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Fall prevention in nursing and long-term care facilities for older and vulnerable population remains critical issue better health care results for millions of aged people.

Quantitative Studies

Introduction

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Fall prevention in nursing and long-term care facilities for older and vulnerable population remains critical issue better health care results for millions of aged people. In this article make a critical appraisal of two quantitative research studies in relation to addressing the PICOT question in the study of falls among adults based on the research critique guidelines.

Backgrounds

In their study, Albert, assessed the quality and importance of using non-randomized study is for principal prevention of fall for older adults. Albert also gave information about the current models in falls prevention Is all depend on the use of both secondary and other strategies that increased risk of falls. This article is most significantly to the nursing practice all the nurses work in the long term and rehabilitation nursing care facilities that deal with the elderly adults who are very highly risk to the falls. Comment by Melissa Reedy: Include the date of the publication in () Comment by Melissa Reedy: Significant Be sure to either use the writing center of GCU or download Grammarly to help you proof read your papers so that your sentences are complete and flow well.

In this study, Albert identify the lack of research on the effectiveness of these strategies. Through the development of a non-randomized trial in the state of Pennsylvania, the researcher Comment by Melissa Reedy: Identifies

Question for the study was, does a combination of education on falls and screening as well as referrals reduce risk factors for falls among the target population. Comment by Melissa Reedy: No need to capitalize

The second quantitve study by Alvarez how the falls can be reduced by the all the vulnerable and older population in the Assisted Living and long-term care facilities by giving the knowledge about the exercise and using the exercise training. Alvarez also recommended that use of the training exercise means for professionals LNS to provide the education to the CNA to monitor the patients during changing the patient helping them to manage the falls in the older population. The study problem was effectiveness of the strategies and exercising program and fall incidents in the same older population. Comment by Melissa Reedy: Any time you have an author’s name you need a date of the publication or use n.d. if no date is available

This article main focus is to improve the nursing and prepared the nurses to develop strategies’ and make intervention by providing the knowledge to the staff in order e to prevent the fall in the older adults. Purpose of the study is to find the connection between if nurse provide the education and use the exercise strategies how is the fall reduction happened in the staff. The goal of the study is assessing the results between the aerobic exercise and practice exercise in the models to reducing the fall and related injuries in the long-term care facilities. Research question was Is there any exercise is making any difference in the fall number and fall related injuries after giving the education about the exercise to the older population in the long-term care facilities? Comment by Melissa Reedy: The main focus of this article Comment by Melissa Reedy: Delete this e

Article supporting the selected issues Comment by Melissa Reedy: Capitalize your words as this is a title

PICOT Question: In a patient older population with memory problems (P) what is the effect of the strategies’ and intervention(i) in comparison to the different interventions(c) in promote their health and wellness is coming 6th months (T)? Comment by Melissa Reedy: You need to state what your intervention actually is

Older adult is very prone to the falls and get injuries from the fall which can lead to more serious condition and rare cases death. Falls occur because of the long-term diseases and less confidence and long hospitalization.as i worked in the long term for one year and most of the population Is prone to the have fall because of their age and their health condition due to that expectation from nurse to use evidenced based practice and intervention to manage falls in the long-term care facilities in the older population. Older population is naturally deal with the memory problems which make them prone to the falls. Albert non-randomized article can be used to reduce the falls among the older adults. Albert work Is checking the effectiveness of the using the exercise strategies in the older population. secondly the effectiveness of the intervention that is connect with the exercise and use with the non-randomized trial to evaluate its effectiveness the fall reduction with in 1 year. Third to comparison between the different studies and all the intervention took for improve this issue. fourthly. This research gave the answer of the PICOT question by all the time and duration of the use of the intervention and the to improve the quality care. Albert this study conducts for the 6 to 12 months. According to the Albert this study was conduct in the long-term care facilities for the 6 and 8 months. Comment by Melissa Reedy: Are prone Comment by Melissa Reedy: Refrain from using first person

interventions and comparison groups in the articles in PICOT question

the intervention and group are same in the studies which is PICOT question wants to address. Firstly, PICOT question assesses the impact of the strategies’ and intervention promoting the health of the older people. The research and article by Albert and coworker evaluate the non-randomized population and on the other hand Alvarez and co-worker assess the intervention for the fall in the Long-term care facility. All the intervention and groups are used in the PICOT question and article is the same. Comment by Melissa Reedy: Capitalize as you are beginning a sentence

Method of study

In the research studies Albert evaluated the effectiveness of the study which is done for the safety for the older adult population in the state of the Pennsylvania to decrease the number if the older population. There were 2 groups of people they were enrolled in the group for 12 ./’months between 2010 to 2011.third group was enrolled but did not take healthy steps but attend and learn from the work.in the second article by Alvarez.in this study participant enrolled for the five years in privately owned and profit in which they offer independent and in long term care and in this they provide the memory care for the dementia people. Comment by Melissa Reedy: Capitalize

The advantage of this study is non-randomized approach by the research provide the outcome and it helps to comparing the intervention.in this study people identified the goals and study provide by the Alvarez and provide all the insight fullness information about the falls to the all the older people in the long-term care facility.

Result of the study

In this study, researcher found that in the time of the two year 60 falls incidents were reported and more of the half of the fall happened 2 times in one person and main reason for the fall happened in the loss of balance due to the normal age process and further they found out that in the study negative link between falls incidents and training as well as.the participant who had participant In the exercise program they have no incident of fall and further in the study they found the link between fall incidents and exercise. All the participant the one participant in the exercise training they have less chances of the fall. And the other study by Albert find the result about the non-randomized design is helpful in making the approaches to the falls prevention.in this study they teach all the nurses about the intervention about the about the fall prevention to the target population. all the nurses in the long-term care facility have to have education about the exercise program about the older population and teach them about the importance and benefit of the exercise.

Outcome

The Outcome in the PICOT question is that the evaluate that how older adult can improve their mobility with the exercise. Teach them use all the intervention in order to prevent the fall. secondly the outcome is expected to the PICOT question the relationship between the intervention and result is reduction in the falls in the older population.

Comment by Melissa Reedy: Move this to the next page and place in hanging indent format

REFRENCES

Albert, S. M., Edelstein, O., King, J., Flatt, J., Lin, C. J., Boudreau, R., & Newman, A. B. (2015). Assessing the quality of a non-randomized pragmatic trial for primary prevention of falls among older adults. Prevention Science16(1), 31-40. https://doi.org/10.1007/s11121-014-0466-2

Alvarez, K. J., Kirchner, S., Chu, S., Smith, S., Winnick-Baskin, W., &Mielenz, T. J. (2015). Falls reduction and exercise training in an long term care facility . Journal of aging research2015. http://dx.doi.org/10.1155/2015/957598

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