The Little Schimdy Pediatric Hospital Fall Risk Assessment Index: Difference between revisions
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== Documentation and Assessment == | == Documentation and Assessment == | ||
Documentation of the score is done in | Documentation of the score is done in thepPatient care record or relevant MR. The score risk is assessed in the following manner: | ||
# Daily, | # Daily, | ||
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== Scale == | == Scale == | ||
Below is the scale <ref name=":1" />[[File:Little Schmidy Falls Risk Assessment-.png|center|frameless|736x736px|Little Schmidy Falls Risk Assessment]] | Below is the scale <ref name=":1" />[[File:Little Schmidy Falls Risk Assessment-.png|center|frameless|736x736px|Little Schmidy Falls Risk Assessment <ref>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>]] | |||
== Interpretation == | == Interpretation == | ||
The little Schimdy scale compromises of five | The little Schimdy scale compromises of five items 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 scores equal to or greater than 3 are considered high fall risks. For any patient being on high-fall-risk care, a fall risk fall risk care plan is implemented. This plan is implemented by the nurses for patients whose score is less than 3. | Fall scores equal to or greater than 3 are considered high fall risks. For any patient being on high-fall-risk care, a 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 is evaluated three times points. Firstly, the sore obtained upon hospital | Little Schimidy score is evaluated three times points. Firstly, the sore obtained upon hospital admission, score prior to 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> | </ref> | ||
Latest revision as of 07:17, 6 February 2024
Introduction[edit | edit source]
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 thepPatient 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[2]
Scale[edit | edit source]
Below is the scale [2]
![Little Schmidy Falls Risk Assessment [3]](/File:Little_Schmidy_Falls_Risk_Assessment-.png)
Interpretation[edit | edit source]
The little Schimdy scale compromises of five items 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 scores equal to or greater than 3 are considered high fall risks. For any patient being on high-fall-risk care, a 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 is evaluated three times points. Firstly, the sore obtained upon hospital admission, score prior to to the fall and the last proximal score obtained prior to the fall. [1][4]
Evidence[edit | edit source]
Little Schmidy scores were significantly associated with pediatric falls (p<0.005)[1]
References[edit | edit source]
- ↑ 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
- ↑ 2.0 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
- ↑ 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
- ↑ 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
