2.50
Hdl Handle:
http://hdl.handle.net/10755/182586
Category:
Abstract
Type:
Presentation
Title:
Identification of Fall Risk Patients in an Inpatient Rehabilitation Program
Author(s):
Salamon, Lisa; Bobay, Kathleen
Author Details:
Lisa Salamon, MSN, CNS-BC, WOCN, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin, USA, email: lisa.salamon@aurora.org; Kathleen Bobay, PhD, RN, CNAA, Marquette University & Aurora Health Care
Abstract:
Poster Presentation: Background and Significance Patients admitted to the inpatient rehabilitation program are assessed daily for fall risk by staff nurses completing The Morse Fall Scale. More than 75% of patients score over 45, placing them in the high risk category for falling. This indicates that the tool is not sensitive enough for predicting patients at risk for falls in rehabilitation patients. Purpose of the study/project To determine if there is a more sensitive method to identify patients at high risk for falls. Sample Description/Population All 2North Rehab patients who suffered falls from January 1, 2007 through June 30, 2007 were included in the database. The sample size was 67 patients. The mean age of patients was 66.34 (range 39-89, SD = 14.08). Setting A 45 bed inpatient rehabilitation unit within a Midwest tertiary care hospital. Method/Design & Procedure Morse Fall Scale scores with components were compared against specific FIM (Functional Improvement Measures). The FIM scores that were included are Comprehension, Expression, Problem Solving, and Memory. Correlation analysis and confidence intervals were performed. Median scores were used to determine the cut-off points for critical FIM values. Results/Outcomes There were 3 significant correlations between the Morse Fall Scale Before Fall Score and FIM scores. The first was Problem Solving (r = .898, p < .000). The second score was Memory (r = .772, p < .000) and the third was Expression (r = .883, p < .000). These results are intuitively coherent. Patients with problem solving deficits and memory deficits might be expected to be more likely to fall due to cognitive impairments. Those with decreased expression are likely to fall because of the decreased ability to express their needs. There were no significant correlations with comprehension and the Morse Fall Scale. We also explored the critical cut points for the significant FIM scores by comparing median scores with Morse Fall Scale scores > 45...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Gilewski, M., Roberts, P., Hirata, J., Riggs, R. (2007) Discriminating High Fall Risk on an Inpatient Rehabilitation Unit. Rehabilitation Nursing 32(8);234-240.
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.titleIdentification of Fall Risk Patients in an Inpatient Rehabilitation Programen_GB
dc.contributor.authorSalamon, Lisaen_US
dc.contributor.authorBobay, Kathleenen_US
dc.author.detailsLisa Salamon, MSN, CNS-BC, WOCN, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin, USA, email: lisa.salamon@aurora.org; Kathleen Bobay, PhD, RN, CNAA, Marquette University & Aurora Health Careen_US
dc.identifier.urihttp://hdl.handle.net/10755/182586-
dc.description.abstractPoster Presentation: Background and Significance Patients admitted to the inpatient rehabilitation program are assessed daily for fall risk by staff nurses completing The Morse Fall Scale. More than 75% of patients score over 45, placing them in the high risk category for falling. This indicates that the tool is not sensitive enough for predicting patients at risk for falls in rehabilitation patients. Purpose of the study/project To determine if there is a more sensitive method to identify patients at high risk for falls. Sample Description/Population All 2North Rehab patients who suffered falls from January 1, 2007 through June 30, 2007 were included in the database. The sample size was 67 patients. The mean age of patients was 66.34 (range 39-89, SD = 14.08). Setting A 45 bed inpatient rehabilitation unit within a Midwest tertiary care hospital. Method/Design & Procedure Morse Fall Scale scores with components were compared against specific FIM (Functional Improvement Measures). The FIM scores that were included are Comprehension, Expression, Problem Solving, and Memory. Correlation analysis and confidence intervals were performed. Median scores were used to determine the cut-off points for critical FIM values. Results/Outcomes There were 3 significant correlations between the Morse Fall Scale Before Fall Score and FIM scores. The first was Problem Solving (r = .898, p &lt; .000). The second score was Memory (r = .772, p &lt; .000) and the third was Expression (r = .883, p &lt; .000). These results are intuitively coherent. Patients with problem solving deficits and memory deficits might be expected to be more likely to fall due to cognitive impairments. Those with decreased expression are likely to fall because of the decreased ability to express their needs. There were no significant correlations with comprehension and the Morse Fall Scale. We also explored the critical cut points for the significant FIM scores by comparing median scores with Morse Fall Scale scores &gt; 45...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Gilewski, M., Roberts, P., Hirata, J., Riggs, R. (2007) Discriminating High Fall Risk on an Inpatient Rehabilitation Unit. Rehabilitation Nursing 32(8);234-240.en_GB
dc.date.available2011-10-28T15:30:51Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:30:51Z-
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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