CONTACT US Call 916-933-9777 OR Click Here

Caregiver Insights: Senior In Home Care

Fall Prevention & Intervention Training at Roseville Care Center

By Patrick Philbrick-Director on Jul 13, 2014 11:21:23 PM

Fall Prevention Roseville CA

Harmony Home Care was recently invited to conduct a fall prevention training for the entire nursing staff at Roseville Care Center. Director of Nursing Ranjit Singh asked us to provide the training and continuing education units for her RN's, LVN's, Social workers, and Certified Nursing Assistants. Ranjit and her nursing team are dedicated to providing the safest care possible in a skilled nursing facility. Continually re-educating staff members on the basics of fall prevention is an integral part of maintaining their stellar safety record.

Here are the highlights from the Falls program:

The Problem:

  • Over one-third of adults 65+ fall each year
  • 20-30% of falls cause moderate to severe injuries
  • Leading cause of injury death
  • Most common cause of hospitalization for ages 65+
  • In 2012, nearly 1.8 Million people 65+ were treated in ER’s for nonfatal injuries from falls.
  • At least one-third of all falls involve environmental hazards in the home.
  • Two-thirds of those who fell, will fall again within six months

Modifiable fall risk factors in the elderlyFall Prevention

  • lower body weakness
  • balance problems
  • unsteady gait when walking
  • taking 4 or more medications
  • taking psychoactive medications of any kind

Other fall risk factors

  • Parkinson’s Disease
  • Stroke or CVA
  • Arthritis
  • Visual impairment
  • Cognitive impairment – dementia or Alzheimer’s Disease

Environmental issues that increase fall risk

  • lack of stair railing or grab bars
  • throw rugs
  • clutter in the walking path
  • inadequate lighting
  • slippery shower or tub surfaces
  • unstable furniture
  • wet floors
  • incorrect bed or toilet heights
  • poorly fitting slippers
  • broken walkers or canes
  • using a walker to stand from a sitting position – the walker will tip and the client will fall forward

Interventions to reduce fall riskFall Prevention

  • regular exercise to increase lower body strength
  • regular doctor visits to review and reduce the number of medications taken
  • especially sleeping pills, tranquilizers and anti-anxiety medications
  • regular vision exams and correct eyeglass prescriptions
  • Nursing Supervised, Trained, Caregiver Support

What you can do

  • report loose or unsteady railings/ do not let the clients use them for support
  • request grab bars in bathrooms, if that is not possible a commode can be installed over the toilet so the client will have side rails to aid in transfers
  • remove loose throw rugs that are in the clients walking path
  • keep clutter out of the path of the client
  • use a night light to light the path to the bathroom at night
  • be sure that there is adequate lighting in the client area
  • have a bedside lamp at the clients bedside
  • install a non-slip mat in the bath or shower
  • do not let the client use furniture to support them during ambulation
  • do not let the client walk on freshly mopped floors
  • clean up spills promptly
  • ask to have bed heights adjusted for safety
  • install a commode over the toilet to adjust seat height if needed
  • be sure the client is wearing properly fitting shoes or slippers
  • check walkers and canes daily for loose screws, missing rubber tips or broken wheels and report ASAP do not use broken devices
  • assist with transfers but do not use walker for support while transferring

What we can do

Step 1 – Nursing Assessment & Home Fall Safety Inspection

Step 2 – Care Giver Training

Step 3 – RN Supervision/Monitor Progress

Step 4- Family Portal

Senior In Home Safety Assessment

We can provide this same program for your facility, delivering quality, relevant education and the continuing education units your staff needs to maintain their licensing. In most cases we can offer these classes pro-bono.

Topics: Caregiver Information and Support, Senior Care Tips Sacramento CA, Falls & Fall Prevention