Abstract
[Purpose] In this study, we performed a behavior analysis intervention with the aim of reducing the frequency of rest room falls of a resident of a long-term care facility for the elderly and investigated the result. [Subjects] The subject was a 69-year-old resident of a long-term care facility for the elderly. He had a history of multiple stroke events, lumbar hernia and dementia. [Method] Baseline was the period before falls increased, Increase was the period when falls increased, Intervention was the period when the intervention was performed and the number of inappropriate behaviors was recorded, and Follow-up was the period after the intervention. As a countermeasure to the situation in the Increase period, we implemented an intervention providing an environment to assist with and strengthen appropriate behaviors. To examine the result of the intervention the number of falls in each period were examined using the independent chi-square test. [Results] The fall frequency calculated as the number of falls per month was 1.3 in the Baseline, 7.5 in the Increase, 0.7 in the Intervention, and 1.1 in the Follow-up periods. Falls significantly decreased in the Intervention period when compared with the Increase period, and falls showed no significant difference from Baseline in the Intervention and Follow-up periods. [Conclusion] We consider the behavior analysis intervention was effective at achieving the goal of reducing the frequency of rest room falls for this case.
