Falls Prevention

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Falls Prevention : 

Falls Prevention Jenny Peden NURS 3400

6 Tips to Prevent Falls at Home : 

6 Tips to Prevent Falls at Home 1. Make an appointment with your doctor -Go over the medications you are taking Make a list of your prescription and over-the-counter medications and supplements, or bring them with you to the appointment. Your doctor can review your medications for side effects and interactions that may increase your risk of falling. To help with fall prevention, your doctor may consider weaning you off certain medications — such as sedatives and some types of antidepressants. -Write down details of previous falls (where, when and how) -Think about if your health conditions could cause you to fall Certain eye or ear disorders can increase your risk for falls. Your doctor may evaluate your muscle strength, balance and walking style (gait) as well.

Slide 3: 

2. Keep moving!! -Physical activity can go a long way toward fall prevention. With your doctor's OK, consider activities such as walking, water workout, etc. Such activities reduce the risk of falls by improving strength, balance, coordination and flexibility. -If you avoid physical activity because you're afraid it will make a fall more likely, tell your doctor. He or she may recommend carefully monitored exercise programs or refer you to a physical therapist. The physical therapist can create a custom exercise program aimed at improving your balance, flexibility, muscle strength and gait.

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3. Wear sensible shoes Consider changing your footwear as part of your fall-prevention plan. High heels, floppy slippers and shoes with slick soles can make you slip, stumble and fall. So can walking in your stocking feet. Instead: -Have your feet measured each time you buy shoes, since foot size can change. -Buy properly fitting, sturdy shoes with nonskid soles. -Avoid shoes with extra-thick soles. -Choose lace-up shoes instead of slip-ons, and keep the laces tied. If you have trouble tying laces, select footwear with fabric fasteners. -If you're a woman who can't find wide enough shoes, try men's shoes.

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Remove home hazards Take a look around your home. Your living room, kitchen, bedroom, bathroom, hallways and stairways may be filled with hazards. To make your home safer: -Remove boxes, newspapers, electrical cords and phone cords from walkways. -Move coffee tables, magazine racks and plant stands from high traffic areas. -Secure loose rugs with double-faced tape, tacks or a slip-resistant backing —or remove loose rugs from your home. -Repair loose, wooden floorboards and carpeting right away. -Store clothing, dishes, food and other necessities within easy reach. -Immediately clean spilled liquids, grease or food. -Use nonskid floor wax. -Use nonslip mats in your bathtub or shower.

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Light up your living space Keep your home brightly lit to avoid tripping on objects that are hard to see. Also: -Place nightlights in your bedroom, bathroom and hallways -Place a lamp within reach of your bed for middle-of-the-night needs -Turn on the lights before going up or down stairs -Store flashlights in easy-to-find places in case of power outage

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Use assistive devices Your doctor may recommend using a cane or walker to keep you steady. Other assitive devices may help, too. For example: -Hand rails for both sides of stairways -A raised toilet seat or one with arm rests -Grab bars for the shower or tub -A sturdy plastic seat for the shower Information found on Mayoclinic.com

Preventing Falls While In The Hospital : 

Preventing Falls While In The Hospital *Ensure patient’s bed is in low position and locked with belongings and call light within reach. In some instances, side rails should be up. *Place non-skid socks on each patient before ambulating *Keep bed alarm on and the door open *Stay in the patients room while they are in the bathroom *Clear room of clutter and keep lines untangled *If patient is a major fall risk, attempt to place them close to nurses station *DON’T FORGET TO CHART CHART CHART any falls and teaching

Safe Patient Handling : 

Safe Patient Handling Evaluate each patient on admission, daily, after surgery and/or whenever patient’s condition changes Assign each patient a category based on the evaluation Handle the patient as necessary according to their category except during therapeutic and/or teaching session (ex: PT, OT)

Full Assist : 

Full Assist Define: Two or more staff members AND a Mechanical standing/lifting device Patient meets ANY of the following criteria: >35 lbs (16 kg) and NON-Weight bearing patient >70 lbs (32 kg) and Weight Bears <50% Unpredictable in Assitance needed, level of Cooperation or Comprehension, and/or Combative/Agitated Three or more health conditions affecting their transfer

Partial Assist : 

Partial Assist Define: Transfer requires one staff member and use of a Gait Belt or a Mechanical Standing/Lifting device. Patient meets the following criteria: >70 lbs (32 kg) and weight bears 50-75% and upper body strength inadequate to support weight Unpredictable in ability to follow simple commands First time up after child birth Two health conditions affecting transfer

Stand by Assist : 

Stand by Assist Define: Transfer requires stand by assistance, sometimes with gait belt Patient meets the following criteria: Full weight bearing and adequate upper body strength to support weight during transfer Able to follow simple commands (may need verbal prompting) First time up after child birth One health condition affective transfer

Independent : 

Independent Define: No assist or stand by Patient is able to perform transfer tasks safely and timely with or without assistive devices

Health Conditions Affecting Transfer : 

Health Conditions Affecting Transfer Postural hypotension Amputation Unstable spine Hip/Knee replacements Severe Osteoporosis Paralysis Tracheostomy/Ventilator Pressure Ulcer Ostomy Fall History Degree of sedation Presence of tubes (IV, Chest, NG) Information gathered from IHC

Fall Statistics : 

Fall Statistics *Falls are a leading cause of unintentional injury and death in people 65 years and older *5-10% of elders who fall each year sustain serious injury; 15% of those require hospitalization. *Hip fractures are the most serious fall-related injury; Of those who fall and fracture their hip, 20-30% of them die within a year. *About half of those who fall will then need help with ADL’s which can lead to caregiver burden *Falls are associated with an increase in health care utilization and costs; these costs escalate with severity and frequency of falls

Continued…. : 

Continued…. *Those who fall use an additional $12,000 in health care resources than those who do not experience falls *The most common activity associated with falls is walking *While in the hospital, ¾ of falls occur in the patients room Information from: http://www.seekwellness.com/fallprevention/

THE END!!! : 

THE END!!! FALLS CAN BE PREVENTABLE!!! Do everything you can to protect yourself and your patients!!

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