Fall Prevention Among Older Adult Patients


Falls in nursing homes are a common health problem in the older adult population, which is largely caused by such risk factors as age, balance impairment, taking sedative drugs, and neurological disorders. In the US, 28.7% of elderly patients fall annually, resulting in 7 million injuries (Dellinger, 2017). This health problem prioritizes the need for preventing falls and avoiding adverse health outcomes in patients, and nurses play a vital role as the key care providers. This paper aims to explore the primary, secondary, and tertiary levels of fall prevention among older adult patients of nursing homes, relating them to Healthy People 2020 objectives.

Description of a Scholarly Article Encompassing a Primary Level of Prevention

The primary prevention measures imply the stoppage of the disease or trauma onset before it occurs in a patient. The preparation of medical personnel (Registered Nurses (RNs), Licensed Professional Nurses (LPNs), and Certified Nurse Assistants (CNAs)) for the prevention of falls requires timely education to promote behavioral change. In their turn, nurses are expected to train their patients on proper exercising and safety measures in hospital settings.

The systematic review by Lee, Pritchard, McDermott and Haines (2014) that synthesized data from five databases and used a meta-analysis method found that fall prevention education allows reducing incidents by increasing overall awareness. The articles with multifactorial fall prevention programs and those with patient education as an intervention were included (Lee et al., 2014). The nurses, who updated their knowledge and skills, should use multimedia materials to closely interact with the patients of nursing homes, thus ensuring that they understand the key provisions that are vital for their health.

Description of a Scholarly Article Encompassing a Secondary Level of Prevention

The concept of secondary level prevention is directed towards early diagnosis identification based on routine screening and systemic checks. At the same time, this level emphasizes the need for prompt treatment to avoid further complications and more severe health problems. With regard to falls, nurse practitioners should have the skills to recognize fall symptoms and risk factors (McKenzie et al., 2017).

For example, Álvarez Barbosa et al. (2016) revealed that the risk of falls is associated with the quality of life, limb muscle performance, and functional status. The authors conducted the qualitative research based on the use of the timed up and go (TUG) test, Kistler force platform, Barthel index, and EuroQol‐5 dimension. Two groups, intervention, and control were organized to compare the results of introducing the identified intervention to test their stability indicators.

The outcomes of the study are representative of the fact that the intervention group showed better scores during stability tests and functional assessment. It is recommended by Álvarez Barbosa et al. (2016) to use the mentioned factors in early recognition of risk points and their elimination. In order to follow these directions, it is important for the medical staff to be aware of assessing patients’ life quality and limb muscle performance. Moreover, it should be emphasized that special attention should be paid to the residents of nursing homes with a cognitive impairment since they are more likely to lose balance and fall.

Description of a Scholarly Article Encompassing a Tertiary Level of Prevention

In terms of the tertiary level of prevention, rehabilitation after the illness or injury is regarded as the key goal. In particular, nurses need to be educated to assist elderly patients who received a certain disability or impairment so that they can recover in the most effective way. For instance, the medical staff should found the strategies to work towards rehabilitation via proper exercises or medication intake. Vlaeyen et al. (2015) claim that the evidence-based treatment and management programs are useful for recurrent fallers since their study found the 21% reduction in falls among the residents of nursing homes.

One of such programs is discussed by Palvanen et al. (2014) in the course of the randomized controlled trial that focused on high-risk patients. Speaking of the intervention, it should be identified that the Chaos falls clinics that are located in Finland recruited 1314 patients aged 70 and more to divide them into the control and intervention groups. The multifactorial Chaos Clinic Falls Prevention Program included medical reviews, strength and balance training, proper nutrition, and adjustments within a one-year follow-up.

The results of the described study show that the Chaos Program is effective in elderly patients with a high risk of falls, reducing the number of injuries by 30% (Palvanen et al., 2014). The rate of falls and associated trauma was decreased due to the appropriate implementation of a set of interventions, which were controlled by nurses. This study makes it clear that staff should be educated on the prevention of recurrent falls, and it is possible via the use of the given program as one of the evidence-based options.

How do the Findings Relate with Healthy People 2020 Objectives?

The overall goal that was determined by the Healthy People 2020 initiative for older adults is to enhance the health, quality of life, and functioning of this population. Specifically to falls, it is stated that they are the leading cause of injuries among the elderly: 1out of 3 patients fall annually (“Older adults”, n.d.). This statistic is consistent with the findings of the articles that are discussed earlier regarding the primary, secondary, and tertiary levels of prevention. Relating the first article to the goals of the mentioned resource, one should stress that both of them go in line with the Center for Disease Control and Prevention’s Stopping Elderly Accidents, Deaths, & Injuries (STEADI) educational materials that can be used by care providers to improve their knowledge on fall prevention.

In case a fall occurred, there is a need to employ an evidence-based program for early symptom recognition and proper treatment, as prescribed by Healthy People 2020 and the secondary prevention article. The latter also enlarges the given goal by emphasizing the necessity of monitoring their quality of life along with their functioning level. Furthermore, the National Institute on Aging (NIA) and the Patient-Centered Outcomes Research Institute (PCORI) verify evidence-based interventions and call nurses “falls care managers” (“Older adults”, n.d., para. 10). It is also noted in the tertiary prevention article that recurrent falls require a focus on stability training, nutrition, and so on. These considerations are also concordant with DNP essentials I (Scientific Underpinnings for Practice) and VII (Clinical Prevention).


This paper researched three levels of prevention in nursing with regard to a fall health problem in the older adult population in nursing homes. It was determined that each of the levels is reflected in the academic literature and supported by the Healthy People 2020 initiative. The primary level implies early identification of risks and their timely elimination. Within secondary prevention, nurses are expected to immediately react to falls to minimize health-related complications. Ultimately, the third level prioritizes patient training by nurses to achieve behavioral change and avoid falls in the future.


Álvarez Barbosa, F., del Pozo‐Cruz, B., del Pozo‐Cruz, J., Alfonso‐Rosa, R. M., Sanudo Corrales, B., & Rogers, M. E. (2016). Factors associated with the risk of falls of nursing home residents aged 80 or older. Rehabilitation Nursing, 41(1), 16-25.

Dellinger, A. (2017). Older adult falls: Effective approaches to prevention. Current Trauma Reports, 3(2), 118-123.

Lee, D. C. A., Pritchard, E., McDermott, F., & Haines, T. P. (2014). Falls prevention education for older adults during and after hospitalization: A systematic review and meta-analysis. Health Education Journal, 73(5), 530-544.

McKenzie, G., Lasater, K., Delander, G. E., Neal, M. B., Morgove, M., & Eckstrom, E. (2017). Falls prevention education: Interprofessional training to enhance collaborative practice. Gerontology & Geriatrics Education, 38(2), 232-243.

. (n.d.). Web.

Palvanen, M., Kannus, P., Piirtola, M., Niemi, S., Parkkari, J., & Järvinen, M. (2014). Effectiveness of the Chaos Falls Clinic in preventing falls and injuries of home-dwelling older adults: A randomized controlled trial. Injury, 45(1), 265-271.

Vlaeyen, E., Coussement, J., Leysens, G., Van der Elst, E., Delbaere, K., Cambier, D.,… Dejaeger, E. (2015). Characteristics and effectiveness of fall prevention programs in nursing homes: A systematic review and meta‐analysis of randomized controlled trials. Journal of the American Geriatrics Society, 63(2), 211-221.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
thank you so much
Customer 452749, June 10th, 2021
Emergency Management
Overall, I think it's a great service. I have yet to submit the assignment, so I don't know what kind of grade I'll get. But customer service was excellent. Reviews were made and the assignment proofed for satisfaction.
Customer 453015, December 15th, 2021
English 101
Thank you for this excellent analysis of the Alchemist.
Customer 453213, June 15th, 2022
Thank you!
Customer 452545, February 6th, 2021
Great paper, Thank you so much.
Customer 453209, October 4th, 2022
It was a very long paper, but she followed all the instructions, and she even finished the paper 5 days before the due date. Will write an essay with her again, thanks!
Customer 452967, November 27th, 2021
Human Resources Management (HRM)
I finished the first deliverable of a project presentation but had no time to finish my second deliverable. The writer revamped my first deliverable and made it much more appealing! Not only was I impressed with the content but I was so grateful for the time they took to redo the background. I have been under a lot of pressure at work and at home so this has been a great service when I have had little time! I appreciate the detail and help! Always on time and always exceeding expectations!
Customer 453077, April 5th, 2022
Health Care
awesome work
Customer 452777, October 14th, 2021
Social Work and Human Services
Although it took 2 revisions I am satisfied but I did receive it late because of that.
Customer 452603, March 25th, 2021
Professions and Applied Sciences
Thanks. This helps a lot. Was a bit late but some cushion was given.
Customer 453015, February 10th, 2022
Criminal Justice
The paper was not accused of plagiarism and was written very well. I will let you know the grade once it is graded. Thank you
Customer 452671, April 26th, 2021
Human Resources Management (HRM)
Always great! My son has been in critical health these last few semesters. Many times I have thought he wasn't going to make it and thought about quitting or postponing school until he was healthier but it always happens to be in the middle of the semester. This service has been a lifesaver for my mindset in helping keep my grades up and keep my son alive at the same time. I don't know if I could have made it through this period without it.
Customer 453077, June 6th, 2022
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp