On Solid Ground: A Quality Improvement for Fall Prevention

Author

Jessica Vergara, The University of Texas at El Paso

Date of Award

5-2024

Degree Type

DNP Project

Degree Name

Doctor of Nursing (ND)

Department

Nursing

Chair

Manuel Miranda

Abstract

Background/Problem Statement: Falls among older adults are a significant concern, affecting up to 30% of individuals aged 65 and older annually. Multiple risk factors contribute to falls, including age, comorbidities, medications, and environmental hazards. Despite the common belief that falls are inevitable with aging, this project emphasizes the preventability of falls through multidisciplinary management and proactive engagement in fall prevention programs.

Aims/Methods: The initiative focuses on implementing the Matter of Balance (MoB) program within an institutional setting. MoB has shown favorable effects on fall-related concerns. The study employs a comprehensive outreach strategy targeting older adults at risk of falling, those fearful of falling, and those with a history of falls. Stay Independent self-risk assessment tool identifies at-risk individuals, while validated tools such as Timed Up and Go, 4-stage balance tests, and self-reported scales assess program effectiveness.

Results/Interventions: The project provides insights into institutional-based fall prevention strategies, emphasizing proactive intervention, outreach, and evidence-based programs like MoB. Evaluation of the program's impact on fall risk, strength, and balance measures informs future initiatives aimed at promoting healthy aging and improving older adults' quality of life.

Conclusion(s): Implementing the MoB program within an institutional setting demonstrates promising results in addressing fall-related concerns among older adults. Multidisciplinary approaches and evidence-based interventions contribute to reducing fall risk and enhancing the well-being of older individuals.

Implication(s) for Practice: Institutional-based fall prevention strategies, such as the MoB program, offer valuable insights for healthcare practitioners and policymakers. Proactive engagement, outreach, and utilization of validated assessment tools are essential components in addressing falls among older adults. Emphasizing evidence-based interventions in institutional settings can lead to meaningful improvements in older adults' health and quality of life.

Recommended Citation

Vergara, Jessica, "On Solid Ground: A Quality Improvement for Fall Prevention" (2024). Cohort XII. 10.
https://scholarworks.utep.edu/cohort_12/10