Goal Setting Progam of a Nursing Home

The problem of accidents involving elderly patients in a variety institutional health care settings, including nursing homes, is growing in significance because of both (1) the increasing numbers of elderly persons in the population, and (2) the increasing numbers of elderly patients in health care institutions of all types, including nursing homes. Accidents obviously are detrimental to the health and wellbeing of elderly patients. Accidents involving elderly patients, however, are also detrimental to the health of institutions because of both liability for damages and damage to the professional reputation of institutions involved.

Accidents involving elderly patients in institutional health care settings, including nursing homes, may be classified in two general groups. First, there are those accidents that may be considered to be patientinitiated. An example of a patientinitiated accident is a fall by an elderly patient when that patient is walking unattended. Second, there are those accidents that occur when a patient is under the direct care of a member of the institutional staff. This second group of accidents may include physical mishaps, such as falls, but this accident group is more inclusive that the first group, and also includes such actions as the administration of nonprescribed medication, the misdosage of prescribed medication, and similar actions.

Accidents involving elderly patients in

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lation and implementation of a safety and risk management program for the institution. This program must (a) identify the types of accidents in which elderly patients may be involved, (b) delineate specific institutional actions to minimize the occurrence of such accidents (physical facility modification and maintenance, standard operating procedures dealing with the care and monitoring of elderly patients, and so forth), and (c) establish specific responsibility for each of the institutional actions delineated, with respect to specific members of the institutional staff, by organizational position. 2. The second step is the formulation and implementation a staff development program that, among other things, specifically deals with the minimization of accidents among elderly patients. Such a program should be interdisciplinary in character, and should deal with both patientinitiated accidents, and accidents that may occur when a patient is under the direct care of a member of the institutional staff. 3. The third step is the implementation of a formal program designed to acquaint elderly patients with the types of patientinitiated accidents to which they are susceptible, and with the steps that they, as patients, may take
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Approximate Word count = 1202
Approximate Pages = 5 (250 words per page)