Quiz 5: Evidence-Based Practice in Health Care

Nursing

An old patient was admitted with congestive heart failure. She also suffers from urinary frequency. An additional diagnosis is that she has a risk for falls. The nurses follow the process of EPB for deciding whether a patient is at risk of falling. They are using valid and specific assessment tools to determine the risk of a patient. The process includes several steps: • Asking burning clinical questions • Finding the best evidence • Critically checking and synthesizing relevant evidence • Carrying out accepted recommendations • Evaluation of the outcome So, the nurses can ask the patients themselves. They can find the evidence by watching the patient closely. They can check the evidence and frequency of the falls. They can carry out the required actions for the patient like adding rails to the bed. The evaluation of the outcome can be seen by observing the patient. Also, each patient behaves in a different way.

An old patient was admitted with congestive heart failure. She also suffers from urinary frequency. An additional diagnosis is that she has a risk for falls. She climbed over the rails of her bed to go to the bathroom and fell down. In a population of inpatient older adults, the factors which can predict fall of patients with a high degree of accuracy: • Old age • Gait and balance impairment • Urinary incontinence • Use of laxatives and antipsychotics • Disorientation

An old patient was admitted with congestive heart failure. She also suffers from urinary frequency. An additional diagnosis is that she has a risk for falls. She climbed over the rails of her bed to go to the bathroom and fell down. Yes, bed alarms can prevent falls to some extent in the elderly. In people of other ages it can work well, but in elderly patients, it can work only to some extent. A nurse has to be nearby, preferably in the next room. Since, they cannot control urine for a long time, alarm switches can help only to some extent. Yes, the best evidence proves that bed alarms are useful in preventing a certain percentage of falls.

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