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Falls in a psychiatric unit

Y F Tsai1, N Witte, M Radunzel

  • 1Department of Nursing, Tzu-Chi College of Medicine, Taiwan.

Applied Nursing Research : ANR
|October 3, 1998
PubMed
Summary
This summary is machine-generated.

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A study found that acutely ill psychiatric patients with depression or confusion are at high risk for falls. Patients who fell often had a history of falls, weakness, and mobility issues, frequently occurring when moving from bed or to the bathroom.

Area of Science:

  • Gerontology
  • Psychiatric Nursing
  • Patient Safety

Background:

  • Falls are a significant safety concern in healthcare settings, particularly for vulnerable patient populations.
  • Acutely ill psychiatric patients present unique challenges due to cognitive impairments and mobility issues, increasing fall risk.
  • Identifying specific risk factors and circumstances is crucial for developing targeted fall prevention strategies.

Purpose of the Study:

  • To document the prevalence of known fall risk factors in acutely ill psychiatric patients.
  • To compare risk factors between patients who fell and those who did not.
  • To describe the specific circumstances surrounding falls in an inpatient psychiatric unit.

Main Methods:

  • A descriptive study design was employed over a 7-month period.

Related Experiment Videos

  • A fall-risk factors checklist was completed twice daily for all admitted patients (N=197).
  • An additional instrument documented circumstances for patients who experienced falls.

    • Main Results:

    • The most common risk factors identified were depression and confusion/disorientation.
    • Patients who fell were more likely to have a history of falls, generalized weakness, confusion, mobility difficulties, elimination problems, and fever.
    • Most falls occurred during transfers (bed to standing) or ambulation to the bathroom at night.

    Conclusions:

    • Clinical diagnoses of depression and confusion are prevalent risk factors for falls in this population.
    • Specific factors like prior falls, weakness, and mobility issues differentiate fallers from non-fallers.
    • Understanding the circumstances of falls can inform targeted interventions to improve patient safety in acute psychiatric units.