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Presenting evidence-based practice throughout, this easy-to-read manual is a comprehensive guide to preventing and managing falls in hospitals and long-term care settings. Now in its fourth edition, the award-winning guide explores the internal and external causes of falls, analyzes their consequences, provides clinical assessments for actual falls as well as risks for falling, and promotes an interdisciplinary approach to falls management. Jam-packed with practical strategies, assessment tools, and management practices, Falls in Older People includes all the medical, rehabilitative, and environmental strategies needed in any care setting to protect the safety and health of at-risk older adults.

Don't miss these useful features:

a foolproof, reliable, differential diagnosis screening tool that takes less than 10 minutes to use

tie-ins to the MDS

recommendations for restraint reduction or elimination

forms, checklists, and summaries that can be easily adapted for in-service handouts

a practical "early-warning" system for fall risk

Tabla de contenidos provista por Syndetics

• About the Author(p. ix)
• Preface to the Third Edition(p. xi)
• Introduction(p. xv)
• Section 1 Understanding Falls and Falls Management
• Chapter 1 Consequences of Falls(p. 3)
• Mortality(p. 3)
• Morbidity(p. 5)
• Family Concerns(p. 10)
• Institutional Effects(p. 11)
• Chapter 2 Causes of Falling and Fall Risk(p. 15)
• Intrinsic Factors(p. 16)
• Extrinsic Factors(p. 31)
• Risk Factors for Falls and Injury(p. 36)
• Chapter 3 Clinical Assessment and Evaluation(p. 41)
• Fall Assessment(p. 41)
• Fall Risk Assessment(p. 45)
• Clinical Evaluation(p. 53)
• Chapter 4 Preventive Strategies to Reduce Fall Risk(p. 59)
• Medical Strategies(p. 59)
• Rehabilitative Strategies(p. 60)
• Environmental Strategies(p. 72)
• Fall Prevention Programs(p. 74)
• Chapter 5 Environmental Modifications(p. 79)
• Lighting(p. 80)
• Floor Surfaces(p. 83)
• Hallways(p. 87)
• Beds(p. 88)
• Seating(p. 99)
• Bathroom(p. 109)
• Tables and Nightstands(p. 112)
• Storage Areas(p. 113)
• Chapter 6 Reducing Mechanical and Chemical Restraints(p. 115)
• Rationale(p. 116)
• Management(p. 119)
• Section 2 Guidelines and Forms
• Part A Guidelines
• Best Clinical Practices in Acute Care Hospitals and Nursing Facilities(p. 133)
• Fall Risk Assessment(p. 141)
• Fall Prevention and Restraint Avoidance Program(p. 146)
• Restraint/Non-Restraint Utilization Assessment(p. 155)
• Measuring Fall Rates and Restraint Use Rates(p. 157)
• Eyes and Ears Program(p. 161)
• Ambulation Device Measurement(p. 164)
• Ambulation Device Utilization(p. 165)
• Bed Safety(p. 169)
• Side Rail Utilization Assessment(p. 173)
• Part B Forms
• Performance-Oriented Environmental Mobility Screen (POEMS)(p. 177)
• Injury and Acute Medical Problems Checklist(p. 191)
• Fall Risk Checklist(p. 192)
• Restraint/Non-Restraint Assessment and Care Planning Tool(p. 194)
• Side Rail Assessment and Care Planning Tool(p. 199)
• Wheelchair Problems and Modifications Checklist(p. 202)
• Discharge Teaching Sheets(p. 203)
• Appendix Case Study Exercises(p. 209)
• Bibliography(p. 223)
• Index(p. 235)

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Library Journal Review

For the elderly, falls are a common problem and can cause significant mortality and morbidity. In hospitals and nursing facilities, falls are a leading cause of adverse events including serious injury and even death. In three sections, Tideiksaar, Ph.D. and president of FallPrevent, covers causes, consequences, and preventive strategies with the goal of educating caregivers and administrators in health-care facilities. Included in this update are chapters on interventions, organizational requirements and evidence-based practice, and new guidelines and forms for helping hospital and nursing facility professionals develop fall-prevention programs. The etiology of falling, aging and musculoskeletal body changes, medical and pharmacologic causes of falling, fall risk assessment, restraint usage, bed safety, side rails, wheelchairs, canes, safety booties, fall alarms, and environmental and psychological factors associated with falling are among the issues and devices treated in this exhaustive, clinical treatise on the nature of falls and their prevention. VERDICT This comprehensive text belongs in all health sciences libraries as a consummate reference on patient safety standards related to falls, and it is highly recommended for consumer health collections, as both institutional and home fall situations are covered.-James Swanton, Harlem Hosp. Lib., New York (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.