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    Fall Prevention

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    Bisrat Tamene Bekele
    The document discusses fall prevention in a hospital setting. It defines a patient fall and notes that falls can result in injuries and increase healthcare utilization. It outlines conducting fall risk assessments for all patients within 24 hours of admission using the Morse Fall Scale or Humpty Dumpty Falls Assessment. It also discusses implementing multifactorial fall prevention approaches and post fall assessments.

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    Fall Prevention

    Uploaded by

    Bisrat Tamene Bekele
    4 views3 pages
    The document discusses fall prevention in a hospital setting. It defines a patient fall and notes that falls can result in injuries and increase healthcare utilization. It outlines conducting fall risk assessments for all patients within 24 hours of admission using the Morse Fall Scale or Humpty Dumpty Falls Assessment. It also discusses implementing multifactorial fall prevention approaches and post fall assessments.

    Original Title

    Fall prevention (2)

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    The document discusses fall prevention in a hospital setting. It defines a patient fall and notes that falls can result in injuries and increase healthcare utilization. It outlines conducting fall risk assessments for all patients within 24 hours of admission using the Morse Fall Scale or Humpty Dumpty Falls Assessment. It also discusses implementing multifactorial fall prevention approaches and post fall assessments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    4 views3 pages

    Fall Prevention

    Uploaded by

    Bisrat Tamene Bekele
    The document discusses fall prevention in a hospital setting. It defines a patient fall and notes that falls can result in injuries and increase healthcare utilization. It outlines conducting fall risk assessments for all patients within 24 hours of admission using the Morse Fall Scale or Humpty Dumpty Falls Assessment. It also discusses implementing multifactorial fall prevention approaches and post fall assessments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Fall Prevention

    A patient fall is defined as an unplanned descent to the floor with or without injury to the patient.
    A fall may result in fractures, lacerations, or internal bleeding, leading to increased health care
    utilization. Although the magnitude of the problem in our country is not known worldwide data
    shows that close to one-third of falls can be prevented.

    FP 1: The hospital shall conduct fall risk assessment for all admitted patients and post
    fall assessment shall be done if fall happened.

    Activities
     Conduct the fall risk Assessment within 24 hours of admission
     Use the Humpty Dumpty Falls Assessment (HDFA) or the Morse Fall Scale (MFS) for
    pediatric and adult patients respectively
     Reassess risk based on the acuity and chronicity of the care setting
     Implement multifactorial fall prevention approach
     Conduct post fall assessment once fall has happened

    Annex: Fall risk assessment tool

    Table 1: Morse Fall Tool

    Item Item Score Patient Score

    1. History of falling (immediate or previous) No 0

    Yes 25
    2. Secondary diagnosis (≥ 2 medical diagnoses in chart) No 0

    Yes 15
    3. Ambulatory aid 0

    None/ bedrest/ nurse assist Crutches/ cane/ walker 15


    Furniture 30
    4. Intravenous therapy/heparin lock No 0
    Yes 20
    5. Gait
    - Normal/ bedrest/ wheelchair 0
    - Weak*
    10
    - Impaired
    20
    6. Mental status
    - Oriented to own ability 0
    - Overestimates/forgets limitations
    15
    Total Score‡: Tally the patient score and record.
    <25: Low risk
    25-45: Moderate risk
    >45: High risk
    * Weak Gait: Short steps (may shuffle), stooped but able to lift head while walking, may seek support from furniture while
    walking, but with light touch (for reassurance).

    *Impaired Gait: Short steps with shuffle; may have difficulty arising from chair; head down; significantly impaired balance,
    requiring furniture, support person, or walking aid to walk.

    Table 2: Humpty Dumpty Fall Scale

    Check if Present Allocated Score

    1. Age less than 3 years old -4

    3 to less than 7 years old -3

    7 to less than 13 years old -2

    13 years and above -1


    2. Gender Male -2

    Female -1
    3. Diagnosis Neurological Diagnosis -4

    Alterations in oxygenation -3

    Psychiatric/Behavioral Disorders -2
    Other Diagnosis -1
    4. Cognitive Impairments Not aware of limitations -3

    Forgets limitations -2

    Oriented to own ability -1


    5. Environmental Factors History of falls or Infant-toddler placed in bed -4

    Patient uses assistive devices or infant-toddler in -3

    crib

    Patient placed in bed -2

    Outpatient Area -1
    6. Response to Surgery/ Within 24 hours -3

    Sedation/Anesthesia Within 48 hours -2

    More than 48 hours/None -1


    7. Medication Usage Multiple usage of sedatives (excluding ICU patients -3

    sedated and paralyzed) e.g. Hypnotics,

    Barbiturates, Phenothiazine's, Antidepressants,

    Laxatives/Diuretics, Narcotic.

    One of the meds listed above -2

    Other Medications/None -1
    Total Score= --------------

    Risk Level: High Risk (H), Low Risk (L)

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