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Falls are also the most common cause of traumatic brain injuries. Some medications, like blood thinners, can increase this risk. Falls in nursing homes can result in serious injuries that lead to chronic conditions, a loss of physical function, and a dramatically decreased quality of life. If you believe a nursing home’s actions put your loved one at risk of falling, get a free case review.
The senior citizens fall because of the normal aging process that is not necessarily a medical condition. Either way falls in the nursing homes can be prevented to reduce the number of injuries and consequences of a fall. The FMP is designed to assist facilities in addressing both intrinsic and extrinsic risk factors. It is important to remember that not all falls can be prevented.
Nursing Home Falls – Accidents and Protocols
The nurse oversees all steps in the Falls Response process and coordinates implementation of individualized care plans. The nurse ensures the education and training of all staff, families and residents and works with the medical director to inform all primary care providers of the program and their role in it. Some of the medication prescribed has been perceived to increase the risk of falling. Studies show that the side effects of these drugs cause drowsiness and dizziness that increase chances of falling among the elderly.
The term "culture of safety" is used to describe how the behavior of staff and management affects the safety of residents. The development of a culture of safety is an important first step to ensure that the FMP is effective and integrated into the organizational system. Injuries resulting from falls are a major reason for lawsuits against facilities and staff, which can result in the loss of large sums of money and higher insurance premiums. Potential consequences for facilities are listed in Figure 2.Figure 2. Adverse consequences of falls for nursing facilitiesIncreased paperwork for staff.
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Fall prevention and injury protection for nursing home residents. Bring LPNs and CNAs from units of the residents who fell to discuss interventions. Review information on the Tracking Record for Improving Patient Safety.
Nursing home injuries from falls are usually caused by a combination of factors. Sadly, seniors are 4x more likely to die after a fall in a nursing home compared to seniors who live in the community. Someone with weakened physical and immune function who has suffered a serious injury doesn’t just have trouble healing from the injury itself; there are additional risks that occur while recovering. A fall can set off a dangerous chain reaction in an elderly person.
Medical
The California Department of Health found the facility violated its own guidelines by requiring one-on-one monitoring in his case. Staff had also documented unusual behavior but did not take steps to prevent him from harming himself. The study found that just 57.5% of major injury falls among residents were reported. These major injury falls were identified through Medicare hospital admissions claims. More than one-third of fall-related injuries happen to nursing home residents who are unable to walk.
Developing a culture of safety requires changes in staff attitudes, beliefs and behavior as well as changes in management style. This change process requires strong leadership, effective communication, new policy development and the formation of multidisciplinary teams to address areas for improvement. Empowered staff should be encouraged to participate in all levels of care. Finally, an environment of "no blame/no shame" will provide an open atmosphere where staff members can report errors and safety concerns without fear of punishment. Even ground-level falls, or a fall to the floor from a standing position, can be serious and should not be underestimated.
The information in this manual and the other program materials are intended to supplement the knowledge of nursing and medical staff. The instructions for altering the environment or adapting equipment as well as other care processes may not be applicable in your setting. The information provided in this manual is advisory only and is not intended to replace sound clinical judgment or individualized resident care.
Older women are at a higher risk of experiencing a fall compared to older men. The risk of falling increases as age increases, approximately half of senior citizens over the age of 80 years fall at least once a year. Department of health and aging in Australia says that the total cost of health caused by fall-related injuries keeps increasing per year. The cost of damages caused by falls in the health care system currently stands at $100 million per year.
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Nursing home residents die from fall-related injuries every year. If you or a loved one fell in a nursing home, compensation may be available. Staff members are trained to prevent falls and promptly help residents who do fall. If they failed to protect your loved one, they may be financially and legally responsible. Give the falls team members enough time away from other duties to meet weekly and implement the program.
Different clients have different physical conditions that require a different action plan. The nursing homes have to acknowledge the disparity in the physical condition. Tai Chi has always been used as a way to help strengthen the muscles of the elderly.
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