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Falls Prevention & Management In Residential Care Setting  


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Ms Daragh Rodger ANP Care of the Older Adult Community & PhD Student DCU

Published in: Health & Medicine
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Falls Prevention & Management In Residential Care Setting  

  1. 1. Falls Prevention and Management in Residential Care Settings: A Research Study Daragh Rodger Advanced Nurse Practitioner Care of the Older Adult Community & PhD Student 6th September 2017
  2. 2. 30% of over 75 year olds fell last year 1 in 5 reported a fall 1 in 10 reported an injurious fall Prevalence increases with age Significant impact on services and economy Facts & Figures on Falls
  3. 3. Global ViewFact: 1:3 over 65 years & 1:2 over 80 years falls each year Fact: 424 000 individuals die from falls globally each year Fact: Adults older than 65 suffer the greatest number of fatal falls Fact: 37.3 million falls require medical attention each year Fact: Falls are one of the most common adverse event to occur in health care settings for older people Fact: Older adults in residential care settings have a 3 times greater risk of falling compared to community dwelling older adults Facts & Figures on Falls
  4. 4. Background to study • Audit of falls in 2011 demonstrated the number of falls and falls related injuries among older adults residential service • Higher incidence in residential setting due to disability and frailty • Ageing population - average age 86 years • Many standard measures in place - what else can be done to reduce falls risk? • Forever Autumn Falls Prevention Programme developed and implemented 2012
  5. 5. FOREVER AUTUMN…… ….A falls prevention programme for all staff – clinical and non clinical, raising awareness of the potential for falls amongst older adults in residential care. Elements included: • Revision of Falls Prevention and Management Policy • New Falls Risk Assessment Tool • New Falls Risk Symbols • New Falls Reduction Measures Comfort checks & Post fall review • Collection of new data
  6. 6. Phoenix Park Community Nursing Unit – Falls Data *Compared to falls data pre Forever Autumn in 2011 Year Reduction in falls 2013 35%* 2014 33%* 2015 30%* 2016 31%*
  7. 7. How does Forever Autumn Falls Prevention Programme reduce the incidence of falls in residential care setting? Proposed research question
  8. 8. Research Process Proposal Title: An evaluation of a falls prevention programme for adults living in residential care settings Objective: To inform the future development of a falls incidence register for residential care settings in Ireland. Ethics approval: Applied for in 2016 through DCU and permission obtained from each of the study sites to carry out the study Research Sites: one urban Dublin & one rural Donegal Criteria to participate: have implemented Forever Autumn Falls Prevention Programme for six months or longer Research Methodology: Case Study Design Research Method: Mixed Method
  9. 9. Why Case Study ? - It provides the opportunity to investigate the uniqueness and complexity of the falls prevention programme. - to explore multiple realities - different elements of the falls prevention programme within one case to gain a better understanding of the experience and which aims to support the generation of new knowledge to support future practice
  10. 10. Research Method Mixed Method approach will be taken. It is envisaged the integration of the findings from both qualitative and quantitative data can provide value and insight to the study. This will in turn support the building of knowledge to guide falls reduction intervention programmes.
  11. 11. Research Method Qualitative – Focus group interviews with staff who are familiar with and have experience of using the FA programme A focus group typically consists of a small number of participants, usually around six to 12 The purpose of the focus group is to to draw on the participants experiences, beliefs and reactions in a way in which would not be feasible using other methods eg questionnaires, surveys
  12. 12. Research Method OR= Over reaching; AS= Attempting to stand; GT= Going to the toilet; WWS= Walking without shoes; WWA= Walking without aid; LF= Leaning on furniture; UFA= Using furniture to ambulate; NN= Narrative note written •What was the person doing? (Insert code in appropriate box) Date Time Code Initials New Data Measurement Interventions to prevent potential falls 9262 in 2016 Evidence to staff of benefits of Forever Autumn Programme in action Quantitative – Examine in depth the data from existing intervention records to establish if they can provide any further information on prominent individual risk factors
  13. 13. Next Steps ..To meet with research sites in late 2017 .. To provide presentation of proposed research and information on participant involvement to each site ..To commence data collection in early 2018
  14. 14. Thank you