Dear attendee,

To be eligible for a prize please answer the questions overleaf. Each question relates to a workstation, including our general display detailing some facts about falls.

Please ensure your attendance sheet is signed off at each station , and that all questions overleaf are answered.

Place your fully completed attendance sheet

into the entry box

for a chance to win a prize

SPLATT ATTACK EXPO
Environment
- General & Bedside / Medications
Feet & Footwear / Psycho–Social Issues
Nutrition / Mobility & Gait Aids
Have you looked at the general display board detailing some facts about falls
as this relates to question 7 overleaf

Please include your details so we can contact you if you win:

Name & occupation:

Facility:

Phone ext: Best contact time:

Falls Prevention Training Expo questionnaire:

1) Environment - general & bedside:
Who's responsibility is it to ensure that the floors are kept clean & dry?
a) psa [ ]
b) cleaners [ ]
c) everyones [ ] / 2) Medications:
The drugs most likely to cause falls are benzodiazepines?
a)  yes [ ]
b)  No [ ]
3) Feet & Footwear:
A person who is at risk of falling would be best wearing what style of shoe?
a) high heels [ ]
b) runners with a soft sole [ ]
c) shoes with a textured grip and a hard sole and fastener [ ]
d) sandals [ ] / 4) Psycho-social Issues:
On assessing a new resident, is it important to find out if the person has had a previous history of falls, and how this has affected them?
a)  yes [ ]
b)  no [ ]
5) Nutrition:
Which of these things can increase the risk of falls?
a) protein - calorie undernutrition [ ]
b) vitamin deficiencies [ ]
c) alcohol consumption [ ]
d) all of the above [ ] / 6) Mobility & Gait Aids:
Circle any of the following actions which you consider would reduce the risk of a resident falling whilst mobilising:
a) clear path of progress before patient mobilises
b) if the floor is wet, take the patient’s shoes off before walking
c) ensure correct gait aid is used
d) provide clear instructions re gait aid and foot
placement
7) Some facts on falls:
Hip fractures are more likely to follow a fall by an older people living in residential care than those living at home. How much higher is this risk of a hip fracture?
a) only slightly more likely [ ]
b) twice more likely [ ]
c) 10 times more likely [ ]
Please also answer the following questions
and
Place your completed form in the entry box for a chance to win a prize.

a)  How valuable did you find the Expo and why?

b)  Is there anything you learnt today that you might implement in your facility tomorrow?

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