Posted: February 19th, 2023
Your for the course project should be a 2-3 page APA (not including title page and the reference page) that describes the clinical problem and the following:
The PICOT question aims to investigate the effects of implementing a multidisciplinary team-based approach compared to the standard of care in acute care hospitals on the rate of falls in adults aged 65 and over within a six-month period. Falls are a major cause of morbidity and mortality in older people. Falls can lead to serious injury, increased healthcare costs, and reduced quality of life (Choi et al., 2023). The implementation of a multidisciplinary team-based approach may reduce the risk of falls through improved risk assessment, patient education, and targeted interventions.
The comparison intervention is the standard of care that is typically provided in acute care hospitals and may include patient education, environmental assessment, and other interventions. The outcome of interest is the rate of falls within a six-month period (Choi et al., 2023). By addressing this clinical question, we can gain insight into the effectiveness of the multidisciplinary team-based approach in reducing the rate of falls in older adults in acute care hospitals.
Reference
Choi, J.-Y., Rajaguru, V., Shin, J., & Kim, K. (2023). Comprehensive geriatric assessment and multidisciplinary team interventions for hospitalized older adults: A scoping review. Archives of Gerontology and Geriatrics, 104, 104831. https://doi.org/10.1016/j.archger.2022.104831
SOLUTION
The reason for choosing this topic is the high incidence of falls and associated adverse outcomes in older adults in acute care hospitals. Falls are a significant problem for older patients in acute care hospitals, and the rate of falls is higher in this setting than in other healthcare settings (Haines et al., 2019). The implementation of a multidisciplinary team-based approach has been shown to reduce the risk of falls in older adults in long-term care facilities and community settings (Choi et al., 2023). However, the effectiveness of this approach in reducing falls in acute care hospital settings is not well-established.
The possible integration of evidence found in clinical practice includes the implementation of a multidisciplinary team-based approach that includes comprehensive geriatric assessment, patient education, environmental assessment, and targeted interventions. The multidisciplinary team can consist of healthcare professionals, including physicians, nurses, physical therapists, occupational therapists, and pharmacists (Choi et al., 2023). This approach can improve patient outcomes, including reducing falls, improving functional status, and reducing hospital readmissions.
The methods to evaluate the effectiveness of implementation include pre- and post-intervention data collection on the rate of falls and associated outcomes, such as injuries and healthcare utilization. The data can be compared between the intervention group and the standard of care group. Other methods can include surveying patients and healthcare professionals on their satisfaction with the intervention and its impact on patient care. The implementation can be evaluated through quality improvement initiatives and ongoing monitoring and feedback to the multidisciplinary team.
In conclusion, the implementation of a multidisciplinary team-based approach may reduce the rate of falls in older adults in acute care hospitals. The effectiveness of this approach needs to be evaluated through well-designed studies that compare the intervention to the standard of care. By addressing this clinical question, healthcare professionals can improve patient outcomes and reduce he
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