session 3a: managing falls risks through nasrm 2016 building design managing fall … · 2016. 9....
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Session 3a: Managing Falls Risks through Building Design
NASRM 2016
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Managing Fall Risk through Building Design
Presenter: Jane Rohde, AIA, FIIDA, ASID, ACHA, CHIDLEED AP BD+C, GG CIEB Assessor
Learning Objectives
1. Recognize building design elements that can be contributing factors in falls related events and injuries
2. Assess building locations to help evaluate where resident mobility and transfer risks exist
3. Identify actions in environmental design that can effectively reduce resident fall risk
4. Write building design improvement recommendations that help to prevent falls and reduce falls-related risks
Managing Risk
Clinical, Financial, & Risk Adverse
But more importantly identify the “Who”
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Opportunities to Improve Lives
Observation & Awareness Understand the Elder Experience Reinforcement for Staff & Family In-service including “People
Outcomes” Everyone in this room can make a
difference – improving outcomes & improving lives
The “Who”
Miriam Sosnowski
Miriam was born on April 8, 1919
She was married to John Sosnowski
She had a beautiful German Shepherd
She lived at Charlestown Retirement Community
She was a dear friend
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Elder in Beijing
Mathew & Lisa
Nettie Stevens
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Mr. & Mrs. Biggs
Mary & Beatrice
George
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Mr. Weber
www.fgiguidelines.org
Design Guidelines for Licensing
Facility Guidelines Institute
2014 Current Publication Adoption / Reference in
several states Functional Program Environment of Care Resident Safety Risk
Assessment 4 year Cycle for
updates: 2018 in process
Functional Program
Resident at Garden Spot Village
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Functional Program
Functional Program
Environment of Care
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Light & Views
Light & Views
Citizen’s Care Nursing HomeHavre De Grace, Maryland
Views of Nature
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Access to Nature
ConservatoryGarden Spot Village
Wayfinding
WayfindingGarden Spot Village
Landmarks & Familiarity
WayfindingGarden Spot Village
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Control of the Environment
Control of the Environment
Cultural Responsiveness
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www.fgiguidelines.org
Resident Safety Risk Assessment
Resident Safety Risk AssessmentPart of the up-front planning process
Infection Control Risk
Resident Mobility & Transfer Risk
Resident Fall Risk & Prevention
Resident Dementia & Mental Health Risk
Security Risk
Disaster Risk & Emergency Preparedness
Resident Safety Risk Assessment
Mobility & Transfer: Assessment Steps
Evaluate the care model and identify the care population needs
Establish criteria for functional needs Evaluate workman comp / staff injury incidents
that are associated with mobility & transfer of residents
Evaluate time and difficulty for a two staff person transfer of a resident
Determine Life Cycle Cost Analysis on FTEs and continual operational costs versus only first cost of ceiling lifts and related equipment
Evaluate solution options that meet criteria
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Mobility & Transfer
Photos: Courtesy of PressalitCare
Mobility & Transfer
Lift System: Guldmann, Inc.
Mobility & Transfer
Citizen’s Care Nursing HomeHavre De Grace, Maryland
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Cypress GardensChina Senior CareHangzhou, China
Mobility & Transfer
Fall Risk: Assessment Steps
Evaluate the care model and identify the care population needs
Establish criteria for functional needs Evaluate incidents of falls as documented Review with staff undocumented incidents and high risk
residents Evaluate locations of highest number of incidents of
falls Focus group for staff where highest and lowest
incidents of falls are occurring Analyze environmental and operational circumstances
related to highest risk areas versus lowest risk areas Evaluate solution options that meet criteria and address
high, medium, and low risk areas for fall reduction Benchmark falls after intervention provided
Fall Risk & Vertigo
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The Meadows: Brooke Grove Retirement Village: Sandy Spring, Maryland
Fall Risk
Fall Risk
Fall Risk
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Fall Risk
Wharton Care Center: Indirect Lighting SolutionsPleasant Hill, Tennessee
Fall Risk & Lighting
Uplands Retirement Community: Wharton Care Center; Pleasant Hill, TN
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Fall Risk & Lighting
Abe’s Garden at Park Manor: Architect: Manuel Zeitlin, LLC / Interior Designer: Perkins Eastman / Photo: Nick McGinn at McGinn Photography
Fall Risk & Technology
Fall Risk & Technology
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Fall Risk & Furniture
WelbrookRengel / Laura McCants / JSR Associates, Inc.
Fall Risk & Dining Experience
Edward N. & Della L Thome Adult and Senior Care Center: Harry & Jeanette Weinberg Campus
Milford Mill, Maryland
Household Design for Adult Day Care
Fall Risk & Dining Experience
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Balancing Risk & Safety
Recommended Process
Recommended Outcome
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Thank you!
Jane Rohde, AIA, FIIDA, ASID, ACHA, CHIDLEED AP BD+C, GGA - CIEB
PrincipalJSR Associates, Inc.e: [email protected]: (410) 461-7763w: www.jsrassociates.net