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Prevention of falls and injury among old people in hospital settings

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Rating ; 40 % Referencing style : APA guide 6th edition, should be recent dates (2014-2017). If needed you can write old reference too. Assessment. 1: Capstone experience outline in health care This assessment task provides you with the opportunity to outline a capstone experience that will enable you to demonstrate how you have integrated, applied and reflected on the knowledge and skills gained through your Masters course. It is an opportunity to apply your extended knowledge and skills to a professionally relevant topic area. The choice of topic is up to you. In developing your plan it is u...

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Rating ; 40 % Referencing style : APA guide 6th edition, should be recent dates (2014-2017). If needed you can write old reference too. Assessment. 1: Capstone experience outline in health care This assessment task provides you with the opportunity to outline a capstone experience that will enable you to demonstrate how you have integrated, applied and reflected on the knowledge and skills gained through your Masters course. It is an opportunity to apply your extended knowledge and skills to a professionally relevant topic area. The choice of topic is up to you. In developing your plan it is useful to consider that the topic area needs to be: You can choose topic like falls prevention or infection control in oncology ward or improving surgical safety or workplace bullying management or waste management. You can write by your own too. Please keep the headings as per the criteria. Each paragraph should contain heading. CRITERIA: Firstly start with: 1. INTRODUCTION: topic chosen is of an acceptable level for a capstone experience (i.e has depth and complexity).rationale for choice provided. Clear concise overview of paper. Marks: 5% 2. BACKGROUND: includes a clear, relevant statement about the relevance of the topic to their learning and professional area. A well developed discussion that makes relevant and insightful links relevant to their professional area. Background addresses in detail the relevant and significant challenges in achieving project outcomes. An extensive range of relevant literature (mainly primary sources) have been synthesised and used to support all areas of the background discussion. Marks: 10% 3. THE PROJECT: learning outcomes well articulated and accurate discussion of the steps involved in the development of the capstone experience is presented. A persuasive argument is presented to demonstrate the choice of capstone experience. Marks : 15% 4. MODEL of CRITICAL REFLECTION: Appropriate model of critical reflection chosen for capstone experience. Evidence and critical reading and synthesis of the literature to support choice of critical reflection framework for capstone experience. Discuss and synthesis is detailed and has depth. Marks : 5% 5. PRESENTATION OF WORK AND REFERENCING: Writes in a clear and succinct academic style. Use correct grammar, spelling and punctuation. Correctly applies conventions of in text citation for APA style of referencing. Referencing list correct and complete. Work submitted according to requirements (e.g. word limit.) marks: 5 % In this outline of your capstone experience you are required to provide/consider: • a rationale for your choice of topic • a well-informed conceptualisation of the capstone experience, supported by relevant literature • individual learning outcomes for your capstone experience • the steps you will take to develop and operationalise your capstone experience project • a critical reflection model or framework to support your reflections throughout the capstone experience

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Hospitalization of old age people can be associated with physical and cognitive changes of the concerned person and moreover unfamiliar alterations in the surroundings can enlarge the risk of falls among the elder population of the society. The older people of the society has a higher chance to get an injury and it has been observed that more than 30-40% of older people aged over 65 were developed injury from falls. The incidents are pretty common among the hospitalized patients and in nursing home residents. Among the sufferers, 20-30 percent of the older population was seriously injured and developed hip and head fractures.  The incident of fall can often fetch restricted mobility, functional immobility and devastating conditions for the sufferers. The fear of falling can create anxiety among the elder population and post-fall anxiety syndrome can develop. This syndrome can precipitate depression, loneliness, helplessness and social isolations. A study conducted in Australia by Lord et al. (1993)  to identify the incidence of falls and fractures among the old age population suggested that 39% of the people from the sample group reported one or multiple falls in one year of their follow up periods.  In New Zealand, a similar study was continued by Campbell (1929) also recognized that 40% of the women and 28% of the men from the sample group was faced the similar incident of falling at least once in their one year observation period. Both studies were indicating that the incident of falling is high in healthcare facilities and hospital settings (Faisal, 2006). The observational studies have been revealed that predisposing and precipitating factors are responsible for falling. The common factors which enhance the chances of falls are environmental hazards, muscles weakness, visual impairment, hypotension and syncope (Haslam & Stubbs, 2006). Others associated risk factors are stiffness of lower extremity muscles, arthritis, depression along with cognitive impairment among the elder population. The balance deficits of the old age people can increase the chances of fall.  Use of multiple medications can increase the risk of falls. In addition use of cardiac drugs along with diuretics and anticonvulsants can enhance the incidence of falls. Therefore it can be assumed that the careful selection of medicines along with the elimination of unnecessary drugs from the daily habits can reduce the risk associated with falls. Hence it has been observed that numbers of risk factors and risk of falling are directly interrelated.   

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