OAHR provides home-based nurse case management to medically fragile older adults 60 + throughout Alameda County. We perform comprehensive geriatric assessments in the home including a thorough safety assessment that identifies our clients' risk of falls. The nursing assessment takes multiple factors into account including history of falls, physical, environmental, sensory, medical & pharmaceutical, cognitive, and psychosocial risk factors. If a nursing assessment identifies an increased risk of falling, the nurse develops care plan goals and interventions to address and reduce that risk.  OAHR tracks results of fall risk assessment and the nurse's efforts to implement interventions to address those specific risk factors. 

See above under Individualized Care Plan (ICP) goals.

OAHR nurse case managers reduce client fall risk by providing interventions to reduce risk such as: referring for home health services, obtaining RX for durable medical equipment, obtaining and/or enhancing caregiving resources, training caregivers and clients around mobility and transfers, performing cognitive and sensory evaluations, linkage to vision services and supports, communicating with and referring to healthcare providers for further workup and evaluation, home modifications, referral for substance use treatment, harm reduction strategies to promote behavior change, etc.