Citation

Smith DA. J. Am. Med. Dir. Assoc. 2018; 19(8): 714-716.

Affiliation

Geriatric Consultants of Central Texas, Brownwood, TX. Electronic address: geriatricconsult@aol.com.

Copyright

(Copyright © 2018, Lippincott Williams and Wilkins)

DOI

10.1016/j.jamda.2018.05.032

PMID

30055821

Abstract

Falls are common in nursing homes (NHs) and may result in serious injury to the resident as well as legal and regulatory liability for the NH. Some of these falls and injuries might be avoided if attending physicians were involved in risk reduction. I developed a communication tool to solicit from attending physicians specific risks for patients most likely to experience a fall and injury, and to consider strategies to reduce those risks. The communication tool addresses medications, osteopenia, vitamin D deficiency, vision, hearing, gait/balance/peripheral sensation, injury mitigation, altered mental status, restraints, and philosophy of treatment. An important component of implementation is to ensure full participation by the attending physician. Suggestions for implementation and evaluation are discussed, as well as potential application to clinical problems other than falls.

Copyright © 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

Falls; care planning; communication tools; fall risk; fall risk reduction; liability risk reduction