Published on March 7, 2014
Falls Prevention Putting our Best Foot Forward Taking Steps to Prevent Falls Quality Forum Lorna Roe, Tracy Lust & Sue Fuller Blamey February 28, 2014
Why Falls Prevention is Important Anyone can fall 1 in 3 over age 65 and older fall once per year Falls are the leading cause of death in those 65 and older Patient fallshospital admission Residential care vs home
# of BCCA Out-patient Falls BCCA Number of Out-patient Falls Aug 1, 2012 - July 31, 2013 9 8 7 # of Falls 6 5 Falls 4 3 2 1 0 Aug Sept Oct Nov Dec Jan Feb Month Mar Apr May Jun Jul
Risk for Oncology Patients While anyone can fall, many different factors can contribute to an Oncology patient’s risk of falling Medication or Procedures Other Effects of Disease Process Environment Factors • Confusion, lethargy, fatigue • Altered electrolytes, anemia • Nausea, vomiting • Altered nutrition leading to weakness • Changes to mobility (requiring the use of a cane/walker) • Alterations in elimination (urgent need to urinate) • Unfamiliar and overwhelming health care surroundings • Inappropriate footwear, wet floors, obstacles in hallways
BCCA Falls Prevention Program Patient Self Assessment From (PRISM) 1. Have you falls in the last 6 months 2. Do you have balance or muscle weakness 3. Do you use mobility aides Referral to Falls Prevention Clinics in Community Documentation: Electronically and/or paper patient record
Falls Prevention Education Strategy Stage 1: 2009 - 2012 Stage 2: Nov 2012 – Nov 2013 Stage 3: Nov 2013 – Feb 2014 • Situation analysis & planning • In-patient, then ambulatory roll-out • Mandatory staff annual education • Executive & leadership engagement • Learning Hub annual staff education • Collaboration & updating of program with Health Authority Falls prevention leaders
Implementation Results # of BCCA Out-patient Falls 9 8 7 A# of Falls 6 5 4 3 2 1 0
Analysis: Reasons for Falls • People trying to get in/out of wheelchairs • Falls while walking in hallways • Tripping over obstacles in hallways • Standing too quickly post sitting/supine • Following staff to exam areas • Slippery floors/tiles/entrance • Lost balance getting changed • Footwear/socks/shoe laces untied
Risks and Interventions: Always walk with the Patient X √
Ensure blanket is not tangling X
Observe and remove falls hazards X
Ensure wheelchair footrests are moved out of the way X
Ensure shoes are back on and laces tied prior to patient walking X
Keep equipment to one side of hallways – declutter pathways clear X
Falls Prevention vs Homecare Referral – ensure the correct referral Falls Prevention Clinic • Life Expectancy greater than 6 months • Over age 65 • May have to come to clinic Home Care or Community Care • Urgent home care needs • Potentially less than 6 months life expectancy • Daily care needs
Falls Prevention is Everyone’s Responsibility No matter where you work within the BC Cancer Agency, or what you do… Max’s Story
• Questions • Tracy Lust = firstname.lastname@example.org • Lorna Roe = email@example.com • Sue Fuller Blamey = firstname.lastname@example.org
Calcification Inhibitors in CKD and Dialysis Patients
Ambulant Care Falls Prevention in BC Cancer Agency. ... © BC Patient Safety & Quality Council Phone: ... School for Health Care Radicals;
Ambulant Care Falls Prevention in BC Cancer Agency. ... © BC Patient Safety & Quality Council ... National #hcsmca Symposium for Health Care + Digital ...
The BC Cancer Agency covers the entire spectrum of cancer care, from prevention and ... in Northern BC: BC Cancer Agency’s new ...
Provincial Health Services Authority ... The BC Cancer Agency plans, coordinates and evaluates cancer care with the health authorities across BC to ...
Annotations for Prevention of Falls (Acute Care) ... Recommendations on screening for lung cancer. ... Agency for Healthcare Research and Quality 5600 ...
Lists a few facts about seniors and falls. Suggests prevention strategies through ... About the Agency; ... You can prevent falls by making the ...
Measuring Fall Rates and Fall Prevention Practices: ... and much care for fall prevention may not be documented. ... Agency for Healthcare Research and ...
The BC Cancer Agency ... to deliver a range of cancer services, including prevention, ... palliative care. It operates six regional cancer ...
© 2016 Canadian Cancer Society All rights reserved. Registered charity: 118829803 RR 0001. Connect with us: ...
Colorectal Screening for Cancer Prevention in ... This recommendation now aligns with BC Cancer Agency’s ... Diagnosis and Management in Primary Care ...