help in improving the overall health condition of elderly people. The chosen population is identified as vulnerable as they have higher risks towards the falls and poor as well as adverse effects due to fall such as hip fracture health condition. To accomplish and provide the significant services and support to elderly population, the following attention should be given that have been developed from the research.

  • The evidence associated with the implementation of technology in the aged care focusing on elderly care has been considered as the significant beneficial towards the overall health outcome. The policy would include the provision of incentives to the population for accessing the usage of hip fracture product and Tango belt in accomplishing with the daily delivery of care services. The policy should also focus on developing the promotional activities associated with the effective usage of identified health technology. It is also important to develop the consideration that have developed the key outcome in reducing the dependence and developing the overall quality health outcome. Staying connected through multiple and various means of media would be beneficial and consider as an effective option in developing the coping strategies that would help in reducing the impact of the mental health issues.
  • It is important to understand that collaborative approach will be effective in designing the integrated model of care. It is essential to design the effective model of care that would have potential impact on the practices and considerations. The integrated policy would help in promoting and provision of digital healthcare services such as remote delivery of care services. The StandingTall programme is an effective approach to provide the care services to the patient from remote access. It will help in improving the health condition as it involves exercise strengthen the muscle of the patients. Therefore, the implementation and usage of digital platform have significant beneficial to the overall outcome of health condition. The future policies should develop innovative strategies and also consider the feedback from the target population or service users for better understanding and impact on the health outcome.
  • The awareness is essential and therefore, the policy will be implemented Victoria aged care settings. It is important to develop the collaborative approach that would have positive and larger impact on the overall condition of health outcome. It has been found that the community-based strategies and approaches would help in developing the key outcome and add essential information that may be consider as an effective outcome. Therefore, the implication can be applied for the scope of further study to identify the potential benefits associated with the policy brief.
  • There are significant opportunities available that would improve the overall health outcome of the elderly population. The policy brief has not covered and considered the various aspects of care intervention or strategies that would develop the significant health outcome. The policy brief has discussed the core and basic principles of standard care that would have positive impact on the fall prevention startegies for elderly people. The family-based and patient-centred based delivery should be considered that would help in implementing the culturally based delivery of services. It is essential and effective to understand that the health condition, developing the significant impact on the self-management of health among the elderly people (Kruschke & Butcher, 2017).
  • It is essential for continuation of providing the care services towards the vulnerable group of people (elderly people). Ageing is the key factor that continuously run and cannot be pause and therefore, it is the responsibility of the healthcare leaders and policy makers to develop constant understanding and key outcome within the practices.
  • The policy and practices would be beneficial if there is significant support from the government bodies and other social organisation who are working towards providing the care services to the elderly population. The participation of the people or stakeholders would result in reviewing and identifying the key elements that would have develop the significant outcome. Developing practice guidelines for services that require elderly participation in decision-making at all levels of service deliver.
  • The workplace development should also be considered within the policy that would focus on the workplace of elderly aged care. It is important to maintain the environment based on the guidelines that would have positive impact on the delivery of healthcare services to the elderly population.
  • Keep on underscoring drives that help preparing furthermore, amazing skill of the aged care labour force, particularly those that will support the consideration of elderly with inabilities and formative postponements.

Limitations of Existing Policies for Fall Prevention

References

Abdi, J., Al-Hindawi, A., Ng, T., & Vizcaychipi, M. P. (2018). Scoping review on the use of socially assistive robot technology in elderly care. BMJ Open, 8(2), 2-6. https://doi.org/10.1136/bmjopen-2017-018815

Ahmad Sharoni, S. K., Abdul Rahman, H., Minhat, H. S., Shariff-Ghazali, S., & Azman Ong, M. H. (2018). The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia. PloS One, 13(3), 2-4. https://doi.org/10.1371/journal.pone.0192417

Bhandari, S., Dawson, A. Z., Walker, R. J., & Egede, L. E. (2020). Elderly african americans: the vulnerable of the vulnerable in the COVID?19 era. Aging Medicine, 3(4), 200-234. https://doi.org/10.1002/agm2.12131

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Cuevas-Trisan, R. (2019). Balance problems and fall risks in the elderly. Clinics in Geriatric Medicine, 35(2), 173-183. https://doi.org/10.1016/j.cger.2019.01.008

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de Bot, R. T. A. L., Veldman, H. D., Witlox, A. M., van Rhijn, L. W., & Hiligsmann, M. (2020). Hip protectors are cost-effective in the prevention of hip fractures in patients with high fracture risk. Osteoporosis International, 31(7), 1217-1229. https://doi.org/10.1007/s00198-019-05252-8

Delbaere, K., Valenzuela, T., Lord, S. R., Clemson, L., Zijlstra, G. R., Close, J. C., ... & Van Schooten, K. S. (2021). E-health StandingTall balance exercise for fall prevention in older people: results of a two year randomised controlled trial. bmj, 373.

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Korall, A. M., Feldman, F., Yang, Y., Cameron, I. D., Leung, P. M., Sims-Gould, J., & Robinovitch, S. N. (2019). Effectiveness of hip protectors to reduce risk for hip fracture from falls in long-term care. Journal of the American Medical Directors Association, 20(11), 1397-1403. https://doi.org/10.1016/j.jamda.2019.07.010

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