Mobility & transfers
Walking, turning, bed mobility, sit-to-stand and transfer ability, including the level of assistance required.
FALLS PREVENTION
ACP takes a practical, multifactorial approach to falls prevention in residential aged care and community settings.
LOOKING BEYOND THE FALL
Rather than treating falls as a single mobility problem, we consider the person's physical function, behaviour, health, routine and environment. This helps identify actions that are relevant to the individual and the care team.
Walking, turning, bed mobility, sit-to-stand and transfer ability, including the level of assistance required.
Lower-limb strength, balance, endurance and the person's ability to complete meaningful functional activity.
Pain, stiffness and physical limitations that may alter gait, transfers, confidence or activity.
Factors affecting safety awareness, instructions, impulsivity, communication and participation.
Urgency, night-time toileting, bathroom access and the assistance required during personal care.
Relevant health changes, dizziness, weakness, fatigue and medication-related issues requiring wider clinical review.
Room layout, flooring, lighting, footwear, mobility aids, sensor mats, wheelchairs and other equipment.
Daily routines and factors such as fatigue, hydration and sleep that may influence function and falls risk.
Strategies to reduce the consequences of a fall and support appropriate equipment, assistance and response.
AFTER A FALL
Where appropriate, ACP can contribute to a post-fall review by considering what happened, what may have contributed, whether the resident's function has changed and what practical actions should follow.
The focus is not simply on completing a form. It is on identifying changes that the care team can understand and act on.
FACILITY-WIDE APPROACH
Physiotherapists can provide assessment and clinical recommendations, but prevention also depends on nursing, care staff, equipment, environment, medical management and consistent communication.
Understand the person and the circumstances around the risk or fall.
Separate modifiable factors from factors that require broader clinical management.
Translate findings into practical care, equipment and environmental actions.
Reassess when the person's function, health or circumstances change.
FALLS SUPPORT
Talk to ACP about resident assessment, post-fall review, staff education or a broader facility falls strategy.
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