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Center for Excellence in Assisted Living

Center for Excellence in Assisted Living CEAL@UNC

Advancing the well-being of the people who live and work in assisted living through research, practice, and policy.

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Fall Prevention Care Management: Implementation and Outcomes of a Project to Reduce Fall Risks of Older Adults in Assisted Living Facilities

Date: May 2023Topics: Quality ImprovementType: Academic PublicationPublication: Journal of Nursing Care QualityAuthors: Yoder, C.L.M., Kyoshi-Teo, H., & Ochoa-Cosler, O.
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Background
Accidental falls are common among older adults and may lead to devastating consequences. One promising approach to reduce falls is to engage older adults in fall risk reduction through care management.

Purpose
This article describes the implementation by undergraduate nursing students of a 6 week interdisciplinary Fall Prevention Care Management (FPCM) intervention to improve the safety of older adults living in assisted living facilities.

Methods
A secondary qualitative descriptive analysis of narrative visit notes was conducted using the Meyer et al taxonomy to characterize fall prevention interventions with older adults.

Results
Individualized fall prevention interventions including motivational interviewing and care management supported clients’ engagement with fall prevention by facilitating behavior change related to fall prevention, helping clients identify and reflect on meaning and/or perceptions related to fall prevention.

Conclusion
The FPCM project was acceptable, facilitated high fall risk older
adults’ engagement with fall prevention, and yielded many positive outcomes.

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