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1. Evaluate precipitating causes for falls so that preventative measures can be in place.
2. Formulate a comprehensive evaluation for high fall risk patients.
3. Analyze medications that are known to contribute in various ways to fall risks.
4. Assess the risk for adverse patient outcome and need for urgent intervention.
5. Determine the tools necessary for a multidisciplinary fall prevention program.
6. Select patient-specific fall prevention interventions for a successful fall prevention plan.
7. Evaluate the impact of common gait disorders on fall risk.

How to Prevent Falls Before They Occur

• Who is likely to fall?
• Which risk factors can we modify?
• Precipitating causes - what to watch for
• Institutional barriers - avoiding 1:1s
• Important implications of co-morbidities
• The benefits of vitamin D

Fall Risk Assessment

• Current guidelines
• Who should we screen?
• Multi-factorial causes of falls
• Recommended fall risk assessments

Fall Prevention Strategies

• What works and what does not
• Addressing alarm fatigue
• Avoiding 1:1s
• Effective evidence-based interventions
• Education & assistive devices

Putting Together a Successful Fall Prevention Program

• Patient-specific interventions
• Developing a multidisciplinary program: Roles & responsibilities
• Fall rounds

Patient Evaluation

• History
• Physical exam
• Evaluation tools (POMA tool, Get up and go test, Functional reach test, Berg balance test, Short physical performance battery)
• Diagnostic tests
• Review of Gait Disorders (video)

What to do When a Patient Falls: Hands-On Evaluation

• Assess need for immediate medical care
• Evaluate for acute illness/preceding factors
• Communication with caregivers
• Common injuries
• Goals of care

Difficult Situations

• Frequent fallers - when injury prevention is your goal!
• Anticoagulation risks
• Prolonged time on floor
• What to do when fractures occur
• Head trauma management

Preventing Risk and Limiting Liability

• Home safety evaluations
• Communication and documentation
• Quality improvement opportunities
• High-risk scenarios: Case studies
• Addressing family concerns with falls
• Managing poor outcomes

Fall Prevention Plan Development

• Apply what we have learned
• Solutions for your biggest challenges!

Jennifer Cellar, MSN, APRN, CNP, currently practices as a nurse practitioner in Rhode Island, providing care to an adult/geriatric population in a skilled nursing facility. Her expertise caring for high-risk fall patients has provided her with insights to develop clinically-applicable and effective interventions for even the most difficult clinical scenarios. Additionally, she has gained valuable experiences as a provider working in diverse settings throughout her career, from acute care to sub-acute and long-term care. Jenny has had the opportunity to work at several prestigious institutions, including Yale New Haven Hospital and Massachusetts General Hospital; she is currently affiliated with Brown University as a Teaching Associate in Medicine. As a sought-after presenter for interdisciplinary healthcare audiences around the country, Jenny draws from her vast knowledge on a variety of topics, including: fall prevention, transitional care and quality improvement.

Speaker Disclosures

Financial: Jennifer Cellar has an employment relationship with Medical Associates of RI; and Brown University. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Nonfinancial: Jennifer Cellar is a member of the American Nurses Association; and the Gerontological Advanced Practice Nurses Association.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nursing Home Administrators, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, and other Healthcare Professionals