Recently my facility changed insurance carriers. As part of their assessment they reviewed our policies and recommened that we NOT use "no fall related injury", but instead focus on minimizing fall risk. (We already did not use NO FALLs as a goal.) So we started using "will have fall risk minimized." However, I didn't feel like it was a "complete" goal. Now I am using "will have fall risk minmimized, AEB no injury more serious than a bruise, abrasion, or skin tear." So far, no problems.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Laurie L Swanke Sent: Tuesday, December 09, 2003 9:59 PM To: [EMAIL PROTECTED] Subject: RE: Need Good Fall Plan I usually look at the risk assessment tool that we use and key off of that. Most of our residents score medium to high risk for falls. I ID the risk factors in the problem statement suchas...High risk for falls d/t incontinence, psychotropic drug use, .... At the 2002 Fall AANAC conference a nurse/lawyer spoke about care plans. She said we should avoid using goal statements suchas... resident will not fall or will be free from fall related injuries. She stated we should be using statements suchas--resident will have fall risks minimized, or have risk of fall related injuries minimized. I have done that in all my care plans. Surveyors have not mentioned anything about this--which is good because if they did it would probably be negative (HA). I then address each risk factor with whatever approach(s) is/are appropriate and specifically used for that resident. I also use several general approaches suchas clutter-free environment, bed low and locked, call light within reach, etc. Hope this helps. Most of my care plans come from observing the resident, reading the chart, risk assessments and discussing with the staff. Most of my CNAs are very inventive and come up with good approaches just from their knowledge of the resident. Laurie Swanke -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Holly Sox, RN, RAC-C Sent: Tuesday, December 09, 2003 7:51 AM To: [EMAIL PROTECTED] Subject: Re: Need Good Fall Plan Michelle, It is going to be difficult to find a falls care plan that does not include the word "fall". I will send you a copy of the one that I individualize for my residents. For some folks, not falling is a realistic goal. For others, you will want to make it "Will have no injuries related to falls" and/or "will have no preventable falls". Did you subscribe to the website? In the document library, there are careplans in word and pdf format for each RAP.These are fairly general, but easy to individualize for specific needs. Let me know; if you didn't subscribe I can send you the care plans a couple at a time, but most email servers are picky about sending a whole bunch of attachments. Holly F. Sox, RN, RAC-C Clinical Editor, Careplans.com www.careplans.com [EMAIL PROTECTED] ----- Original Message ----- From: "Michelle Edwards" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, December 09, 2003 7:59 AM Subject: Need Good Fall Plan > Holly, > > The facility that I work for has no "canned" care plans and the ones that > the nurses or who ever is writing are not to great. The last MDS person > left in Oct and I did not start till the end of Nov. and her care plans, > especially for falls are BAD. Her goal is that they will not fall. What I > need is a good fall care plan that does not use the words not fall in it. > > Also any other care plans that I might be able to get hold of that I can > present to the DON on other types of issuses would be great. If you know > about a site that I can go to let me know. > > By the way the DON has implemented the death/dying care plan with a few > changes made here and there to suit that persons needs. Thank you so much. > (I am new to the MDS field so I will be writing a lot for help.) > > TIA, > > Michelle > > _________________________________________________________________ > Winterize your home with tips from MSN House & Home. > http://special.msn.com/home/warmhome.armx > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
