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Updated: Jun 22, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Falls in the nursing home: a collaborative approach.

Barbara Messinger-Rapport¹, Linda G Dumas

¹Section of Geriatric Medicine, Cleveland Clinic, Mail Code A91, 9500 Euclid Avenue, Cleveland, OH 44195, USA. rapporb@ccf.org

The Nursing Clinics of North America

|May 26, 2009

Summary

Collaborative problem-solving can decrease nursing home fall risks. Interventions must be individualized for cognitive/physical needs and setting feasibility, addressing factors like polypharmacy and Vitamin D deficiency.

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Last Updated: Jun 22, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Gerontology
Nursing Home Care
Fall Prevention

Background:

Falls are a significant risk in nursing homes, leading to injury and reduced quality of life.
Existing fall prevention strategies often lack individualization and practical implementation in long-term care settings.

Purpose of the Study:

To explore the benefits of a collaborative problem-solving approach for reducing fall risk in nursing home residents.
To highlight the importance of tailoring interventions to individual resident impairments and facility constraints.

Main Methods:

Discussion of common fall risk factors including polypharmacy, Vitamin D deficiency, delirium, and urinary incontinence.
Emphasis on individualized assessment of cognitive and physical impairments.
Consideration of the feasibility of interventions within the long-term care environment.

Main Results:

A collaborative, individualized approach to problem-solving shows promise in mitigating fall risks.
Addressing specific modifiable risk factors is crucial for effective fall prevention.
Intervention success is dependent on adaptability to the unique nursing home setting.

Conclusions:

Tailored, collaborative interventions are essential for effective nursing home fall prevention.
Comprehensive assessment of resident-specific and environmental factors is key.
Addressing polypharmacy, Vitamin D, delirium, and incontinence can significantly reduce fall incidents.