Falls – a case studyA provider’s

perspective

Liz Leaman

16 April 2013

Background•90 year old female resident admitted 2010•PMH Parkinson’s disease, UTIs, faints•Multiple falls prior to admission•Multiple falls during admission•Hospital/paramedics interventions•Injuries including wounds, bruising, concussion, especially head injuries

Falls – a case study

Investigations•Environmental issues•Clinical investigations•Tissue viability•Falls risk assessment•Referral to physio•Parkinson’s nurse specialist review•GP review/meds review•Monitor fluid intake•‘Measles’ map

Falls – a case study

When completing the incident report and falls incident analysis, consider:•Place and time•Surface type and condition•Lighting•Mobility and walking aids•Type and direction of fall•Glasses and footwear•Medication•Food and drink•Events leading up to the fall•Risk assessment

Falls – a case study

Guidance for completing theFalls prevention tool

From admission onwards•Is the resident mobile or immobile?•Who completes the document?•Storage and review•Falls incident analysis form

Falls – a case study

Falls – a case study

Falls – a case study

Falls – a case study

Falls – a case study

Falls – a case study

Issues to consider•Communication•Response from MDT•Staff training•External understanding•Review implementation and documents.

Falls – a case study

Falls – a case study

Outcome•Reduction in falls•Increased well-being of resident•Greater understanding of staff•Reduced staff time (responding to falls, wound care, incident reports etc)

Falls – a case study

Next steps

•Care review, •Resident, relatives and staff involvement•Falls action plan•Environment, activity•Reviews/Audit

Falls – a case study