Post Fall Action Plan
One of the goals of post-fall assessment is to decide what urgent interventions need to be put in place to reduce the probability of another fall. Consequently, using the information obtained from the fall history and risk assessment, try to determine what the probable causes or reasons for the person’s fall. Then decide what interventions can have an immediate benefit in preventing fall recurrence. For example:
•If the person fell while they were hurrying to reach the bathroom in the middle of the night, then a bedside commode or assisted toileting can be considered.
•If the person fell because they felt dizzy, then a medical and medication review is desirable.
•If the person fell because of a behavioral disturbance, then finding the cause of the outburst is important.
When thinking about the precipitating factors of a person’s fall and what interventions to apply. Always consider:
•The person’s health conditions (e.g., diseases, mental status, medications, and functional or mobility status).
•The specific activity the person was engaged in at the time (e.g., walking, transferring, reaching for something, hurrying, etc.) .
•Any contributing environmental and equipment factors.
Monitor Fall Risk
Finally, observing the person for several days after a fall is helpful in detecting:
•Any change in the person’s condition that might precipitate another fall.
•Any change in the person’s gait and balance and/or transfer abilities that may indicate a new health problem and/or a potential problem with their surrounding environment.
•Any change in the person’s behavior, such as a restriction in everyday activities, which may indicate a fear of further falls.