American Medical Directors Association, Columbia, MD USA.
Transl Behav Med. 2012 Jun;2(2):241-3. doi: 10.1007/s13142-011-0106-3.
Falling is a significant cause of injury and death in frail older adults. Residents in long-term care (LTC) facilities fall for a variety of reasons and are more likely to endure injuries after a fall than those in the community The American Medical Directors Association (AMDA) Clinical Practice Guideline is written to give LTC staff an understanding of risk factors for falls and provide guidance for a systematic approach to patient assessment and selection of appropriate interventions. It is intended to help facilities establish processes for evaluating, managing, and preventing falls. AMDA guidelines are written specifically for the elder in the LTC setting. Facility teams systematically address each individual's risk factors for falls and fall risks and the adverse consequences on the patient's functioning and quality of life. AMDA guidelines emphasize key care processes and are organized for ready incorporation into facility-specific policies and procedures to guide staff and practitioner practices and performance.
跌倒在体弱老年人中是导致受伤和死亡的一个重要原因。长期护理（LTC）机构的居民跌倒的原因多种多样，而且与社区中的老年人相比，他们跌倒后更有可能受伤。美国医疗主任协会（AMDA）的临床实践指南旨在让 LTC 工作人员了解跌倒的危险因素，并为系统评估患者和选择适当的干预措施提供指导。其目的是帮助设施建立评估、管理和预防跌倒的流程。AMDA 指南是专为 LTC 环境中的老年人编写的。设施团队系统地解决每个患者的跌倒危险因素和跌倒风险，以及对患者功能和生活质量的不利影响。AMDA 指南强调了关键的护理流程，并组织起来，以便纳入设施特定的政策和程序中，为工作人员和从业者的实践和绩效提供指导。
