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Falls Among the Elderly
Strategic Plan
Statistics of Falls in the Elderly
Falls are one of the largest injury causing issues in the elderly population.
Ang, G. et al. (2020), states several statistics of falls, these include 1 in every 3 adults over the age of 65 will have at least one fall a year. Falls are the cause of 40% of injuries relating to death in the elderly and the cycle of falls goes as follows: A fall leads an individual to fear falling again; this fear can lead to the decrease in activity; the decrease in activity leads to muscle weakness and balance issues; which leads to lack of function; leading to another fall.
Falls in long-term care facilities are a huge issue. Especially if the resident obtains an injury leading to a break or hospitalization. Unfortunately, many of these falls are unpreventable. Since restraints have been removed from care of the elderly; residents with dementia may often forget what they are capable of.
Question
WITH PROPER PROTOCOL, AND DOCUMENTATION CAN A FORM OF RESTRAINT, SUCH AS A CHAIR ALARM, BE USED TO BENEFIT THE HEALTH AND DECREASE THE RISK OF FALL AMONG ELDERLY WITH DEMENTIA?
The Study
First a proposal would have to be brought to the attention of the state.
Secondly, the families would have to be willing to subject their loved ones to the study.
There would have to be specific protocols put in place such as, the patient would have to have dementia, they would have to have already had x amount of falls and interventions in place that were not working.
The families and staff would have to be educated on what restraints are acceptable. One that is considered a restraint, but also can gently remind a resident that they are not capable of walking is a chair alarm.
OUTCOME
The outcome would be easily measured by a reduction in the amount of falls a specific individual is having prior to a chair alarm vs post chair alarm.
These results would be shared with the provider, families and if desired specific paperwork/documentation could be set up to continue the use of this device.
BARRIERS
The number one barrier for this would be the state and CMS. These two organizations are against any type of restraint. They believe the individual is to make decisions on their own and the health care system just keeps them as safe as possible. However, family members of dementia patients who have a multitude of falls, just want them kept safe and if this means an alarm in their chair that will remind them and alert the nursing staff they are usually acceptant of this.
BREAKING BARRIERS
It is possible if a study was done on the dementia patient, the feelings of their families and this decreased the numbe
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