Falls & Restraints

Falling in Nursing Homes - It happens. Here’s why

fallingOne study reported that an average of 43% of nursing home residents fall each year.  This is 2 to 3 times more than the average elderly population.  This statistic becomes even more remarkable when you consider that a substantial portion of nursing home residents are immobile or bedridden.  This makes for a particularly complex and challenging problem in nursing homes.  They are prevelant, have the potential to cause serious injury in the elderly, and are a sign of poor quality of care.  The standard of care (i.e. what the nursing home has a legal duty to do & what I evaluate a potential case against) requires a nursing home to identify and reduce risk factors for falls.

Injuries From a Nursing Home Fall

The big issue, and what makes falling in a nursing home setting different than say a todler or athlete (who fall more often than elderly!), is that people in nursing homes are much more susceptible to injuries such as broken/fractured hips and arms.  Elderly have two things going against them when they fall.  First, most nursing home residents have a high rate of osteoporosis and other clinical diseases that effect the strength of their bones and their ability to recover.  Second, most also have slowed protective reflexes.  Where you and I have enough reflexes to take action to stop or break a fall, most elderly do not.

The most common causes of falls in nursing homes are:

  • Walking and balance disorders or weaknesses [26%]
  • Dizziness and vertigo [25%]
  • Accident or environment related [16%]
  • Confusion and dementia [10%]
  • Visual disorders [4%]

For More Information on Types of Nursing Home Injuries See These Links:

  • What Nursing Homes Should Be Doing When There Is A Known Fall Risk
Posted by David Brauns on Apr 17th, 2009 and filed under Falls & Restraints. You can follow any responses to this entry through the RSS 2.0. You can leave a response by filling following comment form or trackback to this entry from your site

1 Response for “Falling in Nursing Homes - It happens. Here’s why”

  1. [...] identify health problems.  They cover most of the common risk factors for falls.  See my article: Nursing Home Falls - How they happen) for more [...]

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