SA Health PowerPoint Template - Green - Falls Prevention in SA
SA Health PowerPoint Template - Green - Falls Prevention in SA
SA Health PowerPoint Template - Green - Falls Prevention in SA
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FALLS PREVENTION AND<br />
MANUAL HANDLING<br />
What’s the l<strong>in</strong>k?<br />
Pam Dean<br />
BAppScOT, MHlthSc(OT)<br />
Tra<strong>in</strong>er<br />
<strong>Prevention</strong> of <strong>Falls</strong> and<br />
Harm from <strong>Falls</strong><br />
Safety & Quality Unit<br />
<strong>SA</strong> <strong>Health</strong>
National evidence based Guidel<strong>in</strong>es<br />
Prevent<strong>in</strong>g <strong>Falls</strong> and Harm From<br />
<strong>Falls</strong> <strong>in</strong> older people<br />
http://www.safetyandquality.gov.au/<strong>in</strong>ternet/s<br />
afety/publish<strong>in</strong>g.nsf/Content/<strong>Falls</strong>Guidel<strong>in</strong>es<br />
ACUTE AGED CARE COMMUNITY
Subacute<br />
250<br />
200<br />
150<br />
100<br />
No. falls<br />
Injury Incidents<br />
50<br />
0<br />
1998/99 2000/01 2002/03 2004/05<br />
Courtesy St.Margaret’s Rehabilitation Hospital, Adelaide <strong>SA</strong>
Different Frames of Reference<br />
Risk<br />
management<br />
<strong>Prevention</strong><br />
Manual Handl<strong>in</strong>g<br />
Red Dot<br />
Prevent<strong>in</strong>g falls and harm from falls
Occupational<br />
<strong>Health</strong> & Safety<br />
concerned<br />
primarily with<br />
L<strong>in</strong>kage between Red Dot and <strong>Green</strong> Box<br />
<strong>Falls</strong> prevention<br />
approaches<br />
concerned with<br />
STAFF<br />
Individual risk<br />
factors<br />
Age, general<br />
health & fitness,<br />
<strong>in</strong>jury, fatigue,<br />
tra<strong>in</strong><strong>in</strong>g, etc<br />
INTERACTION RISKS<br />
SYSTEMS, EQUIPMENT<br />
& PRACTICES OF CARE<br />
Problems with unsafe systems,<br />
equipment & staff availability<br />
ENVIRONMENT<br />
Problems with slipp<strong>in</strong>g, tripp<strong>in</strong>g,<br />
light<strong>in</strong>g, steps or mov<strong>in</strong>g hazards<br />
PATIENT<br />
Individual risk<br />
factors<br />
Problems with<br />
balance, gait,<br />
medications,<br />
cont<strong>in</strong>ence,<br />
vision, feet, etc<br />
Red Dot<br />
- System to identify<br />
manual handl<strong>in</strong>g needs<br />
for mov<strong>in</strong>g patients<br />
-reduc<strong>in</strong>g<br />
staff <strong>in</strong>jury<br />
Acknowledgement: Michele<br />
Sutherland & Kirsten Mitchell<br />
Risk assessment<br />
and care plan<br />
<strong>Green</strong> box<br />
– resources for implement<strong>in</strong>g<br />
National Guidel<strong>in</strong>es<br />
-Reduc<strong>in</strong>g falls & harm from<br />
falls to patients <strong>in</strong> hospital<br />
& residential care<br />
31
RED DOT SYSTEM<br />
Independent<br />
Light assistance of 1 person<br />
Assistance from 2 people<br />
Non-weight bear<strong>in</strong>g<br />
Acknowledgement: Mann<strong>in</strong>g Base Hospital, NSW
<strong>Falls</strong> <strong>Prevention</strong> system<br />
Intr<strong>in</strong>sic Risk Factors<br />
Age – advanced age 75+ years and 55+ years of ATSI<br />
History of falls – predictive of more falls<br />
Conditions affect<strong>in</strong>g behaviour, mental state, judgement<br />
or <strong>in</strong>sight – sometimes modifiable<br />
Conditions affect ability to transfer and mobilise safely<br />
Medications affect<strong>in</strong>g reaction time, motor function,<br />
cause dizz<strong>in</strong>ess, postural drops <strong>in</strong> BP or Drows<strong>in</strong>ess.<br />
Polypharmacy.<br />
Risk factors for <strong>in</strong>jury or harm should a fall occur:<br />
•Poor bone strength; osteoporosis<br />
•Frail sk<strong>in</strong><br />
•Low BMI<br />
•Anticoagulant therapy or bleed<strong>in</strong>g disorder
Occupational<br />
<strong>Health</strong> & Safety<br />
concerned<br />
primarily with<br />
L<strong>in</strong>kage between Red Dot and <strong>Green</strong> Box<br />
<strong>Falls</strong> prevention<br />
approaches<br />
concerned with<br />
STAFF<br />
Individual risk<br />
factors<br />
Age, general<br />
health & fitness,<br />
<strong>in</strong>jury, fatigue,<br />
tra<strong>in</strong><strong>in</strong>g, etc<br />
INTERACTION RISKS<br />
SYSTEMS, EQUIPMENT<br />
& PRACTICES OF CARE<br />
Problems with unsafe systems,<br />
equipment & staff availability<br />
ENVIRONMENT<br />
Problems with slipp<strong>in</strong>g, tripp<strong>in</strong>g,<br />
light<strong>in</strong>g, steps or mov<strong>in</strong>g hazards<br />
PATIENT<br />
Individual risk<br />
factors<br />
Problems with<br />
balance, gait,<br />
medications,<br />
cont<strong>in</strong>ence,<br />
vision, feet, etc<br />
Red Dot<br />
- System to identify<br />
manual handl<strong>in</strong>g needs<br />
for mov<strong>in</strong>g patients<br />
-reduc<strong>in</strong>g<br />
staff <strong>in</strong>jury<br />
Acknowledgement: Michele<br />
Sutherland & Kirsten Mitchell<br />
Risk assessment<br />
and care plan<br />
<strong>Green</strong> box<br />
– resources for implement<strong>in</strong>g<br />
National Guidel<strong>in</strong>es<br />
-Reduc<strong>in</strong>g falls & harm from<br />
falls to patients <strong>in</strong> hospital<br />
& residential care<br />
31
Systems, equipment and practices of care:<br />
Manual handl<strong>in</strong>g<br />
<strong>Falls</strong> prevention<br />
Systems: no or m<strong>in</strong>imal lift;<br />
red dot<br />
Frame of reference:<br />
risk management<br />
Equipment: lifters, etc. to<br />
reduce stra<strong>in</strong> on workers.<br />
(Staff focused).<br />
Restra<strong>in</strong>t physical /<br />
chemical<br />
Systems: National<br />
guidel<strong>in</strong>es – risk<br />
identification and<br />
reduction of risk<br />
Frame of reference:<br />
<strong>Prevention</strong><br />
Equipment: to promote<br />
<strong>in</strong>dependence and<br />
function<br />
(older person focused)
Systems, equipment and practices of care:<br />
Care Practice:<br />
Care Practice:<br />
>Task oriented<br />
>Systems and practices to<br />
benefit staff<br />
>Level of risk identified<br />
> “Standard” falls prevention<br />
strategies<br />
> Identify risk factors<br />
> M<strong>in</strong>imise bed rest<br />
> Promote <strong>in</strong>dependence<br />
and activity<br />
> Involve and <strong>in</strong>form older<br />
person and family
Environment<br />
Manual handl<strong>in</strong>g focus<br />
<strong>Falls</strong> prevention focus<br />
> Rout<strong>in</strong>e OHS&W audits<br />
> OHS&W audits +<br />
> Assessment of<br />
<strong>in</strong>dividual hazards<br />
result<strong>in</strong>g from identified<br />
<strong>in</strong>tr<strong>in</strong>sic risk factors<br />
<strong>in</strong>teract<strong>in</strong>g with the<br />
environment
Risk Assessment and Care plan<br />
Strategies to<br />
manage identified<br />
level of falls risk:<br />
><strong>in</strong>crease monitor<strong>in</strong>g<br />
and surveillance –<br />
dependent on staff<br />
availability<br />
>provide assistance<br />
>reduce physical activity<br />
e.g restra<strong>in</strong>t;<br />
> Multifactorial and<br />
multidiscipl<strong>in</strong>ary<br />
strategies to<br />
reduce identified<br />
risk factors
Red Dot says<br />
“I will do my best to keep you safe,<br />
because you are at risk of falls”<br />
– dependent of nurs<strong>in</strong>g staff<br />
<strong>Falls</strong> <strong>Prevention</strong> says<br />
“I will work out why you are at risk of<br />
fall<strong>in</strong>g, and take action to reduce those<br />
risk factors”<br />
– uses multifactorial and<br />
multidiscipilnary <strong>in</strong>terventions
Good falls prevention<br />
complements safe manual<br />
handl<strong>in</strong>g practice and m<strong>in</strong>imal<br />
lift pr<strong>in</strong>ciples<br />
> Older people are safer and<br />
more <strong>in</strong>dependent<br />
> Staff <strong>in</strong>juries are decreased<br />
and there is less need for<br />
manual handl<strong>in</strong>g<br />
> <strong>Falls</strong> risk <strong>in</strong> managed and<br />
reduced<br />
= Improved safety and quality<br />
of life for older people and<br />
staff WIN, WIN!