Improving the Use of Mobile Medical Alert Devices in the Elderly

Abstract

Background In relation to falls, 30% of elders experience the danger of an inability to return to get back up (Taylor et al., 2016). This critical period is called a “long-lie,” and can result in catastrophic medical complications such as dehydration, internal bleeding, pressure sores, rhabdomyolysis, or death (Taylor et al., 2016; Lipsitz, Tchall, & Klickstein, 2016). Fall detection devices (FDD) send an alert to summon the assistance of a telephone responder; who notifies family and emergency services to prevent fall from becoming a catastrophe (Feldwiser, 2016). Purpose The purpose of this DNP quality improvement (QI) project is to increase the knowledge, attitude, and willingness of residents of an assisted living facility to utilize FDDs. Design Eligible participants were given two surveys, one prior to viewing the informational video, and another after viewing the video. The surveys consisted of eight (six point) Likert scale questions ranging from ‘strongly disagree’ to ‘strongly agree.’ The process allowed a descriptive analysis between the survey answers for comparisons of knowledge, attitude and willingness towards wearing FDDs. Setting The survey was conducted at a 150 unit assisted living apartment style community called Madison Meadows in Phoenix, Arizona (Appendix B). The residents range from wheelchair dependent to fully functional, but all share similar risks for poor outcomes related to an undetected fall.

Methods The (QI) project utilizes the power of CAPTology (computes as persuasive technology) to deliver an informational video to change the participants’ perceptions from negative to positive regarding FDD use. This may occur without realization; a behavioral modification has occurred. Limitations The sample size was limited, allowing bias and decreased generalizability. Some participants were able to discuss survey questions prior to participation. This was a onetime look at one facility. The questionnaires may have been to arduous as some participants needed help to complete the forms. Results The greatest common factor surrounding the use of FDD at Madison Meadows is a lack of resident communication. After presenting the informational video, most resident responses reflect positive changes in knowledge attitude and willingness to use the fall detection device. Conclusion The greatest common factor surrounding the use of fall detection devices at Madison Meadows is lack of communication, and most specifically resident education. The suggestions of this quality improvement project are to provide education of FDD use at every opportunity.