Fall Prevention 2009


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Fall Prevention 2009

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