Nutritious Diet for Fall in elderly people - Myassignmenthelp.Com

Question: Discuss about the Nutritious Diet for Fall in elderly people. Answer: Project Aim This project aims to decline the fall rate in the aged people who stay in the Aged care homes by less than 30%, within 6 months by providing nutritious diet. Project Evidence Certain evidences that support that the problem is worth to solve includes, the Australian Health Care reports and, the report of Health and welfare of the elderly people i.e., provided by the WHO (World Health Organization). Australian Health and welfare reports has reported that, from 2011-2012 around 1, 26,000 elderly people were admitted to the hospitals. The reason is reported as injuries caused because of falling. For every 1, 00,000 count the rate of fall in women is 4,252 and in men it is estimated as 3,235 (Right at Home Australia, 2018). WHOs global health report on fall prevention in old people report stated that, in 2006 the people above 60 years of age were estimated as 688 million, throughout the world. It was estimated that the number could further reach up to 2 billion by 2050 (Sherrington and Tiedemann, 2015). Clinical Governance The Australian council defines Clinical Governance as a system that helps the government to manage the responsibilities of the mangers, staff and clinicians. It also ensures to check their accountability in terms of quality health care, decreased risks, continuous improvement and development in the patients (Avant.org.au, 2018) (Western Australian Strategic Plan for Safety and Quality in Health Care 20132017, 2014). Pillars of Clinical Governance Clinical Governance contains the following pillars: Consumer Value In clinical governance, the initial pillar is termed as Consumer value (Clinical Governance, Safety and Quality Policy Framework, 2016). It is a pillar utilised to establish the policies and standards that help to improve the patients knowledge. It contains a policy named as, Complaint management and health service orientation policies. Thus, the aged peoples complaints are focused with orientation programmes for improving their health (A clinical governance guide for remote and isolated health services in Australia, 2013). Therefore, value of the aged people is considered in this pillar (Clinical Governance Framework, 2012) (Sherrington and Tiedemann, 2015). Clinical Performance and Evaluation In clinical governance, the secondary pillar is termed as clinical performance and evaluation, which evaluates the clinical measures. Such pillar is utilized to establish the procedures to audit, monitor and evaluate the related performance. This pillar might help the aged care homes, to get information about the doctor (A clinical governance guide for remote and isolated health services in Australia, 2013). Patient dashboard can also be provided to the aged care. This pillar helps in reducing the variations in the clinical practices which would help the health of the old aged to go with routine treatments and medicines. The adverse cases are reduced and simultaneously the cost also declines. Thus, this can help economic stability of the aged care homes (Phillips et al., 2010). Clinical Risk In clinical governance, clinical risk is an essential pillar, which contains the standard policies. For instance, Clinical Risk Management Policy and root cause analysis (A clinical governance guide for remote and isolated health services in Australia, 2013). Such type of risk management policy could be helpful for identifying the risk factors related to aged peoples health. The main cause for the fall in the old people is identified by the root cause analysis, which can be used to resolve the identified causes (Wu and Hsieh, 2013). This results in prevention of falls (Fenn and Egan, 2012). Professional Development and Management In clinical governance, the final pillar is termed as, Professional development and management. This pillar ensures to improve the health care services and is utilized for its professional development (A clinical governance guide for remote and isolated health services in Australia, 2013). This policy directs the rules of clinical practice for the staff and helps them to take care of the elderly people living in the aged care homes (Phillips et al., 2010). Clinical Governance for Old Age Care Homes Government of South Australia conducts SA Health Care programs like, Preventing Falls and Harm from falls for the aged people. They have taken certain policy measures to prevent falls in the elderly people. National quality and safety has 10 standards and among 10 standards, the two important standards are Preventing Falls and Harm from falls (Sahealth.sa.gov.au, 2017). Organizations that provide health care services has certain governance structure and system for reducing falls, which minimizes the injuries that are caused due to falls (Church, Haas and Goodall, 2015). The Australian hospitals, communities and the residential aged care homes got best practice guideline in 2009, for reducing the fall in old people. They produced three different documents. One for hospitals, second one for the Residential Aged care homes and third one for the community care. This governance was established on January 1, 2009 (Sahealth.sa.gov.au, 2017). This governance had reported to address various a spects like, interventions and precautionary measures for falls (Stevens et al., 2015). They provided many possible risk factors and interventions for the falls in the aged people (Myagedcare.gov.au, 2015). Key Stakeholder of the Aged Care Stakeholder can either be an individual or a group of people who can either impact or get impacted by any activity. The aged care homes primary stakeholders are as follows: Beneficiaries They are the owners of the aged care home and they get income from it. Providers or helpers They are the people who provide health care facilities for the elderly people. Funders They are the people who provide funds for facilitating the old people. Old Age people Old Age people are those who are directly involved in the Aged care homes (Winter, Watt and Peel, 2012). CPI Tools Clinical Practice Improvement (CPI) improves the health care process and its results. It is a methodology that provides multidimensional outcomes which can be directly applied in patients clinical management process. CPI is a tool that, acts as an assistance to understand and implement the feedbacks for supporting the knowledge in the clinical environment. It mainly helps in the following processes: To identify and diagnose the issue. To implement interventions. For re-measuring the results, to know whether the interventions were effective enough or not. Thus, CPI is referred as a tool that deals to organize the health care related issues. The methodology of CPI is to explore the following (Qualitymatters.co, 2018): What has to be achieved? How to know that change can lead to improvement i.e., what must be measured? What kind of changes must be made that results as improvement? CPIs fundamental principles are listed below (Qualitymatters.co, 2018): It is possible to analyse the health care process. It is possible to measure the clinical process and its results. A desire to implement change. Reflective knowledge on human performance and essential care system related to health care process is required. In the health care process for effective improvements, multidisciplinary teamwork and designing novel solutions are very much important. According to various health care reports, the hospitals take actions and measures only after the fall. But, this project demands implementing precautionary measure before the occurrence of fall in the old people. Thus, a properly defined CPI tool is essential to implement the precautionary measures. Various CPI tools are available to improve patients safety and to improve the quality of health care services. The tools include like, Six Sigma, Plan-Do-Study-Act (PDSA), Lean, Root cause analysis and so on. Plan-Do-Study-Act (PDSA) Mechanism This project considers "Plan-Do-Study-Act" mechanism as a perfect CPI tool for the prevention of falls in the aged people. PDSA is a quality improving cycle. Its main objective is to establish relationship between the modifications done in the process, which gives positive impacts on the final outcomes of the process (Clinical Prevention And Population Health Curriculum Framework, 2015). Plan Plan States: To provide nutritious food and medications to the aged people present in the Aged care homes, for improving their health (NCOA, 2018) (Mucavele, 2013). Expected Results of the Plan: The nutrients in the diet along with the medication at the right time declines the rate of fall in the aged people, due to improved care and nutrition. Plans Execution Steps: Initially, the current fall rate in the elderly people will be estimated. A diet plan for all the aged people will be distributed in the aged care homes. The diet will be strictly followed along with the doctor prescribed medications. The providers or helpers will ensure that all the elderly people are provided their respective diet. These steps will be continued for the next six months. The fall rate will be evaluated again, to check the results of the implemented plan. Do What was observed? It was observed that the aged people required help or assistance in reminding to take their medications on time. They faced difficulty in walking and standing, without any support. Every time young people or helpers were not around to give them the required support to stand and walk. Some hated consuming more tablets and took excuses for having their tablets. Deficiency of vitamin D and calcium was observed in the old people. Study What was studied? It was studied that the aged people require additional supplement to strengthen their bones. The study projected that, the aged people need immediate support of supportive objects to walk and stand all by themselves. Further, it was observed from the study that, the aged people stayed at their bed most of the time and they rarely went out to get additional vitamin D. Additional calcium for strengthen their bones was missing. Were the measured goals achieved? The initial plan had certain flaws, which failed the plan. The encountered flaws are listed below: Lack of Vitamin D and calcium. Lack of supportive objects for independently moving around. Lack of knowledge about their medicines. Act Conclusion: As elderly people felt uneasy to rely on others support, provide essential support objects that help them to stand and walk by themselves. Thus, this will help them to be independent. Educate the aged people about the benefits of taking their medicines, on time. This will help them to have their tablets without any excuses. Moreover, they will realize the importance of their tablets and would be careful not to miss it at any cost. Thus, the elderly people can go out by themselves to intake sunlight, for additional vitamin D. Henceforth, the second cycle of PDSA will help to implement solutions to the flaws observed in the first plan. Thus, solution for the flaws is adding enough supportive objects, in the aged care homes, intake of sunlight for vitamin D and calcium supplements are recommended in the next plan, as an improved plan. Proposed Intervention This section describes and explains the proposed interventions or plan. Problem The rate of fall in the old people has increased in the Australian aged care homes, to a large extent. Aim This report aims to prevent fall in the aged people, by providing them nutritious diet. Thus, the plan just enforces correct intake of nutritious food. Problem Dimensions The identified reasons for the fall are listed below: Lack of nutritious diet. Lack of knowledge about the benefits and value of the medications in the patients. Lack of independent support for standing and walking. Lack of care and support in the aged care homes. Proposal Justification The plan just enforces on effective intake of nutritious food for the old people (more than 65 years old) living in the Aged care homes. The food rich in vitamin D are added in the diet such as, Salmon, mackerel, tuna and beefs liver. Soya milk, cheese and raw milk are the dairy products included in the diet that contains vitamin D and calcium. Orange is the fruit that is added in the diet to add Vitamin D intake in the old people. The food rich in vitamin D rich helps the old people to recover from fractured bones that is observed in patient of Osteoporosis. The fall in old people results in Osteoporosis. Limitations of the Proposal This proposal fails to concentrate on the other essential care that the old people require. For instance, independence through supportive objects and knowledge about their medication. Thus, the important thing that this proposal lacks is improving human balance. Lacks additional calcium intake in the diet, as the old people have weak bones and muscles that results in fall. Therefore, adding calcium intake in their diet is important. Though, the diet includes food is rich in vitamin D, it is not sufficient for the old people. Because, it is also important to get sunlight exposure for providing enough vitamin D. On the other hand, even the experts suggest the benefits of sunlight exposure on the old peoples body parts like face and upper limbs just for five to fifteen minutes. This is considered to save the old people from Osteoporosis. Thus, the proposal lacks vitamin D, got through sunlight. The proposal also require sponsors for providing funds to economically support the old aged people living in the aged care homes. Therefore, including solutions for these limitations can support this proposal to accomplish. Barriers for the Implementation The barriers for fall prevention program includes, time management and economic factors (Child et al., 2012). Time Management It is the primary factor that acts a as barrier for the elderly people, as the daily lifestyle of the elderly people keeps changing due to their ailments. The elderly people require help from other people to visit their doctors for routine check-up, to resolve their health problem. But, their close ones might be busy with other works. Therefore, this results in time management issue for their concerned ones, as they have to spend their time in waiting for the taxi and the waiting time to meet the doctor (Child et al., 2012). Economical Barrier Various studies prove that, the cost used for resolving any proposed solution is the biggest barrier of the project. More money is required to purchase the nutritious food resources, for the aged care homes. Thus, appropriate medications by consulting a doctor is also economically difficult. The elderly people often get health issues, and consulting a doctor often for all their issues might not be possible by all. Moreover, it is not possible for the old people to use public transport for visiting the doctor and hence a private taxi has to be used. This becomes the economic barrier (Child et al., 2012). Project Evaluation This section includes evaluating the measures and results of the proposed interventions. Evaluation Result Plans Strategic Fit The current fall rate in the old people is estimated and is compared after completing the plan, for a set period of time. Project Validity The results are evaluated after a duration of six months. Progress and effectiveness of the Plan This project considers CPI tool as its foundation and it implements using effective PDSA cycle, which helps it to identify the drawbacks of the plan and help in improving the plan in the next cycle. Resource Efficiency This project lacks management of resources like nutritious food. Effective Management This project also lacks effective management. Plans Sustainability The plan will be sustainable only it is financially supported, to facilitate the aged care homes with nutritious food, supportive objects to walk. But, this project plan doesnt provide details about methods that supporting funds. One of the method is promotions of aged care homes. 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