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Factors contributing to falls on an acute rehabilitation brain injury unit
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Factors contributing to falls on an acute rehabilitation brain injury unit
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Factors contributing to falls on an acute rehabilitation brain injury unit
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Dissertation
Factors contributing to falls on an acute rehabilitation brain injury unit
2010
Overview
Patients with brain injury who require inpatient acute rehabilitation often have significant cognitive deficits that place them at high risk for falls. Complications from patient falls are responsible for minor as well as major injuries, including death. Nurses who care for patients on an acute rehabilitation brain injury unit continually put effort into keeping patients safe and preventing falls. Research on patients with brain injury who fall during acute rehabilitation is limited. This quantitative, descriptive study identified factors that contributed to falls in this population. Medical records from a Midwestern state rehabilitation hospital brain injury unit were reviewed. Data from 50 falls of patients with brain injury were collected from November 2008 to June 2009. In addition, data from 50 medical records of patients with brain injury who had not fallen during the same time frame were reviewed as a control group for comparison. The QAMUR model served as the theoretical framework for this study. Descriptive statistics and logistical regression were used to analyze the data. This study found patients who were more independent with ambulation on admission were less likely to fall. This study found sleeping medications and anticoagulants were associated with patient falls. This study found patients with lower extremity fractures are less likely to fall. Learning about falls on an inpatient acute rehabilitation brain injury unit has the potential to improve fall assessment and intervention strategies for these patients. Having an understanding of how these factors can contribute to patient falls on a brain injury unit can assist the interdisciplinary team to prevent falls.
