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Can injurious falls be prevented?

A H Myers1, M Van Natta, E G Robinson

  • 1Laboratory of Behavioral Sciences, National Institute on Aging.

The Journal of Long Term Care Administration
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

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Nursing staff should implement general fall prevention strategies for residents due to changing resident populations and unchangeable risk factors. Protective actions include monitoring medications, assessing environments, and using hip protectors for elderly individuals.

Area of Science:

  • Gerontology
  • Nursing Home Care
  • Patient Safety

Background:

  • Resident populations in care facilities are dynamic, with varying turnover rates and aging-in-place trends.
  • Some resident factors contributing to fall risk, such as medical conditions, are immutable.
  • A singular set of predictive factors for serious injurious falls in residents is not established.

Purpose of the Study:

  • To highlight the need for proactive fall prevention measures in nursing facilities.
  • To suggest general protective actions for nursing staff to mitigate fall risks.
  • To address the challenges posed by changing resident demographics and intrinsic factors.

Main Methods:

  • Monitoring psychotropic medication use via the Minimum Data Set (MDS).
  • Systematic environmental assessments to identify and mitigate hazards.

Related Experiment Videos

  • Utilizing protective equipment, such as hip protectors, for fall-prone residents.

    • Main Results:

    • General protective actions are recommended due to the complexity of fall risk factors.
    • Environmental modifications and medication management are key intervention points.
    • Hip protectors demonstrate efficacy in reducing hip fractures among elderly fallers.

    Conclusions:

    • A multifaceted approach combining environmental safety, medication management, and protective devices is crucial for fall prevention.
    • Nursing staff require adaptable strategies to address diverse resident needs and risks.
    • Proactive and general protective measures are essential in long-term care settings to enhance resident safety and reduce fall-related injuries.