One of our corporate nurses recently told us that instead of using "resident will not fall" or "resident will be free from injury r/t falls" We could use "resident will use call light for assist with transfers" or "resident will remember to use walker to assist with transfers" or "resident will remember to use walker when ambulating" She explained that this way we are involving the resident and making it more resident orientated instead of facility orientated. Any other thoughts on this? Debbie Nichols. RN, RAC-C RAI Director
----- Original Message ----- From: "Debbie Ohl" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Sunday, February 22, 2004 3:04 PM Subject: Re: RE: Falls > If falls cannot be prevented the care plan focus needs to be on protecting > the resident from serious injury. A goal for this person, situation > dependent might be " will not sustain serious injury from falls" the > intervention would then focus on the environment and resident dependent a > bit of therapy to teach them how to fall safely if they have retained > memory. Serious injury is defined as requiring medical intervention. > > Debbie Ohl RN, NHA > LTC Consultant > www.greatcareplans.com > ----- Original Message ----- > From: <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Saturday, February 21, 2004 8:53 PM > Subject: Re: RE: Falls > > > > For my dementia patients I don't say will be without injuries r/t falls. I > use will have risk of falls minimized by implementing the listed approaches. > Had a surveyor comment on "without inuries r/t falls" as probably not being > realistic for dementia patient. We weren't cited but we took the hint. > > > > > > From: <[EMAIL PROTECTED]> > > > Date: 2004/02/16 Mon PM 09:49:21 EST > > > To: <[EMAIL PROTECTED]> > > > Subject: RE: Falls > > > > > > I have been thinking about this same problem. Anyone else remember the > > > discussion or maybe a recent article about goals for falling ie goal - > > > not to fall etc.is not an appropriate goal but I don't remember the > > > logic that went with this. > > > > > > -----Original Message----- > > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of > > > Angie Palac > > > Sent: Monday, February 16, 2004 6:21 PM > > > To: [EMAIL PROTECTED] > > > Subject: Falls > > > > > > I think this has been addressed before, but I was wondering when a goal > > > is written addressing falls, do people just address that an injury will > > > be prevented, or does the goal address that both fall and injury will be > > > prevented? Some staff say that a resident has a right to fall. I feel > > > a resident should not be restrained and therefore, has a right to fall > > > in that respect, hopefully without serious injury. I feel Staff should > > > also help prevent the resident from falling by making sure call lights > > > are within easy reach, not forgetting to use walker, having proper > > > shoes, etc. I would like to know what others are doing. > > > Thanks for your help. > > > Angie > > > > > > > > > > /---------------------------------------------------------- > > 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 -----------------------------------------------------------/
