MDS Alert

Case Review

'Meet Ted, He Falls'

Problem: Recurrent falls, escalation in challenging behaviors

Fall prevention interventions to date (as of consultation):

  • Self- releasing seat belt (unsuccessful)
  • Lap cushion (unsuccessful)
  • Geri-chair with tray (unsuccessful)
  • Personal & bed alarms (destroyed by Ted)
  • Low bed & fall mat (increased fall risk)
  • Half side rail (climbed over)
  • Restorative nursing: ambulation and ROM (working thus far)
  • Hip protectors (removed by Ted)
  • Knee & elbow protectors (ditto as above)
  • Multiple psychotropic med adjustments
  • Bowel & bladder program (on-going)
  • Helmet (successful)
  • Bed side against wall, fall mat, transfer bar