Standards of Practice for Care of Clients at Risk for Falls

Standards of Practice for Care of Clients at Risk for Falls

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Standards of Practice Overview

Overview of the standards of practice and their development

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Standards of Practice Reviewed Sources

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Standard of Practice 1: Managing Your Blood Pressure                 Elements of Practice for Knowing and Managing Your “Numbers”

1. BLOOD PRESSURE TESTED AT LEAST QUARTERLY OR AS PRESCRIBED BY DOCTOR AND DISCUSSED WITH CLIENT

    1a.  Adherence to prescribed changes in care regimen as needed

2. Orthostatic hypotension assessed at least annually by NORC program nurse

  • Communicate with doctor about care plan if needed
  • Instruct client on care plan

     2a. Adherence to prescribed changes in care regimen as needed

 

Standard of Practice 2: Appropriate Medication Management   Elements of Practice for Appropriate Medication Management

1. Trigger drug medication review by NORC program nurse (serotonin reuptake inhibitors, tricyclic antidepressants, neuroleptic agents, benzodiazapines, anticonvulsants, and class IA antiarrhythmic medications)

  • Trigger drug review with each change in medication regimen (addition or subtraction of medication, dosage adjustment)
  • Trigger drug review with each change in health status

     1a. Medication regimen adjustment by doctor(s) as needed

     1b. Adherence to prescribed medication regimen

2. Annual medication review by doctor, nurse or pharmacist

  • Medication review with each change in medication regimen (addition or subtraction of medication, dosage adjustment)
  • Medication review with any significant change in health status

     2a. Medication regimen adjustment by doctor(s) as needed 

     2b. Adherence to prescribed medication regimen

3. Medication Understanding Assessment by NORC program nurse every 6 months

     3a. Education and Follow up as needed

 

Standard of Practice 2: Health Care Maintenance                         Elements of Practice for Health Care Maintenance

1. Mobility assistive devices

  • Prescribed by appropriate health care professional
  • Fitted by appropriate health care professional
  • Trained by appropriate health care professional

2. Vision assessment annually by appropriate health care provider

     2a. Vision correction/assistive devices as needed

3. Hearing assessment annually by appropriate health care provider

     3a. Assistive devices as needed

4. Foot Exam annually by appropriate health care provider

 

Standard of Practice 4: Diet & Physical Activity                                   Elements of Practice for Diet & Physical Activity

1. Gait, balance, and strength assessment by appropriate health care provider

    1a. Individualized exercise regimen as prescribed

    1b. Adherence to prescribed exercise regimen

 

Standard of Practice 5: Education and Information                         Elements of Practice for Education and Information

1. Fear of falling assessment at least annually

    1a. Education and support as needed

2. Annual home safety assessment

  • Modifications made as necessary
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