Haus und Freizeit - bfu
Haus und Freizeit - bfu
Haus und Freizeit - bfu
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Table 6 (continued)<br />
Highly recommended <strong>und</strong> recommended prevention possibilities: Falls – senior citizens not living independently<br />
Risk factor Prevention option Assessment<br />
Sensory skills/perception<br />
Impairment of visual perception Adequate diagnostics including regular examinations to determine visual perception (e.g. Recommended<br />
eyesight tests)<br />
Medical factors (can only be influenced to a limited degree)<br />
Reduced cognition/perception, Administering vitamin D<br />
Highly recommended<br />
dementia<br />
Administering calcium<br />
Highly recommended<br />
Use of hip protectors<br />
Recommended<br />
Adequate diagnostics including the regular determination/monitoring of cognitive and sensory Recommended<br />
status<br />
Adequate treatment/therapy<br />
Recommended<br />
Incontinence<br />
Adequate diagnostics particularly in respect of the kind of and/or the causes of incontinence Recommended<br />
including regular monitoring<br />
Test and evaluation of medication of complex-forming incontinence<br />
Recommended<br />
Rheumatic diseases, arthritis, Adequate diagnostics<br />
Recommended<br />
arthrosis<br />
Adequate medication/treatment<br />
Recommended<br />
Medication (can only be influenced to a limited degree)<br />
Number of and (negative) Revision/re-examination f entire medication<br />
Highly recommended<br />
interaction of medications Prescribing low (effective) doses<br />
Recommended<br />
including sedatives/sleeping Transparency of doctors and therapies (communication)<br />
Recommended<br />
pills<br />
Possible avoidance of centrally acting medication treatment<br />
Recommended<br />
Possible end of benzodiazepines<br />
Recommended<br />
Private infrastructure (e.g. living space in nursing homes, hospitals)<br />
General infrastructural risk Safety check (audit) of existing and planned private infrastructure (including its modification) Highly recommended<br />
factors<br />
and must thus be seen in connection with the other prevention options in respect of the<br />
private infrastructure<br />
Guarantee of good lighting (e.g. number of, luminosity, low glare)<br />
Recommended<br />
Anti-slip floor coverings<br />
Recommended<br />
Elimination or fixing of carpets/rugs lying free<br />
Recommended<br />
Redesign/modification of thresholds<br />
Recommended<br />
Installation of functional handrails and railings<br />
Recommended<br />
Elimination of cables lying free or other obstructions<br />
Recommended<br />
Furnishings Avoidance of the use of low or high shelves and cupboards Recommended<br />
Adequate height of chairs, tables and beds<br />
Recommended<br />
Bed side rails<br />
Recommended<br />
Repair or elimination of unstable furniture<br />
Recommended<br />
Avoidance of the use of ladders and stepladders<br />
Recommended<br />
Installation/use of emergency call systems<br />
Recommended<br />
Public infrastructure (e.g. roads, paths, public amenities)<br />
– (not mentioned in the Safety check of existing and planned public infrastructure (this relates to nursing homes, Highly recommended<br />
literature)<br />
hospitals, etc.)<br />
Products<br />
Inappropriate vision aids Adequate optical/visual corrections Highly recommended<br />
Inappropriate footwear<br />
Individual and global awareness-raising for functional footwear (including information on Recommended<br />
functional footwear in respect of fall prevention)<br />
Absence of or inappropriate Selection, provision and adjustment of adequate walking aids based on individual constitution Recommended<br />
walking aids<br />
and circumstances<br />
Absence of or inappropriate hip Care personnel/carers: increase in and/or guarantee of compliance in terms of wearing a hip Highly recommended<br />
protectors<br />
protector (e.g. personnel training, further training)<br />
General awareness-raising on the (adequate) use of (adequate) hip protectors with special Recommended<br />
consideration for fall history, age, mobility, disability status and in respect of osteoporosis and<br />
body mass index<br />
Optimisation of fit, wearing comfort and use<br />
Recommended<br />
Care personnel/care<br />
– (not mentioned in the<br />
literature)<br />
Training and further training of care personnel and carers<br />
Guarantee of adequate and transparent communication between personnel, carer and patient<br />
Highly recommended<br />
Recommended<br />
78 Kurzfassung / Version abrégée / Riassunto / Condensed Version <strong>bfu</strong>-Sicherheitsdossier Nr. 09
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