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Fall Risk and Prevention in the Home

presented by Dedee Culley

Accrediting Body:

Target Audience:

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Disclosure Statement:

Financial: Dedee Culley, RN receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Dedee Culley, RN has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
Today’s home health nurse cares for a wide variety of patients. Each must be assessed for their rehabilitation potential as well as risk factors affecting compliance and falls/injuries. Given this, knowledge and assessment skills are critical for assessing a patient’s risk for falls in the home and providing education and support to prevent these falls/injuries. This course will enhance the nurse’s ability to assess a patients mental, physical and environmental status. In addition, the nurse will be provided guidance on when and whom to incorporate into the patients care to ensure the best outcomes and prevention of falls. Finally, the nurse will be provided tips and resources to use in educating their patients on prevention of falls in the home.

Meet Your Instructor

Dedee Culley, RN

Dedee Culley is a registered nurse with over 19 years of experience, with the last 10 years being specifically in the home health and hospice areas. She has been a field nurse, case manager, educator and director of operations in agencies. She has also served as a clinical expert analyst for a software vendor, designing…

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Chapters & Learning Objectives

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1. Knowledge: Key Mental and Physical Factors

This chapter will focus on the key mental and physical factors that impact a patient’s rehabilitation potential as well as their risk for falls in the home. Mental capabilities along with the social stigma about falls and falling can have a dramatic effect on how we can better ensure a patient’s safety. The physical factors are often hidden from us unless we use all our senses to determine just how stable our patients are in the home.

2. The Environmental Factors

This chapter will focus on the environmental factors that can trip up anyone in the home, so we want to ensure everyone’s safety. Environmental factors include both the inside and outside of the patients home as well the vehicles and equipment they utilize. We will learn how best to incorporate these factors into our assessments for the patient’s safety and best outcomes.

3. Using Measurable Tools in Your Assessment

Seeing, hearing, smelling and touching are not enough when it comes to assessing for falls. Nurses must be able to use the most appropriate assessment tools that will provide measurable data to the physician and therapy team. This data provides the validation for such added services, a baseline of the patient’s status and measurable outcomes when the treatment has been completed.

4. My Patient Needs Therapy, Now What?

Once the assessment is complete and the assessment tools have data indicating the patient is a risk for falls in the home, what’s next? The physician must be notified, and orders received for the appropriate therapy to begin. When the data is provided, this task is made much easier for everyone. This chapter will address the reporting of the results, follow up with therapy and development of the Care Plan with the patient to ensure the best outcomes.

5. Providing Education and Prevention Support?

Once the assessment has shown the risk of fall exists and the interdisciplinary team is in place, the nurse is now ready to provide education and guidance on prevention measures the patient and their caregivers can use to further help prevent the risk of falls. This chapter will cover tips, checklists and other tools to support safety in the home environment.

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