Among nursing home residents, falls are a leading cause of injuries. Falls are typically linked to underlying health problems, such as dementia, mobility impairment or medication side effects. Urinary symptoms (US), such as urgency, frequency, nocturia, etc. are associated with an increased likelihood of falling. Residents with US often engage in potentially risky behaviors, such arising from bed several times during the night, mostly under conditions of poor illumination, to urinate. To make matters worse, residents often need to hurry to the toilet in order to not wet themselves, which increases their risk of falls. Consequently, addressing US represents a potential target for interventions aimed at reducing falls in nursing home residents. Unfortunately, while residents with US have repeatedly been shown to be at significant risk for falls, focusing on US alone, without addressing the resident’s fall risk status, has not resulted in any decrease in fall risk. This course discusses the causes of falls and fractures, and the urologic conditions that increase their risk, and focuses on how nursing staff can potentially prevent falls by addressing US and vice versa, on how reducing fall risk can benefit residents with US.
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Upon completion of this course the participant will be able to:
Chapter 1: Introduction
Chapter 2: The Urinary System
Chapter 3: Causes Of Urinary Symptoms
Chapter 4: Screening And Assessment
Chapter 5: Management Of Urinary Symptoms
Chapter 6: Management Of Fall Risk
Chapter 7: Environmental Strategies
Chapter 8: Case Study
Chapter 9: Course Summary
Chapter 10: Appendix
Chapter 11: References
Rein Tideiksaar, PhD, PA-C, or Dr. Rein as he is commonly referred to, is the president of Fall Prevent, LLC, Blackwood, New Jersey, a consulting company that provides educational, legal, and marketing services related to fall prevention in the elderly.
Dr. Tideiksaar is a gerontologist, which is a health care professional who specializes in working with elderly patients, and a geriatric physician's assistant. He has been active in the area of fall prevention for over thirty years.
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