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Fall occurrence in a geriatric psychiatry setting before and after a fall prevention program.

T Savage1, C Matheis-Kraft

  • 1Providence Continuing Care Centre, Kingston, Ontario, Canada.

Journal of Gerontological Nursing
|February 1, 2002
PubMed
Summary

A fall prevention program significantly reduced falls in elderly psychiatric patients. This involved staff training, gait/balance assessments, and targeted interventions, demonstrating improved patient safety.

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Area of Science:

  • Geriatric Medicine
  • Psychiatric Nursing
  • Patient Safety

Background:

  • Falls are a significant risk for elderly individuals, particularly those with severe psychiatric disorders.
  • Existing fall prevention strategies may not adequately address the complex needs of this patient population.

Purpose of the Study:

  • To evaluate the effectiveness of a comprehensive fall prevention program on two geriatric psychiatric wards.
  • To assess the impact of staff education, quantitative assessments, and evidence-based interventions on fall occurrence.

Main Methods:

  • A within-subjects design compared fall rates during a 4-month pre-intervention phase and a 4-month post-intervention phase.
  • The program included staff education, quantitative gait and balance assessment, risk factor evaluation, and tailored interventions.

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  • Fisher's exact test was used for statistical comparison of fall occurrences.
  • Main Results:

    • A statistically significant reduction in falls was observed in the post-intervention period compared to the pre-intervention period (p < 0.01).
    • The study included 23 participants who completed the study duration.

    Conclusions:

    • Comprehensive fall prevention programs, including nursing-led assessment and intervention planning, can effectively reduce falls in elderly patients with severe psychiatric disorders.
    • Implementing structured fall risk assessment and evidence-based interventions is crucial for enhancing safety in psychiatric geriatric care.