A fall is defined as “an unintentional change in position resulting in coming to rest on the ground or at a lower level” (Missouri Alliance for Home Care).
Fall prevention is a major component of patient safety. The Institute of Medicine (IOM), 2003, stated that patient safety is defined as the prevention of harm to patients, where harm can occur through errors of commission and omission.
No longer can health care providers just respond to patient incidents by investigating the reason for the fall and responding to prevent injuries. Decisive and progressive health care providers must search for a proactive approach to patient safety, including patient fall prevention interventions.
The Norwell VNA and Hospice Fall Prevention Specialty Team is committed to this approach and uses the following as their guideline.
Fall Prevention Definition:
Fall prevention in the home health setting is defined as a strategy that uses specific interventions to help specific patient or all patients avoid the risks of falling in an effort to reduce hospitalizations. Norwell VNA and Hospice utilizes the Four C’s approach ---Consistent, Cross Discipline, Coordinated, Culture.
Elder Falling in Home Facts:
Consider the following:
Falls are usually associated with health and aging conditions:
The “Watch Your Step” Program is a community-based program, which combines a 1-hour educational program and an individual fall risk screen done by licensed professionals. This program is evidence based on the latest research about fall risk and prevention and offers seniors in the community recommendations to enhance living safely and independently at home or in their community dwelling. The “Watch your Step” screening includes a questionnaire of risk factors and a risk assessment including the “Timed Up and Go”, the Functional Reach, and the Romberg Test to assess balance with eyes closed. If you are interested in finding out more about this program please contact our Rehab. Manager at 781-659-2342.