Falls and Fall Prevention in Nursing Homes

A Comprehensive Guide to the Literature for Personal Injury Lawyers

Publisher: Medifocus Legal
Publication Date: November 8, 2022
Number of Pages: 137
Injuries sustained from falls by nursing home residents are a significant contributing cause of disability, functional impairment, and decreased overall quality of life among this vulnerable, elderly patient population. According to the Centers for Disease Control and Prevention (CDC), up to 75% of elderly nursing home residents suffer at least one fall each year. This rate is twice as high as the rate of falls among elderly people living within the community. Moreover, the CDC estimates that up to 20% of nursing home falls result in a serious injury.

Falls in nursing homes occur for a variety of reasons, some of which relate to patient factors while others relate to environmental factors. Many elderly nursing home residents suffer with comorbid conditions that affect gait, balance, and judgement - all of which increase the likelihood for sustaining a fall. These comorbid conditions include cognitive impairment (e.g., dementia, Alzheimer's disease), Parkinson's disease, impaired hearing and/or vision, peripheral vascular disease, and diabetic neuropathy. Nursing home falls can also occur from environmental hazards that may be present such as cluttered public areas, dim lighting in hallways, wet or slippery floors, and lack of safety equipment in bathrooms such as grab-bars and anti-slip mats in showers.

Nursing homes can be liable for fall-related injuries sustained by residents under specific situations such as:

* Failure to evaluate and assess new patients for falling risks.
* Failure to institute modifications to enable safer mobility of patients who are at high risk for falling.
* Failure to provide and maintain clean and safe premises for residents.
* Failure to develop and educate staff in the implementation of a fall prevention program.

The MediFocus Literature Guide to Falls and Fall Prevention in Nursing Homes captures the salient articles published over the past 15-years in peer-reviewed medical journals regarding the problem of falls in nursing homes and the strategies and guidelines that have been devised to mitigate the risk of falls among nursing home residents. This unique Guide consists of over 180 hand-selected references published in peer-reviewed journals with links to the article abstracts and FREE online access to full-text copies of 52 journal articles.
Falls and Fall Prevention in Nursing Homes is a one-of-a-kind literature reference Guide that includes:

  • A comprehensive bibliography of 278 journal article references indexed in MEDLINE published in well respected medical and scientific journals.
  • Online access to the abstracts (summaries) of the articles.
  • Online access to the free full-text version of 52 articles.
  • Links to full-text sources of other articles that are available for purchase directly from individual journal publishers.
  • A unique "Author Directory" consisting of the names and institutional affiliations of experts who have published and have specialized knowledge about Falls and Fall Prevention in Nursing Homes. The "Author Directory" is a valuable resource for quickly identifying and locating experts for case reviews, opinions, and testimony.

Select examples of topics that are covered by the articles referenced in this Guidebook include:

  • Fall prevention in hospitals and nursing homes: Clinical practice guideline.
  • Trajectories of cognitive and physical performance after accidental falls in nursing home residents
  • Identifying Appropriate Nursing Home Resources to Reduce Fall-Related Emergency Department Transfers.
  • Evaluation of Clinical Practice Guidelines on Fall Prevention and Management for Older Adults: A Systematic Review.
  • Predicting Falls in Nursing Homes
  • Bedrails and Falls in Nursing Homes: A Systematic Review
  • Falls and long-term survival among older adults residing in care homes
  • Evaluation of the Predictive Accuracy of the interRAI Falls Clinical Assessment Protocol, Scott Fall Risk Screen, and a Supplementary Falls Risk Assessment Tool Used in Residential Long- Term Care
  • Efficacy and Generalizability of Falls Prevention Interventions in Nursing Homes: A Systematic Review and Meta-analysis
  • Medications and fall risk
  • Effectiveness of Hip Protectors to Reduce Risk for Hip Fracture from Falls in Long-Term Care
  • Reliability, Validity, and Ability to Identity Fall Status of the Berg Balance Scale, Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest in Older Adults Who Live in Nursing Hom
  • Long-term evaluation of the implementation of a large fall and fracture prevention program in long-term care facilities
  • Predicting falls from behavioral and psychological symptoms of dementia in older people residing in facilities
  • Interventions for preventing falls in older people in care facilities and hospitals
  • Documented, Systematic and Individualized Communication With the Attending Physician for Fall Risk Reduction/Injury Mitigation Care Planning
  • Differences Between Moderate to Severely Cognitively Impaired Fallers Versus Nonfallers in Nursing Homes
  • Advanced Dementia in Long-Term Care: Avoiding the Pitfalls of Fall Prevention
  • Medication Use and Fall-Related Hospital Admissions from Long-Term Care Facilities
  • Fall and Fracture Risk in Nursing Home Residents With Moderate-to-Severe Behavioral Symptoms of Alzheimer's Disease and Related Dementias Initiating Antidepressants or Antipsychotics.
The MediFocus Literature Guide on Falls and Fall Prevention in Nursing Homes
is available in two formats:
 
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