Patient Falls Assessment And Prevention

"A collection of training tools proven to reduce falls and protect your bottom line Mitigating factors (e.g., medications, environment, age, diagnosis) make assessing patients' fall risks difficult, but the successful Northwestern Memorial Hospital Model is so thorough that you'll be able to apply it to your healthcare setting regardless of its mission and size. Patient Falls Assessment and Prevention and its companion CD-ROM are loaded with charts and forms that you can adapt and customize for use in your own falls prevention program. HCPro's expert authors have made it easier than ever to comply with the JCAHO's requirements. When you read this groundbreaking book and use its forms, you'll be learning from the best in the business. Authors Carol Payson and Corinne Haviley were instrumental in creating and implementing a falls reduction and prevention plan that was so successful that it garnered attention from the Wall Street Journal and significantly reduced fall rates."--Publisher's description.

Evidence-Based Falls Prevention is a user-friendly resource that provides falls risk factor assessment and prevention program information, ideas, and tools.

4. EVIDENCE-BASED BEST PREACTICES FOR THE PREVENTION OF FALLS: 4.1 Existing practice guidelines ; 4.2 Best practices for fall prevention ; 4.3 Selecting appropriate approaches according to setting; 4.4 Recovery from a fall ;4.5 Factors influencing client compliance in fall prevention . 5. SUPPORTING FALL PREVENTION STRATEGIES. 6. THE WAY FORWARD; References; List of tables and figures; Appendix A: Risk factors for falls and fall-related ; Appendix B: List of the Public Health Agency of Canada's resources on seniors' falls.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

The WHO Falls Prevention for Active Ageing model provides an action plan for making progress in reducing the prevalence of falls in the older adult population. By building on the three pillars of falls prevention, the model proposes specific strategies for: 1. Building awareness of the importance of falls prevention and treatment; 2. Improving the assessment of individual, environmental, and societal factors that increase the likelihood of falls; and 3. For facilitating the design and implementation of culturally appropriate, evidence-based interventions that will significantly reduce the number of falls among older persons. The model provides strategies and solutions that will require the engagement of multiple sectors of society. It is dependent on and consistent with the vision articulated in the WHO Active Ageing Policy Framework. Although not all of the awareness, assessment, and intervention strategies identified in the model apply equally well in all regions of the world, there are significant evidence-based strategies that can be effectively implemented in all regions and cultures. The degree to which progress will be made depends on to the success in integrating falls prevention strategies into the overall health and social care agendas globally. In order to do this effectively, it is necessary to identify and implement culturally appropriate, evidence-based policies and procedures. This requires multi-sectoral, collaborations, strong commitment to public and professional education, interaction based on evidence drawn from a variety of traditional, complementary, and alternative sources. Although the understanding of the evidence-base is growing, there is much that is not yet understood. Thus, there is an urgent need for continued research in all areas of falls prevention and treatment in order to better understand the scope of the problem worldwide. In particular, more evidence of the cost-effectiveness of interconnections is needed to develop strategies that are most likely to be effective in specific setting and population sub-groups.

Patient falls continue to be a serious concern within hospitals, nursing homes, and other health care facilities. When caring for elderly and disabled patients, a fall prevention program is vital. This authoritative and practical book outlines the process for developing and maintaining a fall prevention program in health care institutions. Morse presents over two decades of research as well as the highly acclaimed Morse Fall Scale, which has been adopted by the VA Hospital System and numerous hospitals around the United States. This extensively revised edition serves the dual purpose of providing practical, "how-to" guidelines as well as presenting cutting-edge research on patient falls. The first section on clinical application discusses the complete process of implementing a fall prevention program using the Morse Fall Scale. The research section of the book explains how the scale works, and provides information on evaluating the incidence, frequency, and severity of falls. Highlights of this book: Thoroughly revised with three new chapters, a new research section, and a revised appendix Contains key clinical applications, such as monitoring falls, predicting physiologically anticipated falls, and conducting a fall assessment Research section contains appendices on determining the level of fall risk, suggested methods for testing the Morse Fall Scale, and fall rates This book contains all the essentials needed to implement and coordinate a fall prevention program. A definite must-read for nurse and hospital administrators, nurse and clinical managers, and risk managers.

The Health Survey for England 2000 presents a number of reports which consider the health of older people, aged 65 years and over, both in private households and, for the first time, in residential and nursing homes. This report focuses on the issue of disability among older people. Findings include: that there are marked differences between residents in care homes and private households; disability levels are higher among those aged 80 and over, than among the 65-79 age group; the most commonly reported type of disability, for both men and women aged 65 and over, is locomotor disability, with personal care issues the second highest.; in care homes, multiple disability is more prevalent than private households, with 40 per cent of men and 45 per cent of women having three or more disabilities.