Implementing and sustaining evidence-based practices in long-term care.

Falls

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 Program team. Visit this site often to see what's new!

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Exercise and Physical Training Interventions – Appendix H

Table 18 summarizes different approaches to exercise and physical training interventions with varying degrees of effectiveness.

Registered Nurses’ Association of Ontario.  (2017).  Appendix H of RNAO Prevention of Falls and Reducing Injury from Falls Best Practice Guideline. (4th Ed.).  Toronto, ON: Author. (p.104-107.)

 

Interventions for Falls Prevention and Injury Reduction – Appendix G

Table-14, 15, 16 and 17 summarize evidence from the reviewed literature on specific fall prevention and injury reduction interventions. They are organized according to the benefit of the interventions. Health-care providers use clinical judgment to determine if interventions apply to their settings.

  • Table 14: interventions with strong evidence of benefit.
  • Table 15: interventions that have potential benefit.
  • Table 16: interventions with mixed findings.
  • Table 17: interventions with insufficient evidence of benefit.
Registered Nurses’ Association of Ontario.  (2017).  Appendix G of RNAO Prevention of Falls and Reducing Injury from Falls Best Practice Guideline. (4th Ed.).  Toronto, ON: Author. (p.98-103)

 

Approaches and Tools for Assessing Falls Risk - Summary of Findings – Appendix F

Appendix F - provides a summary of related approaches and tools for assessing fall risk. The tools are categorized as follows: gait and balance; general fall risk and fear of falls. It is important for the organization to review the findings to support selection of tools for settings and population(s) served noting that other tools are available that address specific risk factors.

Registered Nurses’ Association of Ontario.  (2017).  Appendix F of RNAO Prevention of Falls and Reducing Injury from Falls Best Practice Guideline. (4th Ed.).  Toronto, ON: Author. (p.92-97)

 

List of Risk Factors – Appendix E

Tables 10, 11 and 12 list of risk factors that include fall risk factors, health conditions associated with increased risk of falls, and factors associated with increased risk of falls injury.

Registered Nurses’ Association of Ontario.  (2017).  Appendix E of RNAO Prevention of Falls and Reducing Injury from Falls Best Practice Guideline. (4th Ed.).  Toronto, ON: Author. (p.88-91.)

 

The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities

This is a resource manual for LTCHs on how to develop a successful person-centred Fall Prevention Program. It details and provides resources such as who should be members of the fall prevention team and their job descriptions, education modules for PSWs, registered staff and families, post fall risk assessments and documentation, environmental fall risk screening and a host of other QI tools.

Taylor, J., Parmelee, P., Brown, H., & Ouslander,J. (2005). The Falls Management Program: A Quality Improvement Initiative for Nursing. https://www.ahrq.gov/sites/default/files/publications/files/fallspxmanua...

 

Falls prevention Discussion Guide – LTC Edition – Centre for Effective Practice

The Centre for Effective Practice developed a discussion guide and caregiver supplement which includes topics of assessment of fall prevention and prevention in relation to associated co-morbidities. This guide includes references to available relevant tools and services.

Centre For Effective Practice. (2016). Falls Prevention Discussion Guide. Retrieved from https://cep.health/clinical-products/falls-preventon/#pc_page_1032

 

LTC Series – PSWs: Proper Positioning for Sitting – Geras Centre YouTube Video

LTC Series - Personal Support Worker: Proper Positioning for Sitting is a one and a half minute Osteoporosis Canada video discusses and demonstrates how to properly position residents for sitting.

Osteoporosis Canada. [GERAS Centre]. (2018, Feb 8). LTC Series - Personal Support Worker: Proper positioning for sitting. [Video]. YouTube. https://www.youtube.com/watch?v=ssxzMpcCRDM

 

LTC Series – PSWs: How to Safely Transfer in & Out of Bed – Geras Centre YouTube Video

LTC Series - Personal Support Worker: How to Safely Transfer In and Out of Bed is a two minute Osteoporosis Canada video discusses and demonstrates how to safely transfer residents in and out of bed.

Osteoporosis Canada. [GERAS Centre]. (2018, Feb 8). LTC Series - Personal Support Worker: How to Safely Transfer Out/In Bed [Video]. YouTube. https://www.youtube.com/watch?v=3l93LkyHyLY&t=5s

 

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