Falls

The psychology of falls in long-term care

The psychology of falls in long-term care

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According to the American Geriatrics Society, one in three adults over the age of 65 falls each year. Falls represent the leading cause of fatal and nonfatal injuries among older adults. You might be surprised to hear some of the contributing factors of falls and the psychology behind them. I also have advice on ways residents and staff can reduce the likelihood of falls.

Also in the news for May 28, 2014 . . .

MRSA drug gains approval through govt's rapid process ... Kindred blasts Gentiva over 'poison pill' ... Improved vision increases seniors' fall risk? ... Observation stays for falls increase in WA

Also in the news . . .

Women transition from nursing home to community less often ... Readmission to a different hospital increases death risk ... Deep brain stimulation fends off Alzheimer's? ... Cataract surgery reduces falls

New report for patient safety

New report for patient safety

ECRI Institute has created a list called the Top 10 Patient Safety Concerns for Healthcare Organizations.

Expert panel recommends functional status quality measures for skilled nursing facilities

Expert panel recommends functional status quality measures for skilled nursing facilities

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An expert panel convened by federal regulators has offered recommendations for functional status quality measures in skilled nursing facilities. Released Friday was a summary of the experts' advice to create a functional status quality measure in SNFs, as well as inpatient rehabilitation facilities and long-term care hospitals.

Ground-level falls lead to high rates of SNF admission, return trips to the hospital, study finds

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Even if they do not hit the ground from a great height, elderly people who seek hospital care for a fall commonly go on to a skilled nursing facility, according to a recently published study. These seniors also have a greater risk of returning to the hospital and have a significantly elevated risk of dying, the researchers found.

Good Samaritan faces charges over resident death linked to 50 falls

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An Iowa skilled nursing facility has been charged with wrongful death for allegedly allowing a resident to fall dozens of times prior to her death, which was brought on by a fall.

Long-term care residents are at high risk of fall-related head injuries, study finds

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Long-term care residents frequently hit their heads when they fall, suggesting that care providers should develop interventions to reduce the risk of fall-related brain injuries, according to newly published research.

On a mission to protect senior hips

On a mission to protect senior hips

If you are a caregiver, you know how important it is to prevent falls. But when someone falls, I am on a mission to make sure he or she can get back up again.

Employers giving too much credit when hiring: research

Employers giving too much credit when hiring: research

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Employers often use correspondence bias when hiring, with potentially negative results, a study has found.

Avoiding traps at survey time the topic of Super Tuesday webcast

Four universal challenges at survey time will be the focal points of the next McKnight's Super Tuesday webcast. The one-hour live webcast will offer practical strategies providers can use concerning falls, incontinence, pressure ulcers and unintended weight loss. The lead presenter will be Leah Klusch, executive director of the Alliance Training Center, and no-cost CE credit will be available.

Avoiding traps at survey time is the topic of our July 16 Super Tuesday webcast

Avoiding traps at survey time is the topic of our July 16 Super Tuesday webcast

Even at the nation's best nursing facilities, residents are susceptible to four universal challenges: falls, incontinence, pressure ulcers and unintended weight loss. This McKnight's one-hour live webcast on July 16 will examine why this fearsome foursome is especially challenging, and offer practical strategies providers can use. The lead presenter will be Leah Klusch, executive director of the Alliance Training Center, and no-cost CE credit will be available.

Research organizations team up for large-scale senior fall prevention study

Research organizations team up for large-scale senior fall prevention study

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Two research organizations are teaming up for a major study to reduce the number of fall-related injuries among seniors. Provider input is requested.

Occupancy held steady while Medicare gained importance for nursing homes: CDC report

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The occupancy rate for nursing homes was steady at 82% between 2000 and 2011, according to the most recent national health report from the Centers for Disease Control and Prevention. The number of Medicare-certified SNFs increased between 2000 and 2010.

Ask the care expert ... about the Morse Fall Scale

Ask the care expert ... about the Morse Fall Scale

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What is the Morse Fall Scale, and how it is different from others? Nursing fall-risk assessment, diagnoses and interventions are based on use of the Morse Fall Scale. The MFS requires systematic, reliable assessment of a patient's fall risk factors upon admission and upon falls, change in status and discharge or transfer to a new setting.

Dual-stiffness flooring in nursing homes helps reduce fractures from falls, study shows

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Nursing home residents who fall on dual-stiffness flooring may be less prone to fractures, according to a recent study in the Journal of the American Medical Directors Association.

NQF's measures target pressure ulcers

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The National Quality Forum (NQF) Board of Directors recently endorsed 12 patient safety measures with a focus on complications. The measures address pressure ulcers, falls, healthcare-associated infections and a range of quality concerns.

NQF's new safety measures focus on falls, pressure ulcers

The National Quality Forum (NQF) Board of Directors endorsed new patient safety points of emphasis, including several directly related to long-term care, this week. The new measures came in the third installment from the NQF's patient safety endorsement project this year.

Wireless devices answer the call for help

Wireless devices answer the call for help

As a result of rising medical costs and an increasing number of patients with chronic conditions, many senior living facilities are seeking wireless monitoring solutions for managing patients' health in addition to life-safety. For all patients or residents, any change or decline in their condition needs to be detected as quickly as possible to allow for early intervention.

Senate designates Sept. 22 National Falls Prevention Awareness Day

Senate designates Sept. 22 National Falls Prevention Awareness Day

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The U.S. Senate has passed a resolution intended to raise awareness for fall-prevention practices for the elderly.

'Magic carpet' could prevent nursing home falls, researchers suggest

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The placement of plastic optical fibers under a carpet or flooring has the potential to greatly reduce falls among nursing home residents, an interdisciplinary team of researchers said at a scientific conference this week.

Investigators find cataract surgery can lead to falls

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Australian researchers have found that falls and fractures among the elderly increase after cataract surgery, according to a new study that contradicts findings published earlier this month.

Nursing leaders give solutions to fall risks, medication problems at NADONA panel

Nursing leaders give solutions to fall risks, medication problems at NADONA panel

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Nursing leaders offered strategies to help nursing directors reduce antipsychotics use and alleviate alarm problems during a leadership panel Tuesday.

Panel endorses patient safety quality measures

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A set of 14 patient safety measures seeking to curb preventable errors in healthcare settings has been approved by a national standards-setting organization.

Fall risk in new nursing home residents tied to CNA staffing levels, study says

Fall risk in new nursing home residents tied to CNA staffing levels, study says

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The risk for falls among newly admitted, short-stay nursing home residents is tied to certified nursing assistant staffing levels, new research has determined.

Coding improvements to blame for uptick in fatal falls in the elderly, study finds

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More accurate coding and reporting could be the reason behind a recent spike of fall-related deaths in the elderly, new research finds.

Nursing home honored for reducing falls 53% in one year

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A New York nursing home that reduced falls by 53% in a year credits program planning, new safeguards and revised resident assessments.

Why do we do some of this 'stuff'?

Why do we do some of this 'stuff'?

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We do a lot of "stuff" in nursing that makes no sense (both in acute care and long-term care — I'm not singling us out here). We do a lot of things that waste precious time and are definitely not evidence based. Let's take a look at some myth busters.

Undiagnosed neurological condition could contribute to falls, fractures in the elderly, research finds

Undiagnosed neurological conditions such as cervical myelopathy could be the reason for many falls and hip fractures in the elderly, new research shows.

Long-term care stakeholders submit quality measures performance report to HHS

Long-term care stakeholders submit quality measures performance report to HHS

As required by the Affordable Care Act, the National Quality Forum convened the Measure Applications Partnership (MAP) to develop a coordinated performance measurement approach across PAC and LTC settings.

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