heather mcconnell, rn, bscn, ma(ed) registered nurses’ association of ontario (10 minutes)
TRANSCRIPT
Objectives
To introduce the key content elements of the Reducing Falls and Injury from Falls
Getting Started Kit
Interventions to Reduce Falls and Injury from Falls
•Assess all patients/clients/residents: on admission, following change of status, following a fall and on a regular schedule
RISK ASSESSMENT
•Communicate the risk assessment results to patient/client/resident, healthcare team and family
•Educate all staff on the prevention of falls and fall injuries
•Educate all patients/clients/residents and families about falls risk status and interventions
COMMUNICATION AND EDUCATION ABOUT FALLS RISK
•Patient/Client/Resident Level:•Create an Individualized Care Plan
•Organizational Level:•Develop Approaches for Regular Safety Checks
•Develop Policies for falls prevention/management, including responsibilities of all care providers
• Investigate contributing factors of all falls/near falls
IMPLEMENT INTERVENTIONS FOR THOSE AT RISK OF
FALLING
• Identify those who have fallen as high risk, implement interventions
• Modify the environment and provide personal protective devices
CUSTOMIZATION OF INTERVENTIONS FOR THOSE AT HIGHEST RISK OF FALLS
RELATED INJURY
• Morse Fall Scale
• STRATIFY Risk Assessment
• Hendrich II Fall Risk Model
Risk Assessment
• Assess all patients/clients/
residents: on admission, following change of status, following a fall and on a regular schedule
RISK ASSESSMENT
• Physical and Functional Status – Timed Up and Go – Berg Balance Scale – Tinetti Gait and Balance Instrument
• Cognitive Impairment• Osteoporosis• Hearing and visual acuity• Malnutrition and dehydration
– Mini Nutrition Assessment – SF
Risk Screening
• Assess all patients/clients/
residents: on admission, following change of status, following a fall and on a regular schedule
RISK ASSESSMENT
Communication and Education about Falls Risk
•Communicate the risk assessment results to patient/client/resident, healthcare team and family
•Educate all staff on the prevention of falls and fall injuries
•Educate all patients/clients/residents and families about falls risk status and interventions
COMMUNICATION AND EDUCATION ABOUT FALLS
RISK
Implement Interventions for those at Risk for Falls
Canadian Falls Prevention Curriculum Model
Health Management
Clothing and Footwear
Activity
Environment
Equipment
Education
Behaviour Change
IMPLEMENT INTERVENTIONS FOR THOSE AT RISK OF
FALLING
•Patient/Client/Resident Level:• Create an Individualized Care
Plan•Organizational Level:•Develop Approaches for Regular
Safety Checks•Develop Policies for falls
prevention/management, including responsibilities of all care providers• Investigate contributing factors
of all falls/near falls
Customization of Interventions for those at Highest Risk of Falls Related Injury
Risk Factors for Falls Related Injury
A – Age or frailtyB – BonesC – Coagulations – recent surgery
•Identify those who have fallen as high risk, implement interventions
•Modify the environment and provide personal protective devices
CUSTOMIZATION OF INTERVENTIONS FOR THOSE AT HIGHEST RISK OF FALLS
RELATED INJURY
Customization of Interventions for those at Highest Risk of Falls Related Injury
•Prevention and treatment of osteoporosis
- Calcium and Vitamin D supplementation- Individualized exercise program that incorporates weight bearing activities
•Identify those who have fallen as high risk, implement interventions
•Modify the environment and provide personal protective devices
CUSTOMIZATION OF INTERVENTIONS FOR THOSE AT HIGHEST RISK OF FALLS
RELATED INJURY