Fall risk interventions

Multiple causes of fall risk are tackled in collaboration with multiple disciplines. It is therefore important to cooperate with other professionals.

A first step is to refer the client to a specialized/Bachelor nurse for a fall-risk evaluation. Orthostatic hypotension must be measured, given that the daughter Joyce indicates that Mr Albai is also dizzy when standing up. The results can be immediately passed on to the specialized nurse.

N.B. Bed rails increase the risk of falls and should be avoided.

Interventions that a healthcare provider can start after a fall include:

  • Refer the client to a  Nurse specialist (Geriatrics) or Bachelor nurse. 
  • Report the incident (to the GP). 
  • Provide information about the consequences of falls and the importance of exercise and good footwear. 
  • Check the house and provide a brochure: safety in and around the house. 
  • Review medication in consultation with the GP (vitamin D, possibly calcium, pain relief)v
  •  Motion-detecting sensors. 
  • Pay attention to the risk of clothing (legs that are too large, belt that is difficult to open, poorly fitting footwear). 
  • Provide a personal alarm. 
  • Fit a hip protector. 
  • Take stock of environmental factors and adjust if necessary: remove obstacles (cords, rugs, furniture).
  • Have floor thresholds removed.
  • Use a high-contrast floor covering.
  • Use anti-slip tiles in wet areas.
  • Check light.
  • Reach bell.
  • Ensure good lighting during the day and night lighting.
  • Check toilet seat is at the right height.
  • Check aids (brake, tires).
  • Ensure bed position is low.
  • Keep the walkway clear.
  • Place items within reach (so that the client does not bend over unnecessarily).
  • Provide orthostatic hypotension.
  • Encourage the client to get up slowly.
  • Ensure sufficient fluid intake. 
  • Show fall-risk videos, e.g. https://www.youtube.com/watch?v=op02UL0UbBk 
  • Recommend anti-slip socks. 
  • Regularly walk with the client. 
  • Encourage mobility. 
  • Perform evaluation with specialized/HBO vpk to further adjust the care plan based on fall history and fall-risk evaluation.

 

Bron:

Bleijenberg (2017) Toolkit kwetsbare ouderen. Bohn Stafleu van Loghum.

Larue A. in : Bakker T., Habes V., Quist, G., Van der Sande, J., Van de Vrie, W. (2019) Klinisch redeneren bij ouderen. Functiebehoud in levensloopperspectief. Bohn Stafleu van Loghum.

Schim van der Loeff-Van Veen , R. ( 2017) Geriatrie. Bohn Stafleu van Loghum.