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Falls Prevention ADVICE FOR PATIENTS RELATIVES AND CARERS. Strategies Applied to Falls Prevention. Introduction. ENVIRONMENTAL CHECKLIST FOR FALLS PREVENTION. Patient and staff goals and evaluation. Falls within the hospital environment are an uncomfortable

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Falls Prevention

ADVICE FOR PATIENTS RELATIVES AND CARERS

Strategies Applied to Falls Prevention

Introduction

ENVIRONMENTAL CHECKLIST

FOR FALLS PREVENTION

Patient and staff goals and evaluation

Falls within the hospital environment are an uncomfortable

Fact for both patients and staff. Inpatient falls are generally

the highest single reported incident to risk management.

Definition of fall as “A sudden uncontrolled, unintentional

downward displacement of the body to the ground or other

object excluding falls resulting from violent blows or other

purposeful actions” IHI (2004) Falls Policy

Serious implications arise for Social Services and the Health

Service Executive if we are unable to prevent people at risk

from falling, e.g. people over 65 years and those with

disabilities. The average cost of an acute hospital stay

following a fall in University Hospitals in Ireland is

approximately €9,200 and this cost rises to €14,339 if the

femoral neck is fractured (Cotter et al, 2006).

The subsequent fear of falling may lead to restriction in

activity and functional capacity (Martin et al, 2005)

which in turn may lead to increasing health care needs

and institutionalisation (Cumming et al, 2000).

Falls Trend to date at the MRHM

  • Advice sheet for patients carers and relatives on reducing patient falls.
  • Falls Prevention referral form to Accident and Emergency, OPD, and public access self referral to Physiotherapy lead falls prevention programme.
  • Inpatient falls assessment for all patients who attend for care at MRHM as recommended by the care team.
  • Should a fall occur an in-depth falls assessment tool has been adopted which looks at all aspects of patients care including one or more of these assessments
    • Environmental issues
    • Previous falls history
    • Medication review
    • Patients dietary intake including hydration
    • Related medical history
    • Cogitative assessment
    • Symptoms of Dizziness
    • Vision assessment
    • Balance and Gait assessment
    • Social factors
  • Important Note to Remember
  • Some patients will still fall even if we have tried to do all we can to prevent a fall, being in hospital does not mean we can prevent all falls. We are working hard with you our patients relatives and staff to reduce patient falls. We cannot restrain the patient but we may use safety sides on the bed or move the patients position within the ward.

Patient orientated goals for safe transfer

  • CAN YOU ANSWER YES TO ALL OF THESE QUESTIONS?
  • Patient’s Relatives and Carers
  • IS LIGHTING ADEQUATE?
  • IS FLOOR DRY?
  • IS FLOOR FREE OF TRAILING FLEXES?
  • ARE CORRIDORS FREE OF CHAIRS, TROLLEYS etc?
  • ARE CHAIRS STABLE?
  • IS BED LEFT IN LOW POSITION?
  • ARE BRAKES APPLIED TO BED?
  • ARE WALKING AIDS TO HAND?
  • ARE SPECTACLES CLEAN?
  • ARE PERSONAL EFFECTS LEFT WITHIN PATIENT’S REACH?
  • IS PATIENT WEARING NON-SLIP FOOTWEAR?
  • IS PATIENT’S CALL BELL TO HAND?
  • Falls & Osteoporosis Service, MedEL (2004)
  • Based on Fall Risk Assessment For The Elderly (FRASE) Environmental Checklist (Cannard, 1996)

Take your Time

Staff evaluation for patient transfer

.

Fall Prevention Strategy

Aims and objectives

Aim: To prevent factors within MRHM and the wider community associated with patient falls

Objectives:To Implement multiple strategies to reduce the risk of falls for all hospital users.

Acknowledgements

Thank you to all the multi-disciplinary staff who have been involved in the role out and preparation of this initiative

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