Managing Fall Risk through Building Design Presenter: Jane Rohde, - - PDF document

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Managing Fall Risk through Building Design Presenter: Jane Rohde, - - PDF document

Nov 04, 2023 249 likes •453 views

Session 3a: Managing Falls Risks through NASRM 2016 Building Design Managing Fall Risk through Building Design Presenter: Jane Rohde, AIA, FIIDA, ASID, ACHA, CHID LEED AP BD+C, GG CIEB Assessor Learning Objectives 1. Recognize building

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Session 3a: Managing Falls Risks through Building Design NASRM 2016 1 Managing Fall Risk through Building Design

Presenter: Jane Rohde, AIA, FIIDA, ASID, ACHA, CHID LEED AP BD+C, GG CIEB Assessor

Learning Objectives

  • 1. Recognize building design elements that

can be contributing factors in falls related events and injuries

  • 2. Assess building locations to help evaluate

where resident mobility and transfer risks exist

  • 3. Identify actions in environmental design

that can effectively reduce resident fall risk

  • 4. Write building design improvement

recommendations that help to prevent falls and reduce falls-related risks Managing Risk Clinical, Financial, & Risk Adverse But more importantly identify the “Who”

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Session 3a: Managing Falls Risks through Building Design NASRM 2016 2

Opportunities to Improve Lives

  • Observation & Awareness
  • Understand the Elder Experience
  • Reinforcement for Staff & Family
  • In-service including “People

Outcomes”

  • Everyone in this room can make a

difference – improving outcomes & improving lives The “Who”

Miriam Sosnowski

  • Miriam was born on

April 8, 1919

  • She was married to

John Sosnowski

  • She had a beautiful

German Shepherd

  • She lived at

Charlestown Retirement Community

  • She was a dear friend
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Session 3a: Managing Falls Risks through Building Design NASRM 2016 3

Elder in Beijing Mathew & Lisa Nettie Stevens

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  • Mr. & Mrs. Biggs

Mary & Beatrice George

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  • Mr. Weber

www.fgiguidelines.org

Design Guidelines for Licensing

  • Facility Guidelines

Institute

  • 2014 Current Publication
  • Adoption / Reference in

several states

  • Functional Program
  • Environment of Care
  • Resident Safety Risk

Assessment

  • 4 year Cycle for

updates: 2018 in process

Functional Program

Resident at Garden Spot Village

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Functional Program Functional Program Environment of Care

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Light & Views Light & Views

Citizen’s Care Nursing Home Havre De Grace, Maryland

Views of Nature

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Access to Nature

Conservatory Garden Spot Village

Wayfinding

Wayfinding Garden Spot Village

Landmarks & Familiarity

Wayfinding Garden Spot Village

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Control of the Environment Control of the Environment Cultural Responsiveness

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www.fgiguidelines.org

Resident Safety Risk Assessment

  • Resident Safety Risk Assessment
  • Part of the up-front planning process
  • Infection Control Risk
  • Resident Mobility & Transfer Risk
  • Resident Fall Risk & Prevention
  • Resident Dementia & Mental Health Risk
  • Security Risk
  • Disaster Risk & Emergency Preparedness

Resident Safety Risk Assessment Mobility & Transfer: Assessment Steps

  • Evaluate the care model and identify the care

population needs

  • Establish criteria for functional needs
  • Evaluate workman comp / staff injury incidents

that are associated with mobility & transfer of residents

  • Evaluate time and difficulty for a two staff

person transfer of a resident

  • Determine Life Cycle Cost Analysis on FTEs

and continual operational costs versus only first cost of ceiling lifts and related equipment

  • Evaluate solution options that meet criteria
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Mobility & Transfer

Photos: Courtesy of PressalitCare

Mobility & Transfer

Lift System: Guldmann, Inc.

Mobility & Transfer

Citizen’s Care Nursing Home Havre De Grace, Maryland

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Cypress Gardens China Senior Care Hangzhou, China

Mobility & Transfer Fall Risk: Assessment Steps

  • Evaluate the care model and identify the care

population needs

  • Establish criteria for functional needs
  • Evaluate incidents of falls as documented
  • Review with staff undocumented incidents and high risk

residents

  • Evaluate locations of highest number of incidents of

falls

  • Focus group for staff where highest and lowest

incidents of falls are occurring

  • Analyze environmental and operational circumstances

related to highest risk areas versus lowest risk areas

  • Evaluate solution options that meet criteria and address

high, medium, and low risk areas for fall reduction

  • Benchmark falls after intervention provided

Fall Risk & Vertigo

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The Meadows: Brooke Grove Retirement Village: Sandy Spring, Maryland

Fall Risk Fall Risk Fall Risk

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Fall Risk

Wharton Care Center: Indirect Lighting Solutions Pleasant Hill, Tennessee

Fall Risk & Lighting

Uplands Retirement Community: Wharton Care Center; Pleasant Hill, TN

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Fall Risk & Lighting

Abe’s Garden at Park Manor: Architect: Manuel Zeitlin, LLC / Interior Designer: Perkins Eastman / Photo: Nick McGinn at McGinn Photography

Fall Risk & Technology Fall Risk & Technology

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Fall Risk & Furniture

Welbrook Rengel / Laura McCants / JSR Associates, Inc.

Fall Risk & Dining Experience

Edward N. & Della L Thome Adult and Senior Care Center: Harry & Jeanette Weinberg Campus Milford Mill, Maryland

Household Design for Adult Day Care

Fall Risk & Dining Experience

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Balancing Risk & Safety Recommended Process Recommended Outcome

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Thank you!

Jane Rohde, AIA, FIIDA, ASID, ACHA, CHID

LEED AP BD+C, GGA - CIEB

Principal JSR Associates, Inc. e: jane@jsrassociates.net p: (410) 461-7763 w: www.jsrassociates.net