b"FOCUS ON FALLSEliminating restraints and Stock photoreducing fallsA resident-centred approach to safety and well-being at Burton ManorI n 2019, Burton Manor Long-Termresidents limits their normal activitiesBone protection medication (e.g.,Care started a transformation withand can lead to increased agitation.Vitamin D, Prolia (denosumab) two objectives: eliminating restraintsThese restraints may also have harmfuland Actonel (risedronate sodium), and reducing falls. Five years later, theeffects, such as residents injuringprescribed to residents who are Primacare Living Solutions long-termthemselves while trying to climb overdeemed susceptible to falls based on care home has not only met thesebed rails or, in severe cases, riskingan initial consultation with physician seemingly opposing priorities butstrangulation with seat belts. and pharmacy teams. earned its spot as a Registered NursesImplementing the RNAOs PreventingNumerous fall prevention and injury Association of Ontarios (RNAO) Falls and Reducing Injury from Fallsreduction practices have also been Best Practice SpotlightOrganization (BPSO). BPG meant adopting several alternativeimplemented. For example, Burton approaches to restraints. DependingManor now places a falling star logo RNAOs Best Practice Guidelineon the residents risk profile, on the doors of fall-risk residents to (BPG), Preventing Falls and Reducingthese include:identify those who require additional Injury from Falls (2017), served as thesupport and check-ins throughout the blueprint for Burton Manors BPSOHigh-low adjustable beds canday. Additionally, Burton Manor staffplan. From 2019 to 2023, the long- be lowered to help residentsconduct Intentional Comfort Rounding term care home implemented a hostsafely transfer from their mobilityevery hour to ensure these residents of alternative fall prevention toolsequipment into or out of their beds.safety and needs are monitored and and techniques from the BPG thatBed and chair alarms that alert teamattended to. enabled its team to eliminate the use of physical restraints (e.g., bed rails,members to help residents trying toMonitoring involves more than just seatbelts, lap trays, etc.) while reducingleave their beds so they can assist.briefly checking the resident's room fall risks and injury severities.Hip protectors worn by residents toand then leaving; it requires a thorough and attentive approach, says Martis. Some families believe that restrainingreduce injuries from falls.Instead, she explains, these rounds a resident will prevent falls, but theyNon-skid socks worn by residents toare meant to be a time when team may not be aware of the potentialmembers engage with residents to negative consequences of suchhelp prevent slipping and falling. ascertain their comfort and safety as Fall mats to soften the impactmeasures, says Jyothi Martis, Directorit relates to 4Ps: Pain, Position, Peri-of Care for Burton Manor. Restrainingof falls. needs and Possession (see sidebar). 54 LONG TERM CARE TODAY Fall/Winter 2024"