Fall Prevention by Nursing Assistants Among Community-Living Elderly People

Table of Contents


One of the acute problems experienced by elderly patients is falls. At the same time, in healthcare institutions, these incidents are also frequent. Nursing staff who are responsible for the safety of patients find it difficult to control all movements of those who undergo treatment. The consequences of falls in adulthood may be dangerous, which explains the need to find solutions to this issue. In nursing practice, there are special models that involve specific types of care in accordance with the needs of people, the nature of diseases, and other attendant factors. In this case, Orlando’s theory can be considered one of the effective methods of providing systematic patient observations (Shumba & Abraham, 2017). Also, a literature review on this topic can help to identify the ways to prevent falls and programs aimed at helping the elderly population. Relevant academic sources may be a good rationale for developing a separate study to exclude the fall of older patients in healthcare settings.

Nursing Theory Application

Strategies to prevent falls among elderly patients may be compiled into an evidence-based proposal where appropriate techniques can be presented in the form of nursing interventions. However, in addition to practical methods, some theoretical concepts also deserve attention since no projects can be implemented without appropriate justification. As an auxiliary source, Orlando’s nursing model may be considered one of the methods of helping elderly patients. According to Shumba and Abraham (2017), this theory provides that “the nurse-patient relationship is a collaborative endeavor, in which practical action plans can be developed and implemented that result in quality patient care outcomes” (p. 4). To be more precise, continuous medical personnel’s monitoring is one of the primary components of this concept.

One of the causes of falls is the insufficiently good physical condition of those patients who undergo treatment. If junior medical staff monitors such people in their departments closely, dangerous consequences may be avoided. As Shumba and Abraham (2017), nurses’ reactions and actions are the direct consequence of patients’ behavior, and the timely prevention of excessive mobility is one of the most rational solutions. If an older adult falls unsuccessfully, there is a risk of a long and complex therapy, which does not always end positively. Therefore, a more appropriate solution is to prevent any attempts at an excessive physical activity. Particular attention should be paid to those who are not able to help themselves independently and are forced to rely on nurses’ help. Such patients’ intention to move on their own is fraught with falls, which should not be allowed. Consequently, careful monitoring as one of the key provisions of Orlando’s theory is an effective and necessary technique.

Literature Review

In order to avoid the risk of falls among elderly patients in healthcare settings, attention should be paid to some academic studies where valuable information is provided. For example, Luk, Chan, and Chan (2015) suggest addressing the special physical training of those who are at risk. According to them, “the exercises need to be of sufficient intensity to improve muscle strength” (Luk et al., 2015, p. 166). At the same time, a balance should be maintained between loads and rest so that patients could not overwork and could perform appropriate exercises regularly. This technique can be useful in those departments where people are able to engage in physical activity. However, it is useless for patients with those traumas that do not allow them to be tired.

Podhorecka et al. (2016) suggest paying attention to specialized assisting equipment that can be useful for preventing falls. According to the authors, “the usage of crutches or walking frame should be taken into consideration among people with considerable balance disorders” (Podhorecka et al., 2016, p. 9). Also, as one of the mandatory components of protection against falls, comfortable shoes should be selected in accordance with the individual characteristics of patients. A special anti-slip base allows staying on one’s feet more steadily and protecting oneself from losing balance on a slippery floor. If these measures are followed, it is likely that older adults will move more confidently in healthcare settings.

When evaluating the effectiveness of nursing interventions not at clinics but patients’ homes, it is possible to pay attention to the study by Fahlström, Kamwendo, Forsberg, and Bodin (2018). The authors offer medical professionals’ ongoing consultations as the way to monitor the condition of older adults (Fahlström et al., 2018). Working with each patient enables nurses to not only help restore health but also to offer appropriate educational practices that can be useful in the future. As a consequence, the authors argue that an individually developed assistance program “can produce positive changes regarding balance” and restore motor functions without the danger of falls (Fahlström et al., 2018, p. 581). Therefore, this intervention also deserves attention.

López-Soto et al. (2016) focus on the statistics of falls among elderly patients in healthcare facilities and cite the information from four-year observations in their study. Different data are presented, which can be taken into account by nurses. For instance, “falls typically took place in the patient’s hospital room (72%) and bathroom (23%)” (López-Soto et al., 2016, p. 435). Also, they remark that “major causes were patient instability (32%) and accident (13%), and most occurred when not wearing footwear (45%) or wearing inappropriate sling-back open-toe shoes (39%)” (López-Soto et al., 2016, p. 435). This statistical analysis may be of practical value for nurses since relevant causes may be considered in detail in order to prevent them.

Vlaeyen et al. (2015) cover a large list of existing studies on the prevention of falls among the elderly population and group results by different categories. The features of prevention programs, the number of participants, strategies involving educational methods, and other criteria are included in the study. The authors managed to draw valuable conclusions – “a significant effect of fall prevention interventions on falls or fallers but, for the first time, showed that fall prevention interventions significantly reduced the number of recurrent fallers by 21%” (Vlaeyen et al., 2015, p. 211). Therefore, their project can also be useful as one of the reasons for nursing work in relation to the issue under consideration.


The academic articles presented along with Orlando’s nursing model are sufficient justification for paying attention to such a problem as elderly patients’ frequent falls in healthcare facilities. The papers reviewed show different approaches and strategies aimed at eliminating this problem and searching for the best ways to increase literacy among the target population. Orlando’s theory is an effective concept that can be used for nursing interventions to increase the control of junior medical staff over patients’ mobility and timely response in case of any non-standard situations.


Fahlström, G., Kamwendo, K., Forsberg, J., & Bodin, L. (2018). Fall prevention by nursing assistants among community-living elderly people. A randomised controlled trial. Scandinavian Journal of Caring Sciences, 32(2), 575-585. Web.

López-Soto, P. J., Smolensky, M. H., Sackett-Lundeen, L. L., De Giorgi, A., Rodríguez-Borrego, M. A., Manfredini, R.,… Fabbian, F. (2016). Temporal patterns of in-hospital falls of elderly patients. Nursing Research, 65(6), 435-445. Web.

Luk, J. K., Chan, T. Y., & Chan, D. K. (2015). Falls prevention in the elderly: Translating evidence into practice. Hong Kong Medical Journal, 21(2), 165-171. Web.

Podhorecka, M., Kędziora-Kornatowska, K., Główczewska, J., Gębka, D., Sucharska-Szymkowiak, M., Ciesielska, N.,… Weber-Rajek, M. (2016). Falls in the elderly – Risk assessment and procedding. Medical and Biological Sciences, 29(4), 5-11. Web.

Shumba, C., & Abraham, S. (2017). Patient falls in the acute care hospital setting as perceived by the frontline staff. Prensa Med Argent, 103(3), 2-10. Web.

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. Web.

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.
Business Studies
Thank you so much! I had to take my dog to the ER and had no time for the assignment. I really appreciate your help! I can't thank you enough! I really appreciate the work and integrity put into it. Thank you for taking it seriously and not bullshiting the paper.
Customer 452815, July 26th, 2021
Criminal Justice
This has been the greatest help while I am recovering from an illness. Thank your team so much.
Customer 452671, May 2nd, 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
Classic English Literature
It was my first time using such a service. Essay was good and nicely formatted.
Customer 452441, February 16th, 2022
Love this writer!!! Great work
Customer 452597, April 5th, 2021
English 101
very good paper thank you.
Customer 453083, February 18th, 2022
The writer was timely and proficient. I had to ask for a revision, but I got it back quickly with no other issues. Would use this essay writing service again
Customer 452441, November 14th, 2021
Social Work and Human Services
Great work I would love to continue working with this writer thought out the 11 week course.
Customer 452667, May 30th, 2021
English 101
Thank you for this excellent analysis of the Alchemist.
Customer 453213, June 15th, 2022
English 101
IThank you
Customer 452631, April 6th, 2021
Business and administrative studies
awesome job
Customer 453201, June 24th, 2022
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
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