Resources: Falls prevention and management
The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of the Prevention of Falls and Fall Injuries in the Older Adult Best Practice Guideline. Documents found in this resource are evidence-based, but it is not a program plan. Each LTC home is unique and each home is in various stages of guideline implementation. LTC homes are advised to use the resource at their discretion. For those resources that have copyright notations, it is recommended that LTC homes obtain permission from the primary author prior to implementing them within their setting. The Toolkit is a dynamic resource, and is being updated and revised on a regular basis by the LTC Best Practices Initiative team. Visit this site often to see what's new!
Disclaimer
Submit a Resource
Feedback
To view PDF format files, you need to have Adobe Acrobat® Reader installed on your computer. You can download this free software from the Adobe Web site.
| Resource | Link |
|---|---|
Berg Balance Scale This scale rates a resident’s balance, and in turn, can be used to help determine resident fall risk. Available at http://www.fallpreventiontaskforce.org/pdf/BergBalanceScale.pdf. | ![]() |
MOHLTC Critical Incident This form is mandatory for falls resulting in significant injury. It would be best to incorporate this form into policy and procedure. | ![]() |
Morse Falls Scale This scale requires systematic, reliable assessment of a client’s fall risk factors upon admission, after a fall, with a change in status, and at discharge or transfer to a new setting. Available: The National Center for Patient Safety (NCPS). Author: Morse, J. M., Morse, R., & Tylko, S. (1989) | ![]() |
Post Fall Investigation The incident reporting forms help determine who fell and why, and looking at these factors help discover how to prevent falls. | ![]() |
Tinetti Balance and Gait Evaluation Tool These tools can be found and a tutorial is available at http://geriatrics.uthscsa.edu/tools/TINETTI.pdf. | ![]() |
| Resource | Link |
|---|---|
| Self Learning and PowerPoint Presentations | |
RNAO's Falls Prevention: Building the Foundation for Safety A self learning package for health care workers on identifying and modifying falls risk. | ![]() |
Falls Prevention and Management PowerPoint presentation Slides to educate staff on falls risk and prevention. Prepared by Hazelynn Kinney, previous LTC Best Practice Coordinator, Central East Region. Based on the Toronto Best Practice Implementation Steering Committee’s Policy and Procedure ‘Falls Prevention and Management’ (2006). | ![]() |
Falls and Stroke Slides addressing stroke and falls risk developed by the Central South Stroke Strategy. | ![]() |
| Charts | |
| Fact Sheets / Pamplets / Pocket Cards / Logos | |
RNAO Fact Sheet – Reduce Your Risks for Falls Highlights strategies for reducing fall risks. It is aimed at residents and families with recommendations for action based on the falls prevention guideline. | ![]() |
RNAO Réduire les risques de chute RNAO Fiche de renseignements pour la sensibilisation en matière de santé. | ![]() |
RNAO Falls Pocket Card This is a pocket card developed by RNAO based on the RNAO Falls Prevention BPG. | ![]() |
RNAO: BPGs to the Bedside – Action for Personal Support Workers A series of fact sheets to increase Personal Support Worker’s (PSW) knowledge of how they can prevent resident falls. | ![]() |
The Bones Issue BP Blogger Newsletter January 2008 | ![]() |
| Videos | |
Educational DVD on Osteoporosis and Fracture Prevention in Long-Term Care This is a 10-minute DVD linking osteoporosis and falls prevention. The Osteoporosis strategy will be distributing a free copy of this DVD to each of Ontario’s LTC homes in the winter of 2009. If you wish to order an additional copy contact the Osteoporosis strategy at: http://www.osteostrategy.on.ca/multimedia/Purchase%20Order%20Form%20Osteoporosis%20LTC%20online. | ![]() |
| Websites | |
Falls in Long Term Care Includes links to information on falls assessment, management, and restraints. | ![]() |
New South Wales Falls Prevention Network (Australia) This website provides an Australian perspective on falls prevention. | ![]() |
Prevention of Falls Network Europe (ProFaNE) This website provides a European perspective on falls prevention. | ![]() |
| Education Resources | |
Canadian Falls Prevention Curriculum© (CFPC) - Summary The Canadian Falls Prevention Curriculum© (CFPC) is designed to build on existing knowledge and skills of health professionals and community leaders working in the area of falls prevention among older adults (those 65 and over). The CFPC was developed under the leadership of Dr. Vicky Scott, Senior Advisor on Fall and Injury Prevention for the British Columbia Health Authorities and a team of experts in fall prevention from across Canada. | ![]() |
Universities/Colleges: Canadian Falls Prevention Curriculum© (CFPC) - E-Learning Course University of Victoria, BC. HPPD215 2009F D01 | ![]() |
Hamilton Self Assessment Test Found in: Hamilton Health Sciences (2008). Best Practice for Prevention of Falls. | ![]() |
RGP's On-line Teaching Resources A collection of online teaching resources for specialized geriatric services developed by academic centers and national, provincial and state associations in Canada and the USA compiled by the Regional Geriatric Program of Toronto. Topics include: 3Ds (Dementia, Dilirium, Depression), incontinence, constipation, pressure ulcers, wound care, sleep disorders, falls, elder abuse, nutrition, and much more! | ![]() |
| Other Resources | |
Assistive Devices Program (ADP) For resident purchase of devices such as walkers; talk to the physiotherapist in your home. | ![]() |
Falls Risk Factor Identification from the World Health Organization A study about fall risk factors and interventions for falls. Todd C, Skelton D (2004). What are the main risk factors for falls among older people and what are the most effective interventions to prevent these falls? Copenhagen, WHO Regional Office for Europe (Health Evidence Network report; http://www.euro.who.int/document/E82552.pdf, accessed February 2009). | ![]() |
Restraints (a column from the Nursing Issues section of the RNAO website) An Advanced Practice Nurse in Ottawa responds to a student nurse’s question about understanding the appropriate use of restraints. Written from an Ontario perspective it contains reference to documents to help support practitioners use of the CNO guidelines and the Restraint Minimization Act. | ![]() |
Set me Free: Towards Reducing The Use of Physical Restraints A resource for service providers on reducing restraint use in the health care setting. Order form resource only. | ![]() |
| Resource | Link |
|---|---|
Restraint Prevalence Tools from Nursing Best Practice Research Unit (page 12) This tool measures the prevalence of restraint use in the home; developed and piloted by the Nursing Best Practice Research Unit at the University of Ottawa. Website: www.nbpru.ca. | ![]() |
Program Evaluation: The basics Developed for public health units, it is equally applicable for programs developed in long term care particularly as it considers constraints in human resources and finances. The whole toolkit can be accessed at: http://www.phac-aspc.gc.ca/php-psp/toolkit-eng.php. | ![]() |
The Evaluation Center – Western Michigan University This contains checklists and tools for planning your evaluation. | ![]() |
Ontario Injury Prevention Resource Centre. There is a link to the stages of evaluation. This outlines the five steps in the evaluation process, and provides links to the introduction and overview of the program evaluation toolkit. | ![]() |
Public Health Agency of Canada - A Guide to Project Evaluation: A participatory approach This evaluation guide provides an easy-to-use comprehensive framework for project evaluation. | ![]() |
| Resource | Link |
|---|---|
Falls Assessment Tools This site provides a critique of tools and associated costs. The actual tool is not included in this website. To locate the desired tool, an internet search is recommended. | ![]() |
Hip Protectors – study This is a National Health Service study from England which looks at the use and selection of Hip protectors. | ![]() |
Mississauga Halton LHIN report on Falls Prevention This is a comprehensive falls prevention resource guide outlining everything you need to start a falls prevention program at your home. | ![]() |
Stepping In: Long-Term Care Collaborative Falls Prevention Project This is a falls project summary report from Victoria, BC. It describes the need for a falls reporting form and prevention protocols. Appendix A outlines environmental initiatives, target residents & personnel and costs from the environmental changes related to the project. | ![]() |
Systematic Review of Mobility Assessment Tools A published report compiled by the British Columbia Injury Research and Prevention Unit looking at assessment tools across different settings including LTC. http://www.injuryresearch.bc.ca/categorypages.aspx?catid=1&subcatid=7&catname=Injury%20Topics&subcatname=Falls%20Prevention Reference: Scott, V., Votova, K., Scanlan, A., Close, J. (2007). | ![]() |
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP. San Francisco, California, USA: Jossey-Bass Publishers; 1996. Click on the link to view the synopsis of the book. | ![]() |


