Citation

Nitz J, Cyarto EV, Andrews S, Fearn M, Fu S, Haines T, Haralambous B, Hill KD, Hunt S, Lea E, Moore K, Renehan E, Robinson A. Geriatr. Nurs. 2012; 33(1): 41-50.

Copyright

(Copyright © 2012, Elsevier Publishing)

DOI

10.1016/j.gerinurse.2011.11.002

PMID

22209195

Abstract

For residents in long-term care facilities, falling is a major concern requiring preventive intervention. A prospective cohort study measured the impact of falls reduction following the implementation of evidence-based fall prevention interventions in 9 Australian residential care facilities. An external project team provided a comprehensive audit of current practice. Facilitated by an action research approach, interventions were individualized to be facility- and patient-specific and included the following: environmental modifications such as low beds and height-adjustable chairs, movement alarms, hazard removal, and hip protectors. Participants included 670 residents and 650 staff from 9 facilities across 3 states. A significant reduction of falls were observed per site in the proportion of fallers (P = .044) and single fallers (P = .04). However, overall the number of falls was confounded by multiple falls in residents. Reduction in fallers was sustained in the 6-month follow-up phase. Positive outcomes from interventions varied between facilities. Further research is necessary to target frequent fallers.

Language: en