Addressing Falls and Elopement by chenmeixiu

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									 Addressing
 Falls & Elopement


Budgie Amparo
Senior VP of Quality and Risk Management
Emeritus Senior Living
   Falls

Falling is a problem characterized by the
 failure to maintain an appropriate lying,
 sitting, or standing position, resulting in
   an individual’s sudden, unintentional
  relocation either to the ground or into
 contact with another object below his or
              her standing point
  Address Falls & Elopement
 Using The 4 Quadrants Guide
     ASSESSMENT        PREVENTION
• Accuracy        • Systems
• Timeliness      • Training
• Consistency     • Follow-up
    EXPECTATION      DOCUMENTATION
• Disclosures     • Prudent
• Communication   • Integrity
• Realistic       • Complete
Elopements/Wandering
In dementia literature, wandering is described
     as a common neuropsychiatric symptom,
      possible a means of communication: In
   patients/residents with dementia reasoning
    and language skills are gradually lost and
       communication becomes more overtly
 behavioral, so behavioral like wandering may
    represent an attempt to express needs that
        cannot be expressed adequately with
 language-just as young children’s crying and
  temper tantrums are not necessarily problem
    behaviors but a means of communication
Falls & Elopement Exposure

              Regulatory
                               Media


 Litigation

                       Reputation

      Monetary
                                               Fall Risk Disclosure Sample
     Resident Name:___________________________________________ Date: ______________
     Physician: ________________________________________________Apt. Number: _______

    (Name of community) is committed to quality care of all residents. In an effort to provide optimal care, it is necessary to build
    a partnership between physicians, family members, and facility staff to best serve the resident. In that endeavor, family
    involvement in the treatments, interventions, and approaches is an integral part of the over-all care approach.

    According to the CDC (Centers for Disease Control) In the United States, one of every three adults 65 years old or older falls
    each year. Falls are the leading cause of injury deaths among people 65 years and older. Of all fall deaths, more than 60%
    involve people who are 75 years or older. Among older adults, falls are the most common cause of injuries and hospital
    admissions for trauma. Falls account for 87% of all fractures for people 65 years and older. They are also the second
    leading cause of spinal cord and brain injury among older adults. According to the CDC, for adults 65 years old or older, 60%
    of fatal falls happen at home, 30% occur in public places, and 10% occur in health care institutions.

•   Hip Fractures: Of all fractures from falls, hip fractures cause the greatest number of deaths and lead to the most severe
    health problems. Half of all older adults hospitalized for hip fractures cannot return home or live independently after their
    injuries.

•   Factors Related to Falls: Factors that contribute to falls include problems with gait and balance, neurological and
    musculoskeletal disabilities, psychoactive medication use, dementia and visual impairment.

•   It is important to note that different patients experience different symptoms. Due to the above listed conditions, the resident is
    at risk for falls, may suffer adverse accidents, symptoms, or outcomes that are a result of these conditions. The family
    acknowledges that the intimate relationship between the resident and resident family is a critical element in identifying all of
    the above symptoms. The facility staff requests that the family report immediately to facility staff all information regarding
    changes in condition such as (but not limited to) change in appetite, balance, personality, weight, skin condition, etc. By
    signing, the family member acknowledges the symptoms and risks associated with the risks for falls and agrees that their
    involvement in the care, treatments, interventions and approaches is a necessary part of a successful care plan for (Name of
    Resident)____________________________.

              _________________________________________                          _________________________
                     Signature of Responsible Party                                         Date

								
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