Causative Factors Relating to Falls Within the Elderly in Their Home Environment

2319 Words Oct 17th, 2011 10 Pages
The purpose of this essay is to analyse and evaluate the risk and causative factors relating to falls associated with the elderly in their home environment. The question presents a case study of Mavis Bazmati and outlines various aspects of her health and home situation. As a community nurse Mavis’ home will be assessed for potential hazards and provide strategies to prevent further falls. There are different community resources that are available to help Mavis and other members of the multi-disciplinary health team to assist with her activities of daily living.

Falls in the elderly is a health risk priority (Crisp & Taylor. Pg. 235). People aged 65 and over are at most risk as falls can often result in morbidity, mortality and injury
…show more content…
There are many risks in the home and identifying the dangers is an essential key for the person’s safety and wellbeing. Slippery floors, poor lighting, pets, inappropriate footwear, electrical cords and loose rugs or mats are just a few potential high risk problems (Heath and Schofield, pg. 262).

As a community nurse it is imperative that a home assessment is completed prior to discharge. Although it is unknown if Mavis has dementia it is a factor that should be considered as she is 91 years of age. Another unknown factor is if she has a visibility or mobility impairment or suffers from any alterations in gait (Bueno-Cavanillas, 2000).

The home assessment will be conducted on a room to room basis using a falls risk assessment tool. By gathering and documenting this information it will provide more insight into Mavis’ health and lifestyle and give necessary information to other health care members which may be vital.

It will be demonstrated in the following examples what rooms are most at high risk for falls, the hazards involved and the strategies for the prevention of falls.

The Bathroom: High Risk Area The hazards in this room include:
- Slippery floor due to excess water from showering or spillage of urine or body fluids.
- Uneven, cracked or broken tiles
- Shower recess hob
- Open bar heater
Strategies to reduce potential hazards:
- Non slip tiles or adhesive mats
- Direct level entry into shower recess and removing hob
Open Document