16.00
Hdl Handle:
http://hdl.handle.net/10755/182573
Category:
Abstract
Type:
Presentation
Title:
Development of a Psychiatric Fall Risk Assessment Tool
Author(s):
Redding, Donna
Author Details:
Donna Redding, Memorial Medical Center, Springfield, Illinois, USA, email: redding.donna@mhsil.com
Abstract:
Poster Presentation: Background: Psychiatric patients have unique risk factors for falling. During acute hospitalizations, many psychiatric patients are being assessed for falling using tools only validated on medical/ surgical units. Therefore, there is a need to initiate a fall risk assessment tool specific to the unique needs of the psychiatric inpatient population. Objective: The purpose of this descriptive, prospective research study is to develop a new fall risk assessment instrument (Edmonson(c)) on an acute psychiatric unit at Memorial Medical Center for use in the psychiatric population. The second purpose is to compare the sensitivity and specificity of two fall scales (a) Morse Fall Scale, which was developed for use in hospitals and (b) the Edmonson Psychiatric Fall Risk Assessment Tool for use in the inpatient psychiatric population. Study Design: The Iowa Model of Evidence-Based Practice was used to guide the framework and development of the instrument. The risk factors included in the tool were developed through careful review of the literature. Ten risk factors were identified. The instrument was applied retrospectively to records of 50 patients who fell. The percent of those who fell possessing each risk factor triggered was determined. The instrument was then applied to 120 psychiatric admissions to determine the expected value of the population for each factor. From these, a weighting system for each factor was established. In the final phase, the Edmonson Tool and the Morse Fall Scale (currently in use throughout the hospital) were administered simultaneously to 237 inpatient psychiatric patients. The Empirical ROC Curve was used to calculate specificity and sensitivity of the Edmonson Tool and the Morse Tool. Results: Ten risk factors were derived from existing research to develop the Edmonson Tool, however only nine risk factors were used in the final version. The Edmonson Tool was found to detect 63% of those who will experience a fall on...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Aizenberg, D,. Sigler, M., Weizman, A., & Barak, Y. (2002). Anticholinergic burden the risk of falls among elderly psychiatric inpatients: a 4-year case control study. International Psychogeriatrics, 14, 307-310. American Geriatrics Society, British Geriatrics Society & American Academy of Orthopaedic Surgeons Panel on Falls Prevention, (2001). Guideline for prevention of falls in older persons. Journal of American Geriatrics Society, 49, 664-672. Blair, L. & Gruman, C. (2006). Falls in an inpatient geriatric population. Journal of American Psychiatric Nurses Association, 11, 350-354. Boyd, M. (2002). Atypical antipsychotics: impact on overall health and quality of life. Journal of the American Psychiatric Nurses Association, S9. Bradley, J. & Davis, K. (2003). Orthostatic hypotension. American Family Physician, 68, 2393-8. Capezuti, E., et.al. (1998). The relationship between physical restraint removal and falls and injuries among nursing home residents. Journal of Gerontology: Medical Sciences, 53A, M47-M52. Capezuti, E. (2004). Minimizing the use of restrictive devices in dementia patients at risk for falling. Nursing Clinics of North America, 39, 625-647. Capezuti, E., et.al. (2007). Challenges to implementing and APN- facilitated falls management program in long term care. Applied Nursing Research, 20, 2-9. Centers for Medicare & Medicaid Services. (2005). Healthy Aging Initiative Evidence Reports: Falls prevention interventions in the Medicare population. Retrieved December, 12, 2005, from http://cms.hhs.gov/healthyaging/fallspi.asp? Cuellar, N., et.al. (2007) Assessment and treatment of sleep disorders in the older adult. Geriatric Nursing, 28, 254-264. de Carle, AJ. & Kohn, R. (2001). Risk factors for falling in a psychogeriatric unit. International Journal of Geriatric Psychiatry, 16, 762-767. de la Fuente, E. (2001). Pharmacologic and nonpharmacologic options for anxiety and...[Please contact the primary investigator for additional references.]
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDevelopment of a Psychiatric Fall Risk Assessment Toolen_GB
dc.contributor.authorRedding, Donnaen_US
dc.author.detailsDonna Redding, Memorial Medical Center, Springfield, Illinois, USA, email: redding.donna@mhsil.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182573-
dc.description.abstractPoster Presentation: Background: Psychiatric patients have unique risk factors for falling. During acute hospitalizations, many psychiatric patients are being assessed for falling using tools only validated on medical/ surgical units. Therefore, there is a need to initiate a fall risk assessment tool specific to the unique needs of the psychiatric inpatient population. Objective: The purpose of this descriptive, prospective research study is to develop a new fall risk assessment instrument (Edmonson(c)) on an acute psychiatric unit at Memorial Medical Center for use in the psychiatric population. The second purpose is to compare the sensitivity and specificity of two fall scales (a) Morse Fall Scale, which was developed for use in hospitals and (b) the Edmonson Psychiatric Fall Risk Assessment Tool for use in the inpatient psychiatric population. Study Design: The Iowa Model of Evidence-Based Practice was used to guide the framework and development of the instrument. The risk factors included in the tool were developed through careful review of the literature. Ten risk factors were identified. The instrument was applied retrospectively to records of 50 patients who fell. The percent of those who fell possessing each risk factor triggered was determined. The instrument was then applied to 120 psychiatric admissions to determine the expected value of the population for each factor. From these, a weighting system for each factor was established. In the final phase, the Edmonson Tool and the Morse Fall Scale (currently in use throughout the hospital) were administered simultaneously to 237 inpatient psychiatric patients. The Empirical ROC Curve was used to calculate specificity and sensitivity of the Edmonson Tool and the Morse Tool. Results: Ten risk factors were derived from existing research to develop the Edmonson Tool, however only nine risk factors were used in the final version. The Edmonson Tool was found to detect 63% of those who will experience a fall on...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Aizenberg, D,. Sigler, M., Weizman, A., & Barak, Y. (2002). Anticholinergic burden the risk of falls among elderly psychiatric inpatients: a 4-year case control study. International Psychogeriatrics, 14, 307-310. American Geriatrics Society, British Geriatrics Society & American Academy of Orthopaedic Surgeons Panel on Falls Prevention, (2001). Guideline for prevention of falls in older persons. Journal of American Geriatrics Society, 49, 664-672. Blair, L. & Gruman, C. (2006). Falls in an inpatient geriatric population. Journal of American Psychiatric Nurses Association, 11, 350-354. Boyd, M. (2002). Atypical antipsychotics: impact on overall health and quality of life. Journal of the American Psychiatric Nurses Association, S9. Bradley, J. & Davis, K. (2003). Orthostatic hypotension. American Family Physician, 68, 2393-8. Capezuti, E., et.al. (1998). The relationship between physical restraint removal and falls and injuries among nursing home residents. Journal of Gerontology: Medical Sciences, 53A, M47-M52. Capezuti, E. (2004). Minimizing the use of restrictive devices in dementia patients at risk for falling. Nursing Clinics of North America, 39, 625-647. Capezuti, E., et.al. (2007). Challenges to implementing and APN- facilitated falls management program in long term care. Applied Nursing Research, 20, 2-9. Centers for Medicare & Medicaid Services. (2005). Healthy Aging Initiative Evidence Reports: Falls prevention interventions in the Medicare population. Retrieved December, 12, 2005, from http://cms.hhs.gov/healthyaging/fallspi.asp? Cuellar, N., et.al. (2007) Assessment and treatment of sleep disorders in the older adult. Geriatric Nursing, 28, 254-264. de Carle, AJ. & Kohn, R. (2001). Risk factors for falling in a psychogeriatric unit. International Journal of Geriatric Psychiatry, 16, 762-767. de la Fuente, E. (2001). Pharmacologic and nonpharmacologic options for anxiety and...[Please contact the primary investigator for additional references.]en_GB
dc.date.available2011-10-28T15:30:15Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:30:15Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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