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Falls Prevention

BEST PRACTICE AND GUIDES

To help care for patients who are at risk of falling, many organizations around the world have developed guidance for health care providers. In Canada these include:

Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines (CADTH, 2016)

Registered Nurses’ Association of Ontario (RNAO) Prevention of Falls and Fall Injuries in the Older Adult (2002, updated 2011)

British Columbia Ministry of Health Framework and Toolkit for Falls Related Injury Prevention in Residential Care (2010)

Manitoba Falls Prevention Strategy and Framework (2006, MS Word)

Canadian Patient Safety Institute Resource Guide on Falls Prevention (2014, PDF)

Other respected groups around the world also offer guidance to health care professionals including:

Preventing Falls: From Evidence to Improvement in Canadian Health Care (Canada, 2014)

Falls Tool Kit (US, Practicing Physician Education in Geriatrics)

Falls Toolkit (VA NCPS, US, 2014)

Falls: Assessment and Prevention of Falls in Older People (NICE, UK, 2013)

Best Practice Guidelines for Preventing Falls and Harm From Falls in Older People (Australia, 2012)

ADDITIONAL RESOURCES

Many organizations and professional groups are working on programs, toolkits and other resources to help reduce falls. They provide information to help people not to fall, come up with new ideas on how to prevent falls, and decide what kinds of research is needed to help patients. These groups include:

• Choosing Wisely Canada

o Insomnia and anxiety in older people: sleeping pills are usually not the best solution

o Treating disruptive behavior in people with dementia

Fall Prevention Community of Practice (Ontario)

Falls (Canadian Patient Safety Institute)

Centre for Hip Health and Mobility (British Columbia)

Fall Prevention Center of Excellence (California)

Older Adult Falls (CDC, US)

INFORMATION FOR PATIENTS

Many sites offer suggestions for seniors who wish to reduce their risk of falling.

Staying On Your Feet: Taking Steps to Prevent Falls (Manitoba)

Preventing Falls (Osteoporosis Canada)

In Canada, The Public Health Agency of Canada and Health Canada have both created guides and websites to help prevent falls:

The Safe Living Guide: A Guide to Home Safety for Seniors (2011)

If You Fall or Witness a Fall, Do You Know What to Do? (2011)

Seniors and Aging: Preventing Falls in and around Your Home (2006)

You CAN Prevent Falls (2011)

To help veterans and their caregivers reduce accidental falls and access programs to help prevent falling Veterans’ Affairs Canada runs a Falls Prevention Initiative.

Other well-known groups from around the world are also working to help patients, their families and their caregivers reduce and prevent falls including:

NHS Choices: Falls Prevention (UK)

Mayo Clinic: Fall Prevention (US)

Don’t Fall For It. Falls Can Be Prevented (Australia)

If you or a loved one are at risk of falling the Government of British Columbia has a short list of questions to help you decide if you should talk to your doctor about how to make things safer in and out of your home.