Fall Prevention in Nursing Homes key to preventing major injuries

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Falls among nursing home residents occur frequently and  are a common cause of injuries and hospitilizations.  In a typical 100 bed nursing home, there are 100 to 200 falls per year and many go unreported.  Aside from being injured, residents who fall typically lose confidence, frequently sustain hip fractures and head injuries that result in permanent disability and reduced quality of life.  
 

  • Environmental hazards in nursing homes cause 16% to 27% of falls among residents.  Such hazards include wet floors, poor lighting, incorrect bed height, and improperly fitted or maintained wheelchairs. Medications can increase the risk of falls and fall-related injuries. Drugs that affect the central nervous system, such as sedatives and anti-anxiety drugs, are of particular concern.  Fall risk is significantly elevated during the three days following any change in these types of medications.  Other causes of falls include difficulty in moving from one place to another (for example, from the bed to a chair), poor foot care, poorly fitting shoes, and improper or incorrect use of walking aids.  CDC Resources: Falls in Nursing Homes

 Free Information: Guide to Choosing a Nursing Home

How can we prevent falls in nursing homes?

The best way to prevent errors is to design safety into the nursing home system.  Fall interventions include but are not limited to: (a) Assessing patients after a fall to identify and address risk factors and treat the underlying medical conditions; (b) Educating staff about fall risk factors and prevention strategies; (c) Reviewing prescribed medicines to assess their potential risks and benefits and to minimize use. (d) Making changes in the nursing home environment to make it easier for residents to move around safely. Such changes include impletementing a toilet schedule, putting in grab bars, adding raised toilet seats, lowering bed heights, and installing handrails in the hallways. 
 
It can also include: (a) Providing patients with hip pads that may prevent a hip fracture if a fall occurs; (b) Exercise programs can improve balance, strength, walking ability, and physical functioning among nursing home residents; and (c) Vitamin D supplementation.  Read more at http://www.ahrq.gov/research/ltc/fallspx/fallspxlitrev.htm

Any precaution that residents in nursing homes and their families can take to prevent falls should be adhered to. Falls are the number one cause of injury and fatalities for elderly people and the best solution is to do everything possible to make sure do not happen in the first place.

 Read More: The importance of Bed Rails in Nursing Homes

If you or a loved one has been injured as a result of a fall in a nursing home, please contact the attorneys at Edwards & Ragatz, P.A. at (800)366-1609 or https://www.edwardsragatz.com

2 Comments

  1. Interesting read and I think breaks down the causes of falls very accurately. We found a lot of falls came from people leaving their bed or chair unattended. Fall mats have given nursing a staff a warning that the resident has put their feet over the side of the bed but this is too late to prevent a fall when they try and stand up. Our newest product, the Live-Link Movement Sensor, offers a solution to this by giving the warning when the resident sits up. This can prevent many of the falls that happen from this scenario and gives staff and families peace of mind when it comes to knowing their loved ones are looked after and an early warning is given for those most at risk

    • Katherine Loper says:

      David, this product sounds great! This type of product would be very beneficial. What company are you with? Does your company sell the “Live-Link Movement Sensor” to any nursing homes in the United States, and if so, which ones? I am also curious if your company did any type of studies to see the response time of nursing home staff to a resident sitting up?

      Thanks!

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