You would use ID 93489 to Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in the digital classroom for feedback from the instructor.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
2 FALL PREVENTION GERIATRIC PATIENT WITH PSYCHIATRIC ILLNESS2 FALL PREVENTION GERIATRIC PATIENT WITH PSYCHIATRIC ILLNESS Table of Contents Background2 Clinical problem statement3 Purpose of the change proposal3 PICOT question4 Literature review4 Evaluation of literature5 Applicable change or nursing theory utilized5 Proposed implementation plan6 Evidence-based practice on intervention plan6 Evaluation the proposed nursing intervention6 Potential barriers7 References8 Background Many elderly people of Mental Health issues are leading to mortality and morbidity problems due to fall as following has exhibited by mental health conditions that have been quite a for them. From many reviews and articles on elderly people with dementia and cognitive impairment have pointed out that mental health conditions are the main problems with people especially when they cannot cope up with the regular balance of their lifestyle. The main objective of the review has evaluated the effectiveness of prevention of fall to the older people with mental health problems and the care and security that they need (Jin, 2018). Patient Safety is one of the main issues with people of medical background and it is specially implemented for elders with mental health issues. From a recent report it has been pointed out that at least 36000 falls have been reported among elderly population who are dealing with dementia (Thomas et al., 2019). The treatments of mental health problems like psychotropic medication and electroconvulsive therapy are in flight to have higher chances of fall risk the positive effects in rehabilitation and increased stay in the hospital with long term care. Its association with hospital charges are also increasing which is creating problems for the elderly. Therefore, the research has prescribed a systematic review on the various factors that are leading to the main problems of following issues among the elderly population and it is also providing the possible impacts of it. The previous data have not suggested any sign of mental health setting for the fall prevention issues but the recent data has focus more on Alzheimer's disease and a domain shop for people having the problem of falling (Öztürk et al., 2018). Therefore, the proposal next address certain areas of inspection an elderly people with dementia and other mental health problems and how they can be prevented from falling and getting themselves hurt. Clinical problem statement Elderly people with mental health issues are dealing with physical injuries due to falling. That is why the proposal need to understand the reason behind the fall prevention possibilities of the elderly people with severe mental health issues like dementia and Alzheimer’s. Purpose of the change proposal The purpose of education system pointing out the main aspects of following issues of elderly population and how the old people with mental health problem have higher risk to it. Generally, the elderly people are very prone to us foreign and many of them cannot keep their balance when they are old and feeble. But the tendency is seen among most patients with mental health problems especially when they are dealing with Alzheimer's or dementia. Therefore, to research will reflect upon the methods of prevention in regards to elderly people with mental health problems and how they are different from other patients who do not have mental health problems. The purpose of the research will circulate around the main problem of many older individual having mental health issues and how they can be shared with proper medical help and support. The research will also follow and the prevention Care Unit and about the nurses and medical expose who would take care of these elderly people and help them to be secure. Responsibilities of the medical experts and their families will also be analysed to understand how the condition can be prevented entirely and prevent these people from falling. PICOT question What is the possible recovery (O) methods for older people of mental health issues (P) who developed an issue with falling and getting injured (I) as opposed to those who did not (C) with proper medical care and medication (T)? Literature review According to Seematter-Bagnoud and Büla (2018), The primary care practice of geriatric assessment on older people have shown various conditions and consideration that professionals need to understand to provide them with proper Healthcare and wellbeing treatments for them to sustain. For this evaluation it is necessary to understand geriatric conditions and its relevance to the medical history of the patient. The literature has pointed out various factors that many patients and physicians have overlooked about the great risk conditions and it includes certain specific training that assessment need to include for better judgement of the situation. Effective hearing and cognitive impairments need to be treated with nutritional invocation and the fall risk of the patients can be treated with proper care as per Magnuson et al., (2019). The research should also include the primary care practice that needs to be implemented on every individual dealing with mental health problems as well as showing geriatric conditions. Falling risks also need to be prevented through this. As per Bulut, Soysal and Isik (2018), geriatric conditions are very complicated manifestations of clinical disease that isolates the older adults and acts as a common factor for them to create significant causes of mortality morbidity and increased Healthcare cost. For many individuals of older population, it is very common for them to deal with dementia and depression unary inconsistency answer and other health problems to deal with but at the same time many of them are also showing geriatrics in terms that are common the dwelling among adults. But the recent study has also implemented that these patients are dealing with fall risks that are fatal for the already worse physical situation of these patients. Therefore, Ozturk et al., (2020) has taken some comprehensive geriatric assessment on older adults and diagnosis have done to understand the mental disorders and its relation to fall risk. The study has concluded that it is very important to help the geriatric syndrome patients with proper treatment mechanism and tools that will be able to sustain them. Evaluation of literature Judging by the literature mentioned in this proposal it is understood that there has not been many extensive research on the topic of geriatric conditions and its relation to fall risk among older people with mental health problems. Literature has pointed out that it is very important to understand and evaluate the existing problems that arising from older population dealing with severe Alzheimer's disease or dementia problems that are apart of geriatric conditions or syndromes. The literature has evaluated certain data on the frequency of this problems and its relation with other health issues that are constantly rising among the elderly populations. It is also been mentioned in this literature that people dealing with cancer and psychological stress can also fall under the category where there is scope fall is higher than the average. That photo literature suggests better medical care and a extensive care units for these kind of patients for it will prevent them from falling and being off balance from their regular state. In this way the people will be less harm and will be able to be careful in their regular deeds. Applicable change or nursing theory utilized The Change management plan of the nursing theory has you utilise the data from Lewin's change theory where they have prescribed that it is important to develop the use of social psychology to the three-stage model of Lewin’s theory. This theory is important for the knowledge of science in change Management Theory and it will critically alter The organisational systems that have been implemented for mental health for elderly patients so far (Goto et al., 2019). The theory will create a Framework for implementation management and evaluation of change within the given context of fall prevention and risk procedure of the mental health patients. Proposed implementation plan The plan will help in understanding the required measurements that the targeted patients are required to be treated according to the medical policies and Standards. It is very important to understand and acknowledge the requirement of change and establish the plan as per the general rule. Implementation of the plan will follow the theory that will help in changing the whole process of proposed implementation of older patients with mental health problems (Fahlström et al., 2018). The possibilities of the implementation of the plan will analyse the underlying problems and represented as per the requirement. Evidence-based practice on intervention plan The study will require some evidence-based intervention plants that are needed to understand the main areas of changes and how it can be improved with proper modification. From the literature the evidences have been gathered as per the requirement of the proposal and various first-hand data have also been collected from various medical experts as well as patients and their families in order to understand our what are the main requirements of this policy and how it can be improved by proper training and procedure of treating the older patients with mental health problems. Evaluation the proposed nursing intervention Proposed nursing in intervention it to be full proof and the outcome should approve the risk factors that are needed to be implemented on the patients’ beneficiary. Therefore, it is important to understand the value of the intervention and how it can be evaluated according to the plan. It will require certain tools and techniques and proper training of the medical experts to deal with the new method of treating geriatric syndrome patients (Kamińska et al., 2018). Reduce the fall risk the medical experts will have to be more conscious and need to understand certain methods and techniques to implement the plan into action. Potential barriers One of the name potential barriers that have been measured from this assessment is the required time to use the change method and implement the new policies in action. Medical funding is another process that can be a barrier for the targeted patients who are dealing with mental health problems and fall risk at the same time. References Bulut, E. A., Soysal, P., & Isik, A. T. (2018). Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017. Clinical interventions in aging, 13, 1899. Fahlström, G., Kamwendo, K., Forsberg, J., & Bodin, L. (2018). Fall prevention by nursing assistants among community‐living elderly people. A randomised controlled trial. Scandinavian journal of caring sciences, 32(2), 575-585. Goto, N. A., Van Loon, I. N., Morpey, M. I., Verhaar, M. C., Willems, H. C., Emmelot-Vonk, M. H., ... & Hamaker, M. E. (2019). Geriatric assessment in elderly patients with end-stage kidney disease. Nephron, 141(1), 41-48. Jin, J. (2018). Prevention of falls in older adults. Jama, 319(16), 1734-1734. Kamińska, M. S., Miller, A., Rotter, I., Szylińska, A., & Grochans, E. (2018). The effectiveness of virtual reality training in reducing the risk of falls among elderly people. Clinical interventions in aging, 13, 2329. Magnuson, A., Sattar, S., Nightingale, G., Saracino, R