The Little Schimdy Pediatric Hospital Fall Risk Assessment Index: Difference between revisions

(Created page with "Fall is the leading cause of injury.among elderly as well as children . Anually around three million children suffer from fall rlated injuries. There are few researches done that primarily focuses on paediatric fall assessment and preventive strategies. Majority of literature research is done on fall prevention in adults and elder population. For the past many years, a lot of padiatric fall risk assessment methods have been developed. Inteneded population children und...")
 
No edit summary
Line 1: Line 1:
Fall is the leading cause of injury.among elderly as well as children . Anually around three million children suffer from fall rlated injuries. There are few researches done that primarily focuses on paediatric fall assessment and preventive strategies. Majority of literature research is done on fall prevention in adults and elder population. For the past many years, a lot of padiatric fall risk assessment methods have been developed.  
[[File:Fall.png|thumb|239x239px]]
Falling is the leading cause of injury among the elderly as well as children. Overall, around three million children suffer from fall-related injuries. <ref name=":0">Franck LS, Gay C, Cooper BA, Meer CR. The Little Schmidy Pediatric Hospital Fall Risk Assessment Index: A diagnostic accuracy study [Internet]. ResearchGate. Elsevier BV; 2017 [cited 2024 Jan 22]. Available from: <nowiki>https://www.researchgate.net/publication/312106089_The_Little_Schmidy_Pediatric_Hospital_Fall_Risk_Assessment_Index_A_diagnostic_accuracy_study</nowiki>


Inteneded population children under the age of  
‌</ref>There are few studies that primarily focus on pediatric fall assessment and preventive strategies. The majority of literature research is done on fall prevention in adults and the elderly population. For the past many years, a lot of pediatric fall risk assessment methods have been developed.
Scale the little schimdity scale compromises of five items which assess sifferent domains of fal risk. Three out of five items are scrored 0 or 1. Which include mobility, elimination and current medication. The remaining two, menation and history of fall are scored 0, 1 or 2. Scores of each item are summed, resulting in a total score ranging from 0 to 7.  
 
Fall score equal or greater tha 3 are considered high fall risk. For ny patient being on high fall rik fall risk care plan is implemented. This plan is implemented by the nurses for patients whose little schimidity score is less than 3.  
== Little Schimidy Pediatric Hospital Fall Risk Assessment ==
Little schimidy score are evaluated three times ponts. Firstly, the sore obtained upon hospital admission, score prior ro the fall and the last proximal score obtained prior to the fall.  
Little Schimdy pediatric hospital fall risk assessment is used to evaluate inpatient pediatric fall risk. This tool describes the characteristics of pediatric falls.
General instruction
 
intrpreattion
== Intended Population ==
evidence
Inpatient children under the age of 2 years.
validity
 
reliability
== Documentation and Assessment ==
limitation
Documentation of  the score is done in the Patient care record or relevant MR. The score risk is assessed in the following manner:
 
# Daily,
# When the patient condition changes,
# When transferred to a new department/unit
# Following a fall incident
 
Interventions and actions should be documented on Falls Plan or in Progress Notes<ref name=":1">Reference Guide Little Schmidy Falls Risk Assessment [Internet]. Available from: <nowiki>https://www.rch.org.au/uploadedFiles/Main/Content/rchcpg/Little_Schmidy_Falls_Risk_Assessment.pdf</nowiki>
 
‌</ref>
 
== Scale <ref name=":1" /> ==
[[File:Little Schmidy Falls Risk Assessment-.png|center|frameless|736x736px|Little Schmidy Falls Risk Assessment]]
 
== Interpretation ==
The little Schimdy scale compromises of five items which assess different domains of fall risk. Three out of five items are scored 0 or 1. Which include mobility, elimination, and current medication. The remaining two, mentation and history of fall are scored 0, 1 or 2. Scores of each item are summed, resulting in a total score ranging from 0 to 7.  
 
Fall score equal or greater tha 3 are considered high fall risk. For any patient being on high fall risk fall risk care plan is implemented. This plan is implemented by the nurses for patients whose score is less than 3.  
 
Little Schimidy score are evaluated three times points. Firstly, the sore obtained upon hospital admission, score prior to the fall and the last proximal score obtained prior to the fall. <ref name=":0" /><ref>The Little Schmidy Pediatric Hospital Fall Risk Assessment Index | Family Nursing [Internet]. Ucsf.edu. 2017 [cited 2024 Jan 22]. Available from: <nowiki>https://familynursing.ucsf.edu/little-schmidy-pediatric-hospital-fall-risk-assessment-index</nowiki>
 
‌</ref>
 
== Evidence ==
Little Schmidy scores were significantly associated with pediatric falls (p<0.005)<ref name=":0" />

Revision as of 15:38, 22 January 2024

Fall.png

Falling is the leading cause of injury among the elderly as well as children. Overall, around three million children suffer from fall-related injuries. [1]There are few studies that primarily focus on pediatric fall assessment and preventive strategies. The majority of literature research is done on fall prevention in adults and the elderly population. For the past many years, a lot of pediatric fall risk assessment methods have been developed.

Little Schimidy Pediatric Hospital Fall Risk Assessment[edit | edit source]

Little Schimdy pediatric hospital fall risk assessment is used to evaluate inpatient pediatric fall risk. This tool describes the characteristics of pediatric falls.

Intended Population[edit | edit source]

Inpatient children under the age of 2 years.

Documentation and Assessment[edit | edit source]

Documentation of the score is done in the Patient care record or relevant MR. The score risk is assessed in the following manner:

  1. Daily,
  2. When the patient condition changes,
  3. When transferred to a new department/unit
  4. Following a fall incident

Interventions and actions should be documented on Falls Plan or in Progress Notes[2]

Scale [2][edit | edit source]

Little Schmidy Falls Risk Assessment

Interpretation[edit | edit source]

The little Schimdy scale compromises of five items which assess different domains of fall risk. Three out of five items are scored 0 or 1. Which include mobility, elimination, and current medication. The remaining two, mentation and history of fall are scored 0, 1 or 2. Scores of each item are summed, resulting in a total score ranging from 0 to 7.

Fall score equal or greater tha 3 are considered high fall risk. For any patient being on high fall risk fall risk care plan is implemented. This plan is implemented by the nurses for patients whose score is less than 3.

Little Schimidy score are evaluated three times points. Firstly, the sore obtained upon hospital admission, score prior to the fall and the last proximal score obtained prior to the fall. [1][3]

Evidence[edit | edit source]

Little Schmidy scores were significantly associated with pediatric falls (p<0.005)[1]

  1. ↑ 1.0 1.1 1.2 Franck LS, Gay C, Cooper BA, Meer CR. The Little Schmidy Pediatric Hospital Fall Risk Assessment Index: A diagnostic accuracy study [Internet]. ResearchGate. Elsevier BV; 2017 [cited 2024 Jan 22]. Available from: https://www.researchgate.net/publication/312106089_The_Little_Schmidy_Pediatric_Hospital_Fall_Risk_Assessment_Index_A_diagnostic_accuracy_study ‌
  2. ↑ 2.0 2.1 Reference Guide Little Schmidy Falls Risk Assessment [Internet]. Available from: https://www.rch.org.au/uploadedFiles/Main/Content/rchcpg/Little_Schmidy_Falls_Risk_Assessment.pdf ‌
  3. ↑ The Little Schmidy Pediatric Hospital Fall Risk Assessment Index | Family Nursing [Internet]. Ucsf.edu. 2017 [cited 2024 Jan 22]. Available from: https://familynursing.ucsf.edu/little-schmidy-pediatric-hospital-fall-risk-assessment-index ‌
Retrieved from "https://www.physio-pedia.com/index.php?title=The_Little_Schimdy_Pediatric_Hospital_Fall_Risk_Assessment_Index&oldid=349206"