Falls in the nursing home: a collaborative approach.
Problem solving using a collaborative approach may reduce the risk of falls in the nursing home. Interventions need to be tailored to the individual's cognitive and physical impairments as well as be feasible in the particular long-term care setting. Polypharmacy, Vitamin D deficiency, delirium, and urinary incontinence are among several risks for falls that are discussed in this article.
Messinger-Rapport
Barbara
B
Section of Geriatric Medicine, Cleveland Clinic, Mail Code A91, 9500 Euclid Avenue, Cleveland, OH 44195, USA. rapporb@ccf.org
Dumas
Linda G
LG
D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data; D000368:Aged; D003299:Cooperative Behavior; D003693:Delirium / Q000451:nursing; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D051346:Mobility Limitation; D009722:Nurse Practitioners; D024802:Nurse's Role; D009730:Nursing Assessment; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D019338:Polypharmacy; D011340:Problem Solving; D018570:Risk Assessment; D012307:Risk Factors; D017751:Safety Management / Q000458:organization & administration; D014549:Urinary Incontinence / Q000451:nursing; D014808:Vitamin D Deficiency / Q000451:nursing