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Characteristics of Individuals Who Fell While Receiving Home Health Services

CL Lewis, PT, PhD, is Assistant Professor, Department of Physical Therapy Education, Elon University, Campus Box 2085, Elon, NC 27244-2085 (USA) (lewisc{at}elon.edu).
M Moutoux, PT, MS, is Staff Physical Therapist, Home Care Providers of Alamance Regional Medical Center, Burlington, NC
M Slaughter, RPh, is Pharmacist, Home Care Providers of Alamance Regional Medical Center
SP Bailey, PT, PhD, is Assistant Professor, Department of Physical Therapy Education, Elon University

Address all correspondence to Dr Lewis

Background and Purpose. Many patients receiving home health services are at risk for falling, but fall risk factors have not been previously investigated in this population. A retrospective record review was used to describe individuals who fell while being served by a home health agency. Subjects. The 98 individuals who fell while receiving home health services were compared with a random sample of 98 subjects served by the home health agency during the same period who did not report falling. Methods. Subjects were compared by age, sex, days of receiving home health services, number of falls prior to admission to the home health agency, diagnosis, medication category, home health services received, and type of health care coverage. In the group with falls, causes of falls and interventions were described. Results. The group with falls had comorbidities of neurological and cardiovascular impairment, took more medications associated with increased risk of falling, and had almost 3 times the number of falls prior to admission than the group without falls. Discussion and Conclusion. Home care providers should consider medical history, medication usage, and fall history as risk factors for falls in the home environment.

Key Words: Falls • Home health agencies • Older adults

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