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Fall Prevention 2009
1. F a l l Prevention Presented By: Kelly Shellington RN
2. Statistics #1 Injury Risk Factor within Skilled Nursing Facilities 2/3 of all Residents fall annually each year nation wide 10,000 Deaths annually nation wide 100 Bed facility = 2 months worth of time spent on documenting falls each year!! Imagine how that time could be better spent: Any Ideas?
3. Statistics Rate of falls in long-term care facilities is 3x greater than people over 65 living in the community Residents with Dementia present a greater challenge Falls have serious consequences Dementia effects more than 60% of all nursing home residents
5. Environmental Non-Slip Soles Shoes are better than socks Lighting Replace blown bulbs Use higher watt bulbs Debris If it is on the floor please pick it up Hallways All equipment on same side of hall Broken Equipment Wheelchairs How are those brakes & wheels? Hoyer Lifts Are they functioning? Automatic doors How’s the timing? Elevators Are they level with the floor? How’s the timing?
6. Environmental Dining Room Is that food on the floor? Pick it up Is that a spill? Mop it up Napkins or sugar packets? Pick them up Clothing Am I standing on my pants? Do you know where my shoes are? Parking Lot Watch out for that pot hole! Is that broken glass? Weather Snow Ice Running in the rain Prepare for bad weather in advance
7. Physiological Loss of Balance What does the DCPOC say for this resident? How many assist? Can they really stand without assistance? Gait Belts If resident is not independent then should they be wearing a gait belt? Call Lights Do you really know what that resident wants if you haven’t asked them yet? Maybe they want something different.
9. Alzheimer’s & Dementia This section represents basic information about the changes in the brain The effects of those changes on a persons ability to function Our goal is to help you better understand our residents with Dementia to reduce their risk of falls
10. What “Dementia” Means? A group of symptoms that result from a disease or condition Alzheimer’s is an example of a disease that causes symptoms of Dementia Stroke is an example of a condition that causes symptoms of Dementia Most common symptoms of Dementia: Loss of memory Loss of thinking skills Loss of language skills Decrease perception
11. Early Stages of Alzheimer’s Confusion about familiar places Takes longer to accomplish familiar tasks Trouble handling money Poor judgment Mood and personality changes Short-term memory loss
12. Advanced Alzheimer’s Disorientation to place, date, and time Loss of self-care abilities Incontinence Difficulty walking Decreased communication Using wrong words or repeating themselves
13. What Does This Mean? When judgment, memory, and thinking processes are effected by loss of brain tissue , a persons ability to function in their environment is reduced and the risk for fall increased It is important to understand how the symptoms of Dementia can cause changes in physical functioning, decrease the ability to recognize limitations and express needs.
14. Recap Environmental Non-slip soles Lighting Debris Hallways Broken equipment Dining Room Clothing Parking Lot Weather Physiological Loss of balance Gait Belts Call Lights Pathological Natural Aging Process Medications Disease
15. Strategies For Reducing Falls Fall prevention begins with awareness and understanding of fall risk factors Everyone has an important role in fall prevention Assess risk for falls Analyze circumstances after a fall Correct problems and minimize risk on a daily basis
16. Activities Residents are more apt to fall when they are not engaged in an activity, are unattended or when they wander Risk reduction strategies focus on ways to provide engaging activities for residents and increase interaction
17. Suggestions Memory boxes Sing-along Movies Music Balls a quiet area Tai Chi Hand Massages Repetition Reading with resident Talk about families
18. Prevention Walking Programs Unit 2 afternoon walking program has made improvements Let’s keep all of our residents moving Encourage those that can Assist those that can not Extra Observation Does a resident need more frequent visual checks? Let’s try personal interaction Electronic Options Bed alarms Chair alarms Please note that alarms merely alert us of pending falls; they in now way prevent them from occurring. Please respond to alarms IMMEDIATELY! Reassess Medications Too many medications can cause adverse effects on gait and mental status
19. ROOT Cause Analysis Ask at least 5 “WHY” questions when reviewing the circumstances that may have contributed to a fall Answers will help find solutions to prevent another similar fall
20. Be ALERT & Take ACTION! EVERYONE in a facility has an important role in fall prevention All employees, volunteers, and visitors can have an impact on reducing the risk of falls Most effective strategies for managing falls in long-term care facilities involves EVERYONE who works at the faculty and includes support from families
