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Training in falls prevention for older people

10 Nov 2021

The prevention of falls is a major issue for health care facilities, as it has a strong impact on the length of stay, the cost of care and the perceived workload of the teams.

The causes of falls are multifactorial and often concern medically complex patients. Their management therefore requires the mobilisation of a large number of professionals.

This is why knowledge transfer and continuing education are absolutely necessary because, like pain, the risk of falling is a latent element in many patients. Caregivers must therefore pay close attention.

How to organise flash sessions to support falls prevention for older people?

It is recommended to organise short training sessions on falls prevention for older people. For example, every week, based on the falls in the ward.

The production of documents to support knowledge is often insufficient, but it is already possible to pass on information without making too many organisational changes.

The most effective approach is to use examples of falls as close to the carers as possible. They can then easily contextualise the falls and relate their knowledge of the patient to what the video shows.

ISA's contribution: team analysis

Each week, the automated falls register is accompanied by a file containing videos of the various falls. These videos can be accessed directly on the web application. Totally secure, it allows each agent to view the falls on the terminal of their choice.

Documenting the falls allows them to be analysed to gain more knowledge, for example by organising small focus groups to share different points of view. It will then be easy to check what can be improved in terms of patient care, room equipment or furnishings, etc.

Understanding how falls occur

The ISA algorithm segments different parts of the scene. In blue, the floor, in red the person and the bed, in green.

In general, the 3D recordings make it possible to analyse :

1. Activity before the fall

  • Transfers / Walks / Stoops / Dresses / Goes to or from the bathroom
  • Uses a walking aid / Walking aid is badly positioned
  • Use of bedrails (what type? how many?)
  • Use of other types of restraint
  • Performs a double task

2. The critical phase

  • Direction of fall
  • Energy
  • Impact
  • Protective reflex

3. The post-fall phase and recovery

  • Response time to the alert
  • Behaviour after the fall
  • Rises on its own

Continuous improvement of the care process

Beyond booklets or training, it is important to stimulate the staff to be vigilant and to apply the universal and specific recommendations.

The ISA system becomes a real opportunity to adjust the falls prevention policy with concrete, measurable and therefore motivating elements. Revisiting this type of incident provides care staff with objective data to improve the quality of life of people.

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