A study of the UK’s largest long-term care facility, led by experts at the University of Nottingham, found that a collaborative approach to fall prevention in long-term care facilities was effective in significantly reducing the number of falls for residents. rice field.
The Care Home Fall Study (FinCH), led by Professor Pip Logan and experts at the School of Medicine’s Rehabilitation and Healthcare Research Center, has tested a new approach called the “Action Guide to Prevent Care Home Falls.” The (GtACH) program was designed by a joint group that includes: Care home staff, And family.
Research published today BMJWas conducted at 84 long-term care facilities in 11 different regions of England and was attended by more than 1,600 residents over a three-year period.
The team found that the GtACH program reduced fall rates by more than 43% compared to non-intervened residents. There was no negative impact on resident mobility or independence. Most importantly, treatments are cost-effective and well within the cost thresholds set by the National Health Service Assessment Organization for NHS-funded treatments.
Waterfalls are very common senior citizen Living in a long-term care facility is associated with a high risk of injury, hospitalization and significant costs to the health care system. Although fall prevention interventions have been shown to be effective in other situations, previous systematic reviews have suggested that the interests of care home residents are uncertain.
Nottingham experts work with care home staff and residents to develop a GtACH program, a 33-point checklist that includes a list of 33 related actions that care home staff can use to reduce the risk of falls. I devised a series of guidelines in the form of. residents.
The program includes one hour of training by waterfall experts for all care home staff (including gardeners, caretakers, cooks, cleaners and managers) in small groups. A manual summarizing the GtACH program is left at home after training and includes resources such as fall accident charts (to detect patterns) and dosing fall risk charts. Upon completion of training, staff are expected to use the GtACH risk assessment and guide the behavior checklist with all residents.
For example, the rating may emphasize the following: Resident It is dehydration and the recommended behavior is to increase fluid. With manuals and training, care home staff can do this by taking actions such as introducing smoothies, serving fruit juices, serving the right dishes, making soups, and making coffee time events. Overall, training and resources improve both awareness and knowledge of fall management.
Professor Pip Logan of the University’s Center for Rehabilitation and Aging Research was one of the lead authors of this study. She states: “The fall prevention program greatly reduces the chances of falls for people living in long-term care facilities and is cost-effective. This study is the largest long-term care facility study completed in the UK, and the team includes scholars, Includes long-term care facility residents, families, care home staff, Social care And NHS employees, a truly interdisciplinary British trial.
“By preventing falls, the FinCH program can improve quality of life and save lives, while saving money for NHS and social care providers and reinvesting in quality care for the elderly. increase.”
Victoria Rayner, CEO of the National Care Forum, said: To prioritize activities and independence. This was not a better time, as it coincided with the publication of the government’s white paper on Social Care Reform for Adults, “People at the Center of Care.” And this study ensures that care providers have immediate access to support this goal, using the resources generated through research conducted in collaboration with care home managers. ”
According to a new study, falls in long-term care facilities can be significantly reduced by intervention. BMJ (2021). DOI: 10.1136 / bmj-2021-066991
University of Nottingham
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