According to the Agency for Healthcare Research and Quality, creating a nursing care plan for falling risks should include these factors: a patient’s history of falls, the current risk of falling (medications and environmental factors are some considerations) and a clear procedure to follow in case of a fall. Such a plan should also include post fall evaluations.
Post fall evaluations help nurses and others develop even better falling risk plans. Evaluations should include the type of fall, its cause and direction (forward, backward or sideways). Personnel should note all circumstances of a fall, including what the patient was wearing and his footwear. The information should be used to take steps to reduce fall risks.
The Hartford Institute for Geriatric Nursing points out that such plans are often a group and multidisciplinary effort. People in the process often include a doctor, nurse, risk manager, health care provider, counselor, family and more. Some higher-risk assessment parameters the institute lists are: age older than 75; impairment with gait, balance or vision; cognitive issues; urinary incontinence; certain medications and the wrong types of footwear.
The Agency for Healthcare Research and Quality notes that it is not possible to eliminate all risks of falling, and plans should be adjusted or updated as more information becomes available.