Assessment 3: Intervention Plan Design

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Student Name

Capella University

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Course Name

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Prof Name

March 29, 2024

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Intervention Plan Component
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Addressing the critical issue of geriatric falls in community settings necessitates a
comprehensive and strategic intervention. Rooted in evidence-based research and the identified
needs of the elderly community, a holistic approach has been developed to tackle geriatric falls
in these settings. The intervention strategy revolves around three core components. Firstly,
personalized exercise routines are introduced, tailored to the specific health profiles of individual
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elderly persons. These routines aim to strike a balance, ensuring exercises are neither too
strenuous nor too lenient, thereby maximizing engagement and health outcomes. Secondly,
targeted strength training programs are implemented. Recognizing the decline in muscular
strength associated with aging, this component aims to strengthen muscles crucial for
maintaining postural stability, consequently reducing fall risks. The third pillar involves structured
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balance training sessions. Given that balance tends to diminish with age, these sessions aim to
equip the elderly with skills to navigate various terrains and situations, significantly reducing the
likelihood of falls. These components have been carefully chosen based on their potential to
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bring about significant improvements in the identified need: reducing falls among the elderly
community.
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Customized exercise routines improve adherence, ensuring participants remain engaged and
enhance health outcomes. Strength training reinforces key muscle groups and provides robust
skeletal support, reducing falls resulting from muscular weakness. Meanwhile, improved
balance ensures that daily activities can be undertaken with increased confidence, significantly
reducing the risk of unintentional tripping or falling incidents. The rationale for these strategic

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choices is supported by empirical evidence from research, emphasizing their effectiveness in fall
prevention and overall health enhancement for the elderly.

Several evaluation criteria are proposed to measure the success and impact of this holistic
intervention. The most crucial metric is reducing fall incidences, where a tangible decline in fall
events over eight months will be monitored. Physical enhancement metrics will also be
employed, tracking recorded advancements in participants' physical strength and balance
against set benchmarks. Finally, the participant feedback mechanism will be essential. By
organizing feedback sessions, insights into participants' confidence levels, perceived balance
improvements, and overall intervention satisfaction will be gathered, ensuring the plan remains

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dynamic and responsive to their needs.

Cultural Needs and Characteristics of the Target Population

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The geriatric population, our primary target for intervention, encompasses diverse cultural
backgrounds, beliefs, and practices. Understanding the cultural fabric of this demographic is

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crucial to ensuring our intervention plan aligns with their intrinsic values and lifestyles. Elderly
individuals often have deeply rooted beliefs stemming from traditions, which can influence their
perspective on health and wellness. These beliefs can range from holistic health practices and
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trust in herbal remedies to a preference for familial or community-based healthcare
decision-making. Our intervention setting is a community-based environment that likely
comprises multiple ethnic groups with unique cultural nuances. In such settings, ensuring
healthcare services are culturally competent is essential.
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For instance, some cultures prioritize family-centered care, wherein family members play an
active role in decision-making, while others lean more toward individual autonomy. Ignoring
these cultural characteristics could lead to resistance, misunderstandings, and reduced
intervention effectiveness. Moreover, the setting’s cultural characteristics, such as community
structures, religious beliefs, or local traditions, can influence the format, approach, and even the
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timing of interventions. It might necessitate incorporating local community leaders or leveraging

traditional community gatherings to impart education or training.
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Additionally, some communities may have a firm reliance on traditional medicine, which would
mean integrating such practices into the intervention for better acceptability. Assumptions
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underlying this analysis include the idea that every member of the geriatric population might be
deeply attached to their cultural beliefs. It also presumes that incorporating cultural aspects into
interventions will yield better results. It is essential to ensure that while we are sensitive to these
cultural characteristics, the primary focus remains on evidence-based, scientifically validated
interventions for fall prevention.
Theoretical Foundations

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Several models and strategies are integrated into our intervention plan to reduce geriatric falls.
The relevance of Orem’s Self-Care Model to nursing theories must be acknowledged. This
model emphasizes empowering the elderly, enabling them to take an active role in managing
their health. While it offers the strength of promoting independence and proactive self-care,
particularly crucial for geriatrics who value autonomy, it poses challenges. Only some geriatric
individuals can be pigeonholed into this model, especially considering cultural nuances or those
with severe health conditions that might require more assisted care than self-care.
Moreover, drawing from other disciplines, physical therapy emerges as a potent strategy. Its
evidence-based interventions, especially tailored exercises, directly cater to improving balance
and strength—key deterrents of falls. Physical therapy’s hands-on, individualized nature acts as

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its strength, ensuring each geriatric individual gets a regimen suited to their needs. However, its
limitations lie in accessibility and adherence; not every elderly individual might have easy
access to consistent therapy, and some might find the rigor challenging.
Technology also promises significant advantages. Wearable health tech, with capabilities to

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monitor movements and, more vitally, detect falls, brings about proactive care. The immediacy
they offer, alerting caregivers or medical personnel almost instantly after detecting a fall,

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ensures rapid assistance, potentially reducing fall-related complications. However, a potential
pitfall is the decreased human interaction and the assumption that all elderly individuals are
comfortable and adept with such technology.
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Justification of Major Components

A profound synthesis of theoretical nursing models, interdisciplinary strategies, and healthcare

technologies was imperative when constructing the intervention. Orem’s Self-Care Model, a
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keystone in nursing theory, substantiates our intervention’s philosophy of empowering the

geriatric cohort. Research attests to the potency of such self-care strategies, particularly among
older adults facing chronic issues, demonstrating marked improvements in patient outcomes.
Our emphasis on physical therapy finds its roots in interdisciplinary collaboration. Drawing from
studies such as those by Criss et al., it is evident that individualized strength and balance
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exercises can significantly curb the incidence of falls .

In conclusion, our study underscores the significance of customized, community-centered

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interventions to tackle the urgent issue of geriatric falls. Through the integration of
evidence-backed methods alongside modern healthcare technologies, our aim is to significantly
decrease the occurrence of falls. The refinement of our approach through consideration of
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stakeholder requirements, cultural sensitivities, and regulatory factors adds depth to our
intervention. Ultimately, our goal is to cultivate a safer environment, thereby enhancing the
overall welfare of our elderly population.

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References
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Choi, S. (2023). Personal health tracking: A paradigm shift in the self-care models in nursing.
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