1.
KALINGA INSTITUTE
OF
NURSING SCIENCES
NAME : ARPITA MALLICK AND ARPITA ACHARYA
Roll no: 15 and 16
Subject: Fundamental of nursing
Topic: Fall Risk Assesment
Submitted on: 14 January 2023
Submitted To: Ms. PRAGNYA PARAMITA BHOI (TUTOR, kINS)

2.
CONTENT/INDEX
1)DEFINITION
2)RESPONSIBILITY AND PREVENTIVE MEASURES
3)UNIVERSAL FALL PRECAUTIONS
4)PROVEN FALL PREVENTION STARTEGIES
5)PATIENT- SPECIFIC FALL PREVENTION

3.
FALL RISK ASSESSMENT

4.
PURPOSE
THE PURPOSE OF THR ONGOING FALL RISK ASSESSMENT IS TO ASSESS FOR RISK AND
CHANGES IN STATUS, AS WELL AS TO PUT INTERVENTIONS INTO PLACE TO PREVENT
FALLS. THE ASSESSMENTS MAIN PURPOSE IS TO IDENTIFY RISK AND PREVENT PATIENT
FALLS.

5.
DEFINITION
INADVERTENTY COMING TO REST ON THE GROUND,
FLOOR OR OTHER L0WER LEVEL, EXCLUDING
INTENTIONAL CHANGE IN POSITION TO REST IN
FURNITURE, WALL OR OTHER OBJECTS.
OR
IT CHECKS TO SEE HOW LIKELY IT IS THAT YOU WILL
FALL. IT I MOSTLY DONE FOR OLDER ADULTS.

6.
FACTORS LIKE CERTAIN MEDICAL CONDITIONS OR POOR DIETARY
HABITS, CAN PUT AN INDIVIDUAL AT HIGHER RISK FOR A FALL:
1) MEDICAL RISK FACTORS : BONE CANCER, FLUCTUATION IN
BLOOD PRESSURE ,SIDE OF MEDICATIONS ETC.
2)PERSONAL RISK FACTORS : AGE , ACTIVITY, HABITS , DIET ETC.
3)RISK FACTORS IN HOME: SLIPPERY OR WET SURFACES, POOR
LIGHTING, INADEQUATE FOOTWEAR AND CLUTTERED PATHWAYS IN
HOME.

7.
RESPONSIBILITIES AND PREVENTIVE
MEASURED
1.NURSES
2.NURSE ASSISTANTS
3.NON-SLIP SOCKS
4.LOW BEDS
5.PATIENTS WITH BLEEDING DISORDER
6. FOR SURGICAL PAATIENTS

8.
UNIVERSAL FALL PRECAUTIONS;
THIS INCLUDES THE SAFETY MEASURES
THAT REDUCE THE RISK OF FALLS FOR ALL
PATIENTS,IRRESPECTIVE OF INDIVIDUAL FALL
RISKS.THE COMPONENTS OF A SUCCESSFUL
FALL PREVENTION TRIAL ARE AS FOLLOWS:
~PHARMACISTS
~PHYSICAL AND OCCUPATIONAL
THERAPISTS

9.
PROVEN FALL PREVENTION STRATEGIES:
FALL RATES IN A HOSPITAL CAN BE REDUCED BY
THE FOLLOWING STRATEGIES:
1) EASY IDENTIDICATION OF HIGH FALL RISK
PATIENTS.
2)BED ALARMS

10.
PATIENT-SPECIFIC FALL PREVENTION INTERVENTIONS:
A FALL RISK ASSESMENT SHOULD BE PERFORMED TO IDENTIFY PATIENTS
WITH A HIGH FALL RISK AND TO IMPLEMENT PATIENT SPECIFIC SOLUTIONS.
FOR EXAMPLE: IF A PATIENT FORGETS TO CALL FOR HELP WHILE WALKING,
BED ALARMS CAN ALERT THE NURSES TO OCCUR FOR ASSISTANCE BEFORE
THE PATIENT FALLS.
MULTIFACTORIAL INTERVENTIONS
IT REFER TO STRATEGIES THAT ADDRESS RISK FACTORS IDENTIFIED IN A
COMPREHENSIVE FALL RISK ASSESSMENT.
> IMPROVING INTERVENTIONS REFER TO STRATEGIES THAT ADDRESS TOILETING ,
TREATING CONSTIPATION ETC.
>RIGHT EYE GLASSES.
> NUTRITIONAL NEEDS.
> STRENGTH AND BALANCE TRAINING.

11.
MORSE SCALE

12.
SUMMARY AND CONCLUSION
Fall risk assessment checks to see how likely it is that you will fall. It is
mostly done for older adults. Effective measures can be taken to prevent
the fall risk of patients. Morse scale is used to measure fall risk according
to different factors.

13.
BIBLIOGRAPHY
1.DASH MANJUBALA, CHOUBISA KUMAR SANDEEP, NURSING FOUNDATIONS
,FIRST EDITION 2022 ,LOTUS PUBLISHERS, JALANDHAR , PAGE NO-229, 230, 231
AND 232.

14.
THANK YOU