2. Better understanding about the Challenge of falls in long-term care
Multi Prong Approaches in prevention of falls
Analyse & Make Sense of Fall Data
Reflect the knowledge to incorporate with care plan & clinical practice
3.
4. 30% of Elderly in community ages > 65 y/old , and 50% of Nursing Home resident
fall each year (Tinetti, 2015)
5-10% of Elderly in community sustains serious injury after a fall, whilst 10-25% of
Nursing home fall results in fracture, laceration or will need hospital care.
(Tinetti, 2015)
5. In 2018 27.22% of our resident had incidents of fall over average occupancy of 180
residents.
It means 1 of 3 resident had incidence of fall for the year 2018
Out of 49 incidence of fall in 2018 there were 3 or (6 %) incidence of serious injury
(laceration, fracture, contusion) that needed further medical attention.
6.
7. are more likely to experience problems with mobility, balance and muscle
weakness
can have difficulties with their memory and finding their way around
can have difficulties processing what they see and reacting to situations
may take medicines that make them drowsy, dizzy or lower their blood pressure
are at greater risk of feeling depressed
may find it difficult to communicate their worries, needs or feelings
8. Serious injury such as hip fracture and traumatic brain injury(TBI)
Increased risk of death
Loss of independence
Decreased ability to function
Increased need for care
Depression
Increased fear of fall & risk of fall
9. Even without injury, falls lead to fear of falling with self imposed restriction of
activity and reduced social interaction.
DECREASED QUALITY OF LIFE
10.
11.
12.
13. Knowledge of resident
• Culture, personality, spirituality
• Social context, preferences
• Mental and physical status
Knowledge of EBP
• Clinical pathways for acute and
chronic disease management
• Prevention of geriatric
syndromes
Response to Individual Needs
• Treatment of acute conditions
• Symptom management of chronic disease
and age related changes
• Promotion of highest level of physical
function and personal autonomy
Person
(Resident)
14. INDIVIDUALIZED
Knowing the person
Viewing the world through their eyes
Careful assessment of person and environment
“To individualize care requires learning about the
individual’s life history, assessing the individual’s
current strengths and needs, developing plans with
resident and/or family input, and designing care
around the resident’s wishes and needs-not facility,
staff, or family needs”
(Rader, J. (1995). Individualized Dementia Care: Creative,Compassionate
Approaches. New York: Springer Publishing Company, Inc., p. 8)
15. Person
(Staff)
• Multidisciplinary Approach
• Staff’s culture of safety awareness
• Continuous communication
• Staff Empowerment as Fall Champions
• Competency enhancement
• Staff Deployment Model
• Lean Management
16. Person
(Relatives/ NOK)
• Close Partnership with NOKs
• Staff providing professional inputs in advocating for residents cataract operations to
prevent falls thus increase their quality of life.
17. Environment
(Physical & Social)
• Proper use and maintenance of Assistive Devices
• Daily checking of residents assistive devices
• Managing visual concerns
• Use of visual cues to reorient residents
• Environmental Risk Assessment & Modification/ Enhancement
• Furniture suitability & safety measures
• Harnessing Technology
• Use Early Warning & Alert System to assist staff in monitoring residents
18. Occupation
• Reorientation of their daily life routine to reduce confusion.
• Reducing their risk through:
Engagement
Reduced use of psychotropic medication
Reduced reliance in the use of physical restraints
20. RESULTS
Overall for 2018 there is a decrease of 32.88% in the incidence of
fall for the whole lodge, from 73 incidence of fall last 2017 to 49
incidence of fall last 2018.