One in three older people fall every year, and younger people are at risk of falls too. The causes of falls are multiple, and the effects can be significant and wide ranging. However, falls are everyone’s business, and all of us can help reduce them within our roles.<\/p>\n\n\n\n
Assistance to Get Up Off the Floor<\/strong><\/p>\n\n\n\n For patients who are\u00a0uninjured but stuck on the floor, follow the\u00a0fallen uninjured person pathway<\/a><\/strong>\u00a0to access urgent support to help them off the floor.\u00a0This service is\u00a0provided by the\u00a0Assistive Technology Enabled Care\u00a0(ATEC 24)\u00a0monitoring and response\u00a0team\u00a0on behalf of the Edinburgh Health and Social Care Partnership.\u00a0<\/p>\n\n\n\n Risk of Admission <\/strong><\/p>\n\n\n\n If the patient is at\u00a0imminent risk of hospital admission<\/strong>\u00a0due to falls<\/strong>\u00a0within the next 4 hours\u00a0follow the\u00a0Urgent Therapy and Social Care pathway<\/a><\/strong>\u00a0by checking the referral criteria. Call\u00a0the\u00a0Flow Centre<\/a><\/strong>\u00a08:30am to 2pm\u00a0on 0300 013 4000\u00a0option 1 and 4, or\u00a0Social Care Direct<\/a><\/strong>\u00a0on 0131 200 2324\u00a0outwith these times.<\/p>\n\n\n\n Edinburgh Falls Prevention Pathway <\/strong><\/p>\n\n\n\n If you are working with a person of any adult age living in the community who has had recent falls, worsening or increasing falls, or is at risk of falls, you can support<\/strong> them by following the Edinburgh Falls Prevention Pathway January 2024 for Health Care Professionals<\/a> <\/strong>Pathways for other groups (Social Care & Social Work and Third Sector) can be found under Resources and Links.<\/mark><\/a><\/a><\/p>\n\n\n\n Multifactorial Falls Assessment and Rehabilitation at Home <\/strong><\/p>\n\n\n\n For patients who would benefit from a\u00a0multifactorial\u00a0falls assessment<\/strong><\/a>\u00a0at home call\u00a0Social Care Direct<\/a><\/strong> – details of a Clinician only falls Telephone Number can be found on the intranet falls page<\/a><\/strong>.\u00a0\u00a0A\u00a0practitioner working within a therapy team will aim to\u00a0visit within 10 days or quicker, depending on urgency.\u00a0\u00a0The practitioner will work with the patients to carry out a multifactorial assessment of both the person and their home\u00a0environment for falls risks. They will advise and support with an individualised\u00a0balance, strength, gait and functional rehabilitation programme. They can also arrange provision of equipment or\u00a0minor adaptations to improve independence with daily activities and complete onward referrals to further reduce falls risk.\u00a0<\/p>\n\n\n\n Signposting <\/strong><\/p>\n\n\n\n MOE Assessment\/Day Hospital <\/strong><\/p>\n\n\n\n For patients who would benefit from combined medical, nursing and rehabilitation assessments<\/strong> to reduce their falls risk this can be arranged through referral MOE. In some areas this is to Day Hospital, in other areas this is to MOE for triage as to most appropriate input. See guidance under the relevant MOE services<\/a>.<\/p>\n\n\n\n Specialist Input to Reduce Falls Risk Factors <\/strong><\/p>\n\n\n\n If the patient requires specialist input <\/strong>to reduce their identified falls risk factors you can find links to a range of specialist services such as podiatry, dietetics, speech and language therapy, continence services, substance misuse, auditory services, visual services, chronic pain, mental health, community stroke, progressive neurological conditions, occupational therapy or musculoskeletal physiotherapy within Edinburgh on Edinburgh Falls Prevention Pathway January 2024 for Health Care Professionals <\/a><\/p>\n\n\n\n Medication Review <\/strong><\/p>\n\n\n\n For patients with medication that may be affecting their falls risk a medication review<\/strong> can be provided by the Primary Care Team (GP, Primary Care Pharmacist).<\/p>\n\n\n\n Vestibular Issues\/Dizziness<\/strong><\/p>\n\n\n\n If your patient has dizziness or balance issues then they can be referred for support:<\/p>\n\n\n\n Community Alarms <\/strong><\/p>\n\n\n\n For patients that might benefit from a\u00a0community alarm<\/strong>, this allows 24\/7\u00a0support from the\u00a0ATEC 24\u00a0monitoring and response team<\/a><\/strong>.\u00a0 A referral can be made via\u00a0Social Care Direct<\/a><\/strong>.<\/p>\n\n\n\n Community Equipment <\/strong><\/p>\n\n\n\n For patients who would benefit from\u00a0assessment\u00a0for equipment to live independently<\/strong>, more support is available.\u00a0 For minor adaptations such as grabrails, handrails and bannisters, a self-referral can be made via the\u00a0online form<\/a><\/strong>.\u00a0 If an\u00a0assessment for other community equipment\u00a0or larger adaptations\u00a0is indicated,\u00a0a referral can be made via\u00a0Social Care Direct<\/a><\/strong>.\u00a0 Patients can also\u00a0return items to the Community Equipment Service<\/a><\/strong>\u00a0.<\/p>\n\n\n\n Care Home Residents <\/strong><\/p>\n\n\n\n If you are working with a care home resident<\/strong> who has had recent falls, worsening or increasing falls, or is at risk of falls, referrals to services that can support the resident with a range of falls risk factors can be made by the care home, the GP, or a range of professionals. to the services here: https:\/\/services.nhslothian.scot\/CareHomes\/Pages\/default.asp<\/a><\/strong><\/p>\n\n\n\n Guidelines, Policies and Strategy <\/strong><\/p>\n\n\n\n Scottish Government Healthcare Framework for Adults Living in Care Homes- My Health, My Care, My Home 2022 <\/a><\/p>\n\n\n\n Edinburgh Falls Prevention Pathway January 2024 for Social Care and Social Work<\/a><\/p>\n\n\n\n NICE Guidelines 161 Falls in Older People: Assessing Risk and Prevention 2013<\/a> <\/a><\/p>\n\n\n\n Nice Guidelines 232 Head injury: assessment and early management<\/a><\/p>\n\n\n\n SIGN Guidelines 142 Management of Osteoporosis and Prevention of Fragility Fractures 2021<\/a> <\/a><\/a><\/p>\n\n\n\n World Guidelines for Falls Prevention for Older Adults- A Global Initiative 2022 <\/a><\/p>\n\n\n\n Falls Engagement and Training Sessions <\/strong><\/p>\n\n\n\n If you would like a 40min interactive MS Teams engagement\/training session on the Edinburgh Falls Prevention Pathway for a multi-disciplinary clinical team within your healthcare setting in Edinburgh please contact both Jo Gordon (Community Falls Coordinator) and Dene Walker (Project Support Officer) on Jo.Gordon@nhs.scot<\/a> and Dene.Walker@nhs.scot<\/a> Please note that we are Edinburgh based and have improvement and strategic rather than clinical roles. Thank you.<\/strong><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":" One in three older people fall every year, and younger people are at risk of falls too. The causes of falls are multiple, and the effects can be significant and wide ranging. However, falls are everyone’s business, and all of us can help reduce them within our roles. Assistance to Get Up Off the Floor For patients<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3927,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[306],"class_list":["post-3903","page","type-page","status-publish","hentry","category-edinburgh-falls"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" Edinburgh Falls<\/a>","rttpg_excerpt":"One in three older people fall every year, and younger people are at risk of falls too. The causes of falls are multiple, and the effects can be significant and wide ranging. However, falls are everyone’s business, and all of us can help reduce them within our roles. 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Strength and Balance<\/strong><\/p>\n\n\n\n\n
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