Preventing Falls: 7 Considerations for Assessing Risk in Intermediate Nursing Care

Supporting clients in intermediate nursing care is a holistic process. It involves implementing solutions that increase employee and patient satisfaction and decrease risk. Procedures for assessing fall risk should be comprehensive. Here are key screening factors for managers to take into account.

1. History

If any falls have happened recently, there’s a good chance the patient will fall again.

2. Age

Falls are most common after the age of 75. Also, there’s a higher probability of admission into a long-term facility after falls in this age group.

3. Medication

Certain types of medications (including antihistamines, sedatives, and psychotropic drugs) can cause drowsiness and dizziness, increasing fall risk.

4. Elimination

Frequent bathroom trips are a risk factor, along with urgency and/or use of ostomy bags and catheters.

5. Mobility

Gait issues, the need for assistive devices, and sight impairments all have an impact on the likelihood of a fall.

6. Cognition

Mood, level of agitation, and level of impulsivity are contributing factors. Also, residents who have dementia are much more likely to be at increased risk.

7. Equipment

Poles, tubes, and other equipment can significantly impact the chance a patient will trip and fall.

Accurately assessing risk creates a safer, calmer environment for residents and staff. Encourage your clients to consider these factors carefully when admitting residents.