Archive for December, 2008

5 Tips to Avoid Nursing Home Preventable Falls During The Holidays

Sunday, December 14th, 2008

It’s that time of year again that everyone celebrates the holidays.  So as I tripped on some holiday lights this weekend, I thought it would be a great reminder to share some tips to prevent nursing home falls this holiday season.

These are just 5 Tips to Prevent Nursing Home Falls During the Holidays

Tip # 1:  Keep the decorations off the floor.  This may seem like common sense, but as I walk into nursing homes I see the holiday decorations that are set up on the floor, especially in family meeting areas.  This can lead to a nursing home preventable fall by either a resident or a family member or visitor.  If you are celebrating Christmas by having a Christmas Tree, then make sure that there is not a skirt or packages or lights on the ground that a resident can trip and fall on.

Tip # 2:  What goes up, will come down.   Things that are hung up on the ceiling or on windows with tape, will eventually fall to the ground.  Thus creating another potential nursing home preventable fall.  It’s easy to prevent falls of this type by having staff members, whether caregivers, janitorial staff or dietary employees, pay attention and make it a priority to watch for anything that has fallen to the ground and pick it up.

Tip # 3:  When there is a party, make sure that the floors stay clean.  This is where you want to eat, sing and be merry in celebration of the holidays, but you also want to make sure that no party punch or liquids fall the floor with residents or visitors moving around so much.   So prevent this nursing home fall by being more watchful during parties or celebrations and make sure everyone is watching the floor and ready to clean any area immediately.

Tip # 4:  Keep the handrails clear.  You may want to decorate the handle rails and walking areas, but resist the urge to put anything on this area.  You sure wouldn’t want a nursing home fall just because you wanted to make the walls look more festive.

Tip # 5:  Bows and Wrapping Paper are pretty, but they can also be a nursing home fall risk.   Do you remember how when you were a kid the wrapping paper and bows always tend to end up on the floor.  Well, it doesn’t matter what your age is, wrapping paper and bows still end up on the floor, maybe just not as much as it did in the past.  So keep a trash can near by and make sure that residents don’t take the pretty bows and put them on their walkers or wheelchairs, as they will usually end up on the floor, and causing another nursing home preventable fall.

Please feel free to add your suggestions to this list, as there are many other ways to fall during the holidays, but I wanted to get these out on the web as fast as I could.

To learn more about avoiding nursing home preventable falls, please visit www.medicalnursetraining.com/LongTermCare.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To avoid kidney stones this holiday season, be sure to keep your residents fully hydrated.  To learn more, please visit www.avoidkidneystones.com 

7 Ways Seniors Can Avoid Falls - Nursing Home Fall Prevention

Thursday, December 11th, 2008

I came across this article on 7 Ways Seniors Can Avoid Falls by Lance P. Van Arsdell

I thought that this would be appropriate for Nursing Homes as well as Hospitals to pay attention to and may be use as they prepare their at home Fall Prevention Family Education Booklets.

“Fall” is the “four-letter word” seniors fear most. More than 90 percent of all hip fractures are the result of falls. While most of these falls are preventable, typically little is done to prevent them and their devastating, painful, and even life-threatening consequences.

One in five persons who breaks a hip dies within 1 year.

Many never walk again following a hip fracture.”

Here are seven things seniors can do to avoid having a fall:

Educate - Educate yourself!. Educate yourself on fall prevention as well as on other topics of interest to you. You’re already off to a good start but keep learning more every day. Our brains are the control centers for our bodies and our muscles can only carry out what our brain initiates. Benjamin Franklin said, “An idle mind is the devil’s playground” but in reality an idle mind shrinks! The body keeps what gets used.

Nourish - Eating well fuels your body to be a finely-tuned creation. This includes proper caloric intake, the right amount of fiber and correct hydration. Having a good nutritionist and doctor is a real plus. If you get mildly dizzy you might try eating ginger or having ginger tea but not just drinking ginger ale. You also can ask your doctor about trying ginger supplements if you don’t cook.

Evaluate - Go see your doctor right away if you have started feeling weak or dizzy. Your doctor or physical therapist may test your blood pressure both sitting and standing. Your doctor may test your thyroid, vision, hearing and sensation. Your PT will objectively assess your balance, strength and range of motion in order to improve your function. All these areas are important.

Medicate - Carefully! Medications are absolutely needed for many conditions but taking too many of them puts you at a higher risk of falls. This is particularly true when blood pressure medicine is added or adjusted. Taking many medications (like four or more) is called “polypharmacy”. Polypharmacy is a well-researched risk factor for falls. Ask your doctor or pharmacist to go over all your medications carefully. Avoid asking your doctor for additional medications. If you ask your doctor for the latest pill that’s been advertised on television he or she will likely give it to you. How do I know this? Your doctor is human and knows you won’t be back to see him or her if he or she doesn’t give you what you want. It’s in your best interest to let your doctor decide what medications you need.

Exercise - As a physical therapist you must know I’ll encourage you to exercise but I have a “bone to pick” with other health educators.

Scores of well-meaning health educators have kept scads of couch potatoes firmly rooted in their sofas by recommending exercise programs designed for athletes.

If an exercise program is too hard or painful or frequent you will never keep it up. Pain should not be a part of your therapy or home exercise program. The only exercise that benefits you is what you actually do and keep doing.

It is quite easy to exercise when a physical therapist comes to your house regularly but you must keep going. It is a GREAT investment. I only know one home-physical therapy company that has an excellent program to keep you going.

What can you start on now? Stretch your calves before rising at least daily. You can do this in a chair first by straightening your knees fully and then moving your toes toward your nose a few times as far as you can slowly. Walking up a slight slope with very low heels also helps. When you sit down sit down SLOWLY!

Environment - I know I’m “preaching to the choir” here but if you must have throw rugs tape them down with double stick tape. Keep pathways clear. It’s just fine to have furniture arranged so that if you stumble you can easily plop down on the sofa instead of crashing to the floor.

Equipment - You can only do as well as your “equipment” will allow you to do. Start with a sturdy pair of lace-up shoes with a low broad heel. I pay less than $60 for my sneakers and you needn’t pay more. If you tend to scuff your toes on carpet make sure you don’t wear shoes with too aggressive of a tread. Canes with hand-shaped handles as opposed to simple curves are best for walking if more support is needed. A four-point cane is a lot more stable than a straight cane. For some clients using two straight canes with one in each hand is more therapeutic and socially acceptable than using a quad cane or walker. Walkers should be at a height that gives you support without making you hunch over too much. An experienced physical therapist is the best one to advise on assistive device usage. Occupational therapists however are quite good at making suggestions at modifying the home to be more senior friendly.

In future articles I’ll focus more on each individual area of fall prevention to help you or your loved one stay health and avoid a fall.

For more information please to to http://www.AtHomeMEDrehab.com or call me today to schedule a free 15-minute phone consultation.

Lance P. Van Arsdell PT, MSPT : 602-619-8582

Physical therapist Lance P. Van Arsdell, PT is president of At Home MED rehab.com in Mesa, AZ. His practice specializes in improving the balance, and relieving the pain of seniors in their homes.

Lance is a published author on fall prevention and is working on the second level of his home study course for physical therapists.

Nurse Training Course Outline

Tuesday, December 2nd, 2008


FALL PREVENTION, BED SAFETY & RESTRAINT REDUCTION
NURSE TRAINING COURSE OUTLINE

In institutions, more than half of those with high risk factors fall every year. And one out of ten of these falls results in a serious injury. This program will help you identify risk factors for falls, both in the patient population and in the hospital environment, and it will help you take steps to prevent falls.  Falls among older patients and other-at-risk patients are very common.

OVERVIEWThis activity describes strategies and techniques for reducing / preventing falls. It is divided into the following parts.

 

a. Introduction

b. Nursing Home & Hospital Bed Entrapment and Hospital Bed Safety

c. Slide Program Review

d. Falls Management

PURPOSE/OVERALL GOALThe purpose of this activity is to provide nurses and others a review of strategies and techniques to minimize or prevent patient falls.

 

COURSE OBJECTIVES

After completing this course, the learner should be able to:

a. Define “restraints” according to Government Guidelines and Regulations.

b. Describe Fall Prevention/Protection, Protocols and New Alternatives to Restraint Products.

c. Describe indications and contraindications to various restraint and restraint free devices.

d. Describe selection strategy and authorized application techniques for restraints, postural supports, restraint alternatives, and New Bed Safety Devices as per CMS/FDA.

e. Describe in detail Hospital Bed Safety Work Group Bed requirements for safe bed environment.

f. Describe options to bed side rails as restraints.

g. Describe “Less Restrictive Alternatives” as required by JCAHO 2003, including QI Audit Documentation with special emphasis on the Joint Commission Patient Safety Goals, patient/resident family falls education and new less restrictive devices.

h. Describe and explain fall equipment, patient fall identifiers (as required by the Joint Commission) and criteria for utilization.

i. Identify root causes of patient falls and ways to prevent and protect patients.

j. Describe the training tools provided on the new CMS Restraint Regulations, including new interpretive guidelines released on 4-18-2008.

In our next post, we will talk about course options that are available for nurses to take online nurse training. We have Hospital Fall Prevention Protocols included in the package that you can take and use to modify your current protocols with. We are also one of the only few companies that offer fall prevention video training and have world class experts to teach the topics from institutions such as Johns Hopkins Hospital and Inova Health System.

To get started with our course, click here to visit Medical Nurse Training or type in www.MedicalNurseTraining.com