NOAC recognized these ten programs at the joint annual conference of the American
Society on Aging and National Council on Aging in March of 2007. They recognize
the seriousness of preventing falls in the elderly, reporting that in 2003, falls
resulted in 13,700 deaths, 460,000 hospitalizations and over 1.3 million emergency
room visits. In addition to the pain and suffering, fall-related injuries medical
costs were over $19 Billion in 2000. “Falls are not a normal part of aging and
there are many risks that can be addressed that will reduce the number of falls
in older adults,” said James Firman, NCOA president and CEO.
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This began in 2003 with a risk assessment for preventing falls. The Saint Elizabeth Home Care team chose a fall assessment tool to assess each new patient, and re-assess them each year thereafter. Later, this tool became a part of their official computerized admission form.
In 2006, a quality improvement team devised an electronic” Fall Form,” which
is used to track, report, count, and review patient falls.
Education is important.
• Patients themselves are educated on ways to reduce falls in their home and
other home safety information.
• All therapists receive continuing education on methods of assessing for and
reducing falls.
• Continuing education is also provided for Home Health Aides.
• Beyond our own agency, Saint Elizabeth Home Care therapists have conducted
community education on reduction of fall risk.
Evaluation and Treatment
Patients with high fall risk are identified and they receive therapy evaluation
and treatment from a Physical Therapist and/or Occupational Therapist. Meanwhile,
patients who could benefit from home modifications, including ramps, receive referrals
to appropriate community agencies.
Documentation
The Saint Elizabeth Home Care team documents all patient falls using their “Fall
Form,” which is also faxed to the patient’s physician, along with a list of current
medications, pertinent assessments, and requests for additional services as appropriate.
The patient’s Home Care nurse or therapist is notified of the fall, if it was
someone else who reported the fall.
All patient falls are tracked and sorted into categories by the severity of injury, if any. Falls are also reported monthly to the medical center. The Safety Team reviews the Fall Forms quarterly where they identify successes to be celebrated or challenges to be addressed. Since 2003, the Home Care team has achieved a 43% reduction in emergent care for injuries caused by falls or accidents in the home.
Successful Tips for Preveting Falls-click here