Question

Discussion 5.1: Organizational Adaptation Name: Type of health care organization (i.e., standalone hospital, health system, long -term care, hospice, medical group practice pharmaceutical company etc.) Brief description of the environmental pressure (be specific) that created the need to adapt A description of the response carried out by the organization to change course Health System Did the response work (i.e. not losing sight of goals)? Why or why not? One recommendation you would make to improve the organization's adaptive capability to the environmental pressure ort Reference

Answer 1

Type of health care organization:
Long-term care
Brief description of the environmental pressure:
Falls rate in long-term care higher than senior living in the community..Exposure to environmental hazards increases approximately 27% in long term care..Environmental factors cause this illness due to improper beds facilities,poor lighting, slippery floors,lack of rest areas and lack of kick space under the bed..Bedside is the most common location for falls,it happens mostly during the day times,when health care providers are not available staff shift change times..Women have higher rates of fracture than men due to falls..
A description of the response carried out by the organization to change course and adapt:
It is important that fracture prevention,interrelated health issues in long-term care cause many injuries including death..Intervention for this risk to prevent osteoporesis with vitamin D supplementation decreased the risk of fractures, Biphosphonates to decrease the risk of fracture by increasing bone density..There is lot of psychological consequences due to fall like social withdrawal,reduced quality of life etc..Fall management is an important part of model of care..Effective intervention to prevent falls including exercise,avoiding unsafe medication practice,additional supplementary medicines reducing hazards in LTC by avoiding poor lighting and cluster using hip protectors,comprehensive fall risk prevention strategy includes resident  education and environmental modification..Elderly individuals with physical disability not using a walking aid avoid falls..Assistive device,immediate post fall management,transferring with mechanical lifts, monitoring,communication and documentation can improve the quality of care..
Did the response work:
It will work with the support of health care provider..they should be aware of tendency for elderly individuals to dissociate themselves from falling..It is responsibility for all the staffs with communication following policies and procedures with interdisciplinary team..
One recommendation you would make to improve the organization's adaptive capability to the environmental pressure:
Apart from environmental modification, family education is the essential components in an overall strategy..Education about fall risk,exercise program is the risk reduction strategy can improve quality care and avoid risk and improve balance..supervise and assist them with toileting program,footwear features use of hip protectors,assistive devices,changes in position,bedside lock can help understanding the complexity and eliminate fear of family and residents..