The leading cause of both fatal and nonfatal injuries for people aged 65+ is
What is falls
100
What age population is most at risk for falls?
What is >65.
100
When should falls prevention start?
What is upon admission.
100
Who is responsible to help with preventing falls for the patient/resident?
What is you are! Any health care personnel can round and help make sure the patient/resident has when he or she needs.
100
True or false: Do alarms PREVENT falls?
No. They may increase agitation in dementia patients.
200
Each year one in _____ adults age 65 and older falls
What is 3
200
Falling once _____ your chances of falling again.
What is doubles
200
Name 3 ways to prevent falls in the resident/patient room?
What is
1. clear clutter
2. call light within reach
3. bed in low position
4. glasses, phone, personal items within reach
200
To lower their hip fracture risk, older adults should get adequate amounts of ______ and _________.
What is calcium and vitamin D
200
Falls are the ___ most common adverse event within healthcare institutions following medication errors.
What is second
300
True or false: Fear of falling increases fall risk
What is true
300
The name of the scale used to calculate fall risk
What is: Morse Scale
300
Name the type of fall that can't be predicted
What are
Unanticipated physiological falls
300
Type of fall: tripping over tubing
What is accidental fall
300
Patients who have a serious injury related to a fall during a hospital stay average 6– ___ days of additional hospital time
What is 12
400
True of False: Falls in the elderly may result in permanent disability, early death, or nursing home placement
What is: true
400
Name 3 medical conditions listed as contributors to falls.
What is
heart disease
prior stroke
parkinson's disease
alzheimer's disease
dementia/delirium
orthostatic hypotension
COPD
diabetes
seizure disorder
osteoporosis
400
What is one of the best ways to help your patient prevent a fall?
What is purposeful or intentional rounding
400
Exercises and programs such as Tai Chi should focus on increasing leg strength and improving ________
What is balance
400
Inpatient falls can be classified into three categories: accidental falls, anticipated physiologic falls, and unanticipated physiologic falls. Name the most common fall.
What is anticipated physiologic falls (79%).
500
One out of ___ falls causes a serious injury such as broken bones or a head injury
What is 5
500
Name 3 physical changes in elderly that contribute to falls
What is
Neuromuscular aging
Sensory impairment
Vision
Aging eyes
Cataracts/ glaucoma
Hearing
Neurologic changes
Gait disturbances
Foot problems
Mobility difficulties
500
Describe purposeful rounding.
Asking the patient:
Potty
Positioning
Possessions
Pain
Privacy
500
_________ is the only intervention that by itself reduces falls among older adults.
What is exercise
500
Briefly explain what is involved in the post fall huddle.
Instructions:
1. Hold huddle as soon as possible after the patient fall occurred.
2. Keep the huddle brief; 15 minutes.
3. Involve the patient/resident if possible.
4. Forward completed review to Nurse Manager, then to Patient Safety Manager.