Notes

Nurses' Role in Preventing Patient Falls
Patient falls (also called fall injuries or hospital-acquired conditions) are a major public health problem. They occur in about 3-20% of inpatients and result in injuries such as fracture, subdural hematomas, or bleeding that can cause death.

A person’s physical condition, such as a weak or impaired balance, can increase the risk of falling. Medications, such as sedatives and antihistamines, can also contribute to dizziness and orthostatic hypotension, which may make it harder to stand up straight or to maintain stable posture.

Occupational and physical therapists can teach patients different ways to improve their strength, coordination, and balance. They also can teach patients how to use devices such as wheelchairs and walkers that can help them get around more easily.

Falling is the leading cause of injury and death among older adults in the United States. In 2013, falls with injury cost the healthcare system more than $34 billion and led to more than 80,000 hospitalizations, including 300 deaths.

In addition to a patient’s physical condition, environmental hazards and hazardous situations can also contribute to a fall. For example, a wet or slick floor, broken lighting, and snowy walkways can increase a person’s chances of falling.

Medical Alert Nurses can play an important role in preventing patient falls by identifying and addressing these problems. They can also participate in research and advocacy related to this topic. They can work with their team to improve the environment and ensure that patients are safe while they are in the hospital.
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