The practice among nurses on prevention of adverseevent can be improve by implement the OrlandoNursing Theory-based practice to achievesuccessful in quality of care as well as reduce any advent event such aspatient falls, medication error, pressure injuries and many more. Furthermore,Orlando’s framework provides a road map for nurses to use when situation likefall occur. For example, Mrs.J who have difficulties to look clearly because ofcataract disease administer to hospital without any relative with her.
Sheneeds someone to help her in doing self care activities. Now nurse must assessthe patient behavior based on Orlando Theory- based practice. The practice ofnurse in this situation is first, the nurse must assess and determine whetherpatient has high or risk of fall. Assessment like do the patient use cane orwalker, patient have fallen within 6months before or not, do the patient take medications that cause frequenturination and other questions. Then, patient with high risk will be review bythe physical therapist for mobility, safety and their activities daily living.Besides, nurses can assess the environment and examine the accessibility ofcall button, walker or wheel chair, nearness to toilet, or equip patient withbathroom supplies such as bed pan, wipe tissues, water and others. For low riskpatient, general observation and safety precautions such as using side rail,tagging with morse fall scale to prevent falls.
Hourly rounding is the bestways to prevent falls. Other than that, positioning, toileting schedule and addressing pain will improvepatient comfort and decrease falls. For confused patients, the use of siderails, bed alarms, and bed arrangements must be considered for ambulating patientsand this also useful for patient with unsteady gait. Furthermore, the followinginterventions are beneficial for a prevention of fall such as familyinvolvement in care, room closer to nurse station, lower bed, use bed alarm, siderails up, scheduled assistance to toilet, hourly rounding. Reducing unsafebehavior may be achieved by moving patient close to nurse station.