8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

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8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

httpslidepdfcomreaderfullessential-falls-management-series-managing-falls-in-assisted-living-tideiksaar 211

7Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

Ngccs gre g cegokda fldferd kd lcoer pelpce reskokda kd gssksteo ckvkda ngfkcktkes

(GCNs)9 up tl 5= ln reskoedts ngcc gddugccy Gs g resuct tbere ks gd uraedt deeo tlgooress ngcc prevedtkld gdo tl khprlve sgnety prgftkfes nlr pelpce ckvkda kd GCNs

Gssksteo ckvkda ngfkcktkes (GCNs) gre reskoedtkgc settkdas oeskadeo tl prlvkoe

supplrtkve bluskda nlr kdokvkougcs wbl deeo extrg becp kd tbekr ogy-tl-ogy

ckves `ut ol dlt requkre durskda blhe fgre Oenkdktklds useo tl oesfrk`e sup-

plrtkve bluskda oknner nrlh stgte tl stgte Gs g resuct tbere gre hgdy oknneredt

terhs nlr skhkcgr ngfkcktkes persldgc fgre blhes sbectereo bluskda blhes nlr

goucts `lgro gdo fgre olhkfkckgry fgre gouct nlster fgre sedklr arlup

blhes reskoedtkgc fgre ngfkcktkes gouct fldareagte ckvkda fldtkdukda fgre

retkrehedt flhhudktkes gdo ckne fgre ngfkcktkes gre slhe tbgt gre useo _beterh gssksteo ckvkda ngfkcktkes ks useo kd tbks FO-PLH tl flver gcc furredt oenk-

dktklds ln supplrtkve bluskda Hlst GCNs lnner vgrklus cevecs ln servkfe gskf

servkfe typkfgccy kdfcuoes ldcy rllh `lgro gdo lragdkzeo gftkvktkes wbkce tbe

bkabest servkfe cevec kdfcuoes gssesshedt ln pbyskfgc gdo hedtgc fldoktklds

huctkoksfkpckdgry fgre pcgddkda heokfgtkld gohkdkstrgtkld gdo durskda fgre

(kdfcuokda gsskstgdfe wktb `gskf gftkvktkes ln ogkcy ckvkda)

GCNs lnted struaace tl gfbkeve ndash`est prgftkfelsquo kd tbekr ennlrts tl prevedt ngccs Gdy suffessnuc ngcc prevedtkld prlargh ks bkabcy oepedoedt upld twl tbkdas

7 Eoufgtkld Kt ks frufkgc tbgt gcc stgnn heh`ers bgve

bull Gd gwgredess ln tbe extedt gdo fldsequedfes ln ngccs

bull G idlwceoae ln tbe fldoktklds udoer wbkfb ngccs lffur gdo wbgt ngftlrs gregsslfkgteo wktb ngcc rksi

bull Gd gpprefkgtkld ln gvgkcg`ce huctkoksfkpckdgry strgteakes lr kdtervedtklds tlreoufe ngcc rksi

bull Hlst khplrtgdt gd udoerstgdokda ln tbe prlfess ln ngcc prevedtkld gdo ktsessedtkgc flhpldedts (ke fldouftkda ngcc rksi gdo plst-ngcc gssesshedtsoeskadkda tgraeteo kdtervedtklds `gseo ld koedtknkeo fguses gdo ngcc rksi ngf-tlrs gdo evgcugtkda tbe enneftkvedess ln kdtervedtklds nlr reoufkda ngccs)

0 Peslurfes tllcs gdo aukoeckdes _bese gre defessgry tl becp tbe stgnn ennef-tkvecy prevedt ngccs

ltb eoufgtkld gdo reslurfe supplrt gre khplrtgdt kdareokedts kd prlhltkda fldsks-tedfy ln idlwceoae gdo prgftkfe ghlda stgnn heh`ers gdo kd gfbkevkda ndash`est prgf-tkfelsquo _bks FO-PLH prlvkoes g wegctb ln hgterkgcs essedtkgc tl `eakddkda lrkhprlvkda g ngcc prevedtkld prlargh

8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

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0Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

QB[ OE^ECL] G NGCC ]PE^ED_KLD ]PLAPGHlt

Khprlve Wugckty ln Fgre

Hgdy kdokvkougcs reskokda kd GCNs gre gt rksi ln ngcckda Nghkcy heh`ers gdo resk-oedts tbehsecves wkcc `e flhnlrteo `y idlwkda tbgt gd lragdkzeo ngcc prevedtkld prl-argh exksts Qbkce ngccs ol bgpped GCNs fgd hgie g flhhkthedt tl trykda tl hgietbekr ngfkcktkes gs sgne gs plssk`ce Vufb prgftkfes wkcc becp gttrgft nuture reskoedts gs

wecc gs hgkdtgkd tbe wecc`ekda ln furredt reskoedts

Flhpcy wktb Vtgte gdo Neoergc Peaucgtlry Gaedfkes

Every yegr hlre gdo hlre stgtes gdo neoergc gaedfkes gre estg`cksbkda reaucgtlry sys-tehs oeskadeo tl fllrokdgte gdo lversee tbe servkfes gdo fgre prlvkoeo `y GCNskdfcuokda ngcc prevedtkld Ld tbe dgtkldgc cevec tbe furredt Dgtkldgc ]gtkedt Vgnety Algcs pu`cksbeo `y tbe Jlkdt Flhhksskld ld tbe Gffreoktgtkld ln Begctb FgreLragdkzgtklds renceft tbe khplrtgdfe gdo deeo nlr ngcc prevedtkld kd GCNs _be algcsspefkny tbgt GCNs

hust khpcehedt g ngcc reouftkld prlargh gdo evgcugte tbe enneftkvedess ln tbeprlargh Gs gpprlprkgte tbks prlargh sbluco kdfcuoe gd gssesshedt prlfess rksi reouftkld strgteakes trgdsner prltlflcs kd-servkfes kdvlcvehedt ln pgtkedtsnghk-ckes kd eoufgtkld gdo evgcugtkld ln edvkrldhedt ln fgre kssues

Peoufe Pksi ln Ceagc Ckg`kckty

Gs GCNs agkd plpucgrkty tbey gre gssuhkda tbe respldsk`kckty ln fgrkda nlr reskoedts wktb kdfregskdacy bkaber heokfgc deeos gdolr fladktkve khpgkrhedt Gs g resuct ckg-`kckty sukts gagkdst GCNs espefkgccy tblse recgteo tl ngcckda gre hludtkda GCNs wkccdever `e g`ce tl ergokfgte tbe rksis kdberedt kd fgrkda nlr nrgkc reskoedts `ut puttkda gngcc prevedtkld prlargh kd pcgfe fgd becp ngfkcktkes hgdgae ngcc rksi `y prevedtkda ngccs`enlre tbey lffur gdo tbere`y hkdkhkze tbe fbgdfes ln ckg`kckty sukts

GLU_ _BKV FO-PLH

_bks FO-PLH fldtgkds g Hkfrlslnt ]lwer]lkdt reg

presedtgtkld Peoufkda tbe Pksi ln Ngcckda kd Gssksteo Ckvkda Ngfkcktkes _bks presedtgtkld wkcc prlvkoe kd-servkfe eoufgtlrs wktb gd ndashlnn-tbe-rgfilsquo cefture ld ngcc prevedtkld Kt fgd `e useo gs pgrt ln ldalkdakd-servkfe stgnn eoufgtkld lr kd tbe lrkedtgtkld ln dew stgnn heh`ers _be presedtg-tkld sckoes fgd `e prkdteo gs bgdoluts tl gfflhpgdy g cefture lr `e prkdteo gclda

wktb expcgdgtlry dltes tl `e useo gs g secn-kdstruftkld prlargh (G secn-kdstruftkldprlargh hgy `e espefkgccy becpnuc kd gfflhhlogtkda tbe eoufgtkldgc deeos ln stgnn heh`ers wbl wlri ourkda evedkda dkabt gdo weeiedo sbknts) Nlr tblse users

8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

httpslidepdfcomreaderfullessential-falls-management-series-managing-falls-in-assisted-living-tideiksaar 411

6Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

wktblut gffess tl Hkfrlslnt‛s ]lwer]lkdt reg slntwgre skhpcy cla ldtl www hkfrlslntflh gdo olwdclgo tbe nree ]lwer]lkdt reg ^kewer 0==6 _bks gcclwsgdy user tl vkew gdo prkdt tbe presedtgtklds

Kd gooktkld tbe FO-PLH fldtgkds gcc ln tbe oefkskld-hgikda aukoeckdes gdo gssess-hedt tllcs tbgt tbe stgnn deeos tl `eakd lr hgkdtgkd g fldskstedt ngcc prevedtkld prl-

argh _bese nkces gre presedteo kd ]ON nlrhgt gdo fgd `e vkeweo uskda Gol`ereg

Pegoer wbkfb ks kdfcuoeo ld tbks FO-PLH

Gcc olfuhedts ld tbks FO-PLH fgd `e gffesseo nrlh tbe furredt olfuhedt Ckdiseh`eooeo kd tbe _g`ce ln Fldtedts `eclw wkcc tgie regoers okreftcy tl tbe seftkld lrnlrh kdokfgteo

_GCE LN FLD_ED_V

Ngccs kd Gssksteo Ckvkda Ngfkcktkes

Bere ks g fldfkse lvervkew ln tbe khplrtgdfe gdo fldsequedfes ln ngccs tbe fguses ln ngccs kdtervedtkld strgteakes gkheo gt reoufkda ngccs gdo gd lragdkzeo gpprlgfb tl ngccprevedtkld nlr GCNs

Peoufkda tbe Pksi ln Ngcckda kd GCNs (kd Hkfrlslnt ]lwer]lkdt reg)

_bks ]lwer]lkdt reg presedtgtkld kdfcuoes kdstruftkldgc dltes gdo ks oeskadeo nlr stgnn eoufgtkld _be presedtgtkld revkews tbe extedt gdo flhpckfgtklds ln ngccs kd GCNstbe fguses gdo rksi ngftlrs nlr ngccs prevedtkve strgteakes gkheo gt reoufkda ngcc rksitbe essedtkgc flhpldedts ln g ngcc prevedtkld prlargh gdo g step-`y-step gpprlgfb

tl khpcehedtkda g prlargh

Udoerstgdokda Ngcc Pksi

Oesfrk`es spefknkf kdterdgc gdo exterdgc rksi ngftlrs nlr ngccs kd GCNs

Kdjury Pksi Ngftlrs

]rlvkoes g ckst ln flhhld ngftlrs tbgt kdfregse tbe rksi ln kdjury nrlh ngccs

Pksi ln Ngccs kd Gczbekher‛s Oksegse

Oesfrk`es ngcc rksi gdo hgdgaehedt strgteakes gs tbey recgte tl Gczbekher‛s oksegse

Ngcc ]revedtkld Aukoeckdes

_bks lde-pgae aukoe prlvkoes `ltb g suhhgry ln tbe ngcc prevedtkld prlfess gdo gstgdogro tl nlcclw nlr ngcc prevedtkld kd GCNs

8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

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7Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

Ngccs gre g cegokda fldferd kd lcoer pelpce reskokda kd gssksteo ckvkda ngfkcktkes

(GCNs)9 up tl 5= ln reskoedts ngcc gddugccy Gs g resuct tbere ks gd uraedt deeo tlgooress ngcc prevedtkld gdo tl khprlve sgnety prgftkfes nlr pelpce ckvkda kd GCNs

Gssksteo ckvkda ngfkcktkes (GCNs) gre reskoedtkgc settkdas oeskadeo tl prlvkoe

supplrtkve bluskda nlr kdokvkougcs wbl deeo extrg becp kd tbekr ogy-tl-ogy

ckves `ut ol dlt requkre durskda blhe fgre Oenkdktklds useo tl oesfrk`e sup-

plrtkve bluskda oknner nrlh stgte tl stgte Gs g resuct tbere gre hgdy oknneredt

terhs nlr skhkcgr ngfkcktkes persldgc fgre blhes sbectereo bluskda blhes nlr

goucts `lgro gdo fgre olhkfkckgry fgre gouct nlster fgre sedklr arlup

blhes reskoedtkgc fgre ngfkcktkes gouct fldareagte ckvkda fldtkdukda fgre

retkrehedt flhhudktkes gdo ckne fgre ngfkcktkes gre slhe tbgt gre useo _beterh gssksteo ckvkda ngfkcktkes ks useo kd tbks FO-PLH tl flver gcc furredt oenk-

dktklds ln supplrtkve bluskda Hlst GCNs lnner vgrklus cevecs ln servkfe gskf

servkfe typkfgccy kdfcuoes ldcy rllh `lgro gdo lragdkzeo gftkvktkes wbkce tbe

bkabest servkfe cevec kdfcuoes gssesshedt ln pbyskfgc gdo hedtgc fldoktklds

huctkoksfkpckdgry fgre pcgddkda heokfgtkld gohkdkstrgtkld gdo durskda fgre

(kdfcuokda gsskstgdfe wktb `gskf gftkvktkes ln ogkcy ckvkda)

GCNs lnted struaace tl gfbkeve ndash`est prgftkfelsquo kd tbekr ennlrts tl prevedt ngccs Gdy suffessnuc ngcc prevedtkld prlargh ks bkabcy oepedoedt upld twl tbkdas

7 Eoufgtkld Kt ks frufkgc tbgt gcc stgnn heh`ers bgve

bull Gd gwgredess ln tbe extedt gdo fldsequedfes ln ngccs

bull G idlwceoae ln tbe fldoktklds udoer wbkfb ngccs lffur gdo wbgt ngftlrs gregsslfkgteo wktb ngcc rksi

bull Gd gpprefkgtkld ln gvgkcg`ce huctkoksfkpckdgry strgteakes lr kdtervedtklds tlreoufe ngcc rksi

bull Hlst khplrtgdt gd udoerstgdokda ln tbe prlfess ln ngcc prevedtkld gdo ktsessedtkgc flhpldedts (ke fldouftkda ngcc rksi gdo plst-ngcc gssesshedtsoeskadkda tgraeteo kdtervedtklds `gseo ld koedtknkeo fguses gdo ngcc rksi ngf-tlrs gdo evgcugtkda tbe enneftkvedess ln kdtervedtklds nlr reoufkda ngccs)

0 Peslurfes tllcs gdo aukoeckdes _bese gre defessgry tl becp tbe stgnn ennef-tkvecy prevedt ngccs

ltb eoufgtkld gdo reslurfe supplrt gre khplrtgdt kdareokedts kd prlhltkda fldsks-tedfy ln idlwceoae gdo prgftkfe ghlda stgnn heh`ers gdo kd gfbkevkda ndash`est prgf-tkfelsquo _bks FO-PLH prlvkoes g wegctb ln hgterkgcs essedtkgc tl `eakddkda lrkhprlvkda g ngcc prevedtkld prlargh

8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

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0Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

QB[ OE^ECL] G NGCC ]PE^ED_KLD ]PLAPGHlt

Khprlve Wugckty ln Fgre

Hgdy kdokvkougcs reskokda kd GCNs gre gt rksi ln ngcckda Nghkcy heh`ers gdo resk-oedts tbehsecves wkcc `e flhnlrteo `y idlwkda tbgt gd lragdkzeo ngcc prevedtkld prl-argh exksts Qbkce ngccs ol bgpped GCNs fgd hgie g flhhkthedt tl trykda tl hgietbekr ngfkcktkes gs sgne gs plssk`ce Vufb prgftkfes wkcc becp gttrgft nuture reskoedts gs

wecc gs hgkdtgkd tbe wecc`ekda ln furredt reskoedts

Flhpcy wktb Vtgte gdo Neoergc Peaucgtlry Gaedfkes

Every yegr hlre gdo hlre stgtes gdo neoergc gaedfkes gre estg`cksbkda reaucgtlry sys-tehs oeskadeo tl fllrokdgte gdo lversee tbe servkfes gdo fgre prlvkoeo `y GCNskdfcuokda ngcc prevedtkld Ld tbe dgtkldgc cevec tbe furredt Dgtkldgc ]gtkedt Vgnety Algcs pu`cksbeo `y tbe Jlkdt Flhhksskld ld tbe Gffreoktgtkld ln Begctb FgreLragdkzgtklds renceft tbe khplrtgdfe gdo deeo nlr ngcc prevedtkld kd GCNs _be algcsspefkny tbgt GCNs

hust khpcehedt g ngcc reouftkld prlargh gdo evgcugte tbe enneftkvedess ln tbeprlargh Gs gpprlprkgte tbks prlargh sbluco kdfcuoe gd gssesshedt prlfess rksi reouftkld strgteakes trgdsner prltlflcs kd-servkfes kdvlcvehedt ln pgtkedtsnghk-ckes kd eoufgtkld gdo evgcugtkld ln edvkrldhedt ln fgre kssues

Peoufe Pksi ln Ceagc Ckg`kckty

Gs GCNs agkd plpucgrkty tbey gre gssuhkda tbe respldsk`kckty ln fgrkda nlr reskoedts wktb kdfregskdacy bkaber heokfgc deeos gdolr fladktkve khpgkrhedt Gs g resuct ckg-`kckty sukts gagkdst GCNs espefkgccy tblse recgteo tl ngcckda gre hludtkda GCNs wkccdever `e g`ce tl ergokfgte tbe rksis kdberedt kd fgrkda nlr nrgkc reskoedts `ut puttkda gngcc prevedtkld prlargh kd pcgfe fgd becp ngfkcktkes hgdgae ngcc rksi `y prevedtkda ngccs`enlre tbey lffur gdo tbere`y hkdkhkze tbe fbgdfes ln ckg`kckty sukts

GLU_ _BKV FO-PLH

_bks FO-PLH fldtgkds g Hkfrlslnt ]lwer]lkdt reg

presedtgtkld Peoufkda tbe Pksi ln Ngcckda kd Gssksteo Ckvkda Ngfkcktkes _bks presedtgtkld wkcc prlvkoe kd-servkfe eoufgtlrs wktb gd ndashlnn-tbe-rgfilsquo cefture ld ngcc prevedtkld Kt fgd `e useo gs pgrt ln ldalkdakd-servkfe stgnn eoufgtkld lr kd tbe lrkedtgtkld ln dew stgnn heh`ers _be presedtg-tkld sckoes fgd `e prkdteo gs bgdoluts tl gfflhpgdy g cefture lr `e prkdteo gclda

wktb expcgdgtlry dltes tl `e useo gs g secn-kdstruftkld prlargh (G secn-kdstruftkldprlargh hgy `e espefkgccy becpnuc kd gfflhhlogtkda tbe eoufgtkldgc deeos ln stgnn heh`ers wbl wlri ourkda evedkda dkabt gdo weeiedo sbknts) Nlr tblse users

8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

httpslidepdfcomreaderfullessential-falls-management-series-managing-falls-in-assisted-living-tideiksaar 411

6Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

wktblut gffess tl Hkfrlslnt‛s ]lwer]lkdt reg slntwgre skhpcy cla ldtl www hkfrlslntflh gdo olwdclgo tbe nree ]lwer]lkdt reg ^kewer 0==6 _bks gcclwsgdy user tl vkew gdo prkdt tbe presedtgtklds

Kd gooktkld tbe FO-PLH fldtgkds gcc ln tbe oefkskld-hgikda aukoeckdes gdo gssess-hedt tllcs tbgt tbe stgnn deeos tl `eakd lr hgkdtgkd g fldskstedt ngcc prevedtkld prl-

argh _bese nkces gre presedteo kd ]ON nlrhgt gdo fgd `e vkeweo uskda Gol`ereg

Pegoer wbkfb ks kdfcuoeo ld tbks FO-PLH

Gcc olfuhedts ld tbks FO-PLH fgd `e gffesseo nrlh tbe furredt olfuhedt Ckdiseh`eooeo kd tbe _g`ce ln Fldtedts `eclw wkcc tgie regoers okreftcy tl tbe seftkld lrnlrh kdokfgteo

_GCE LN FLD_ED_V

Ngccs kd Gssksteo Ckvkda Ngfkcktkes

Bere ks g fldfkse lvervkew ln tbe khplrtgdfe gdo fldsequedfes ln ngccs tbe fguses ln ngccs kdtervedtkld strgteakes gkheo gt reoufkda ngccs gdo gd lragdkzeo gpprlgfb tl ngccprevedtkld nlr GCNs

Peoufkda tbe Pksi ln Ngcckda kd GCNs (kd Hkfrlslnt ]lwer]lkdt reg)

_bks ]lwer]lkdt reg presedtgtkld kdfcuoes kdstruftkldgc dltes gdo ks oeskadeo nlr stgnn eoufgtkld _be presedtgtkld revkews tbe extedt gdo flhpckfgtklds ln ngccs kd GCNstbe fguses gdo rksi ngftlrs nlr ngccs prevedtkve strgteakes gkheo gt reoufkda ngcc rksitbe essedtkgc flhpldedts ln g ngcc prevedtkld prlargh gdo g step-`y-step gpprlgfb

tl khpcehedtkda g prlargh

Udoerstgdokda Ngcc Pksi

Oesfrk`es spefknkf kdterdgc gdo exterdgc rksi ngftlrs nlr ngccs kd GCNs

Kdjury Pksi Ngftlrs

]rlvkoes g ckst ln flhhld ngftlrs tbgt kdfregse tbe rksi ln kdjury nrlh ngccs

Pksi ln Ngccs kd Gczbekher‛s Oksegse

Oesfrk`es ngcc rksi gdo hgdgaehedt strgteakes gs tbey recgte tl Gczbekher‛s oksegse

Ngcc ]revedtkld Aukoeckdes

_bks lde-pgae aukoe prlvkoes `ltb g suhhgry ln tbe ngcc prevedtkld prlfess gdo gstgdogro tl nlcclw nlr ngcc prevedtkld kd GCNs

8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

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0Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

QB[ OE^ECL] G NGCC ]PE^ED_KLD ]PLAPGHlt

Khprlve Wugckty ln Fgre

Hgdy kdokvkougcs reskokda kd GCNs gre gt rksi ln ngcckda Nghkcy heh`ers gdo resk-oedts tbehsecves wkcc `e flhnlrteo `y idlwkda tbgt gd lragdkzeo ngcc prevedtkld prl-argh exksts Qbkce ngccs ol bgpped GCNs fgd hgie g flhhkthedt tl trykda tl hgietbekr ngfkcktkes gs sgne gs plssk`ce Vufb prgftkfes wkcc becp gttrgft nuture reskoedts gs

wecc gs hgkdtgkd tbe wecc`ekda ln furredt reskoedts

Flhpcy wktb Vtgte gdo Neoergc Peaucgtlry Gaedfkes

Every yegr hlre gdo hlre stgtes gdo neoergc gaedfkes gre estg`cksbkda reaucgtlry sys-tehs oeskadeo tl fllrokdgte gdo lversee tbe servkfes gdo fgre prlvkoeo `y GCNskdfcuokda ngcc prevedtkld Ld tbe dgtkldgc cevec tbe furredt Dgtkldgc ]gtkedt Vgnety Algcs pu`cksbeo `y tbe Jlkdt Flhhksskld ld tbe Gffreoktgtkld ln Begctb FgreLragdkzgtklds renceft tbe khplrtgdfe gdo deeo nlr ngcc prevedtkld kd GCNs _be algcsspefkny tbgt GCNs

hust khpcehedt g ngcc reouftkld prlargh gdo evgcugte tbe enneftkvedess ln tbeprlargh Gs gpprlprkgte tbks prlargh sbluco kdfcuoe gd gssesshedt prlfess rksi reouftkld strgteakes trgdsner prltlflcs kd-servkfes kdvlcvehedt ln pgtkedtsnghk-ckes kd eoufgtkld gdo evgcugtkld ln edvkrldhedt ln fgre kssues

Peoufe Pksi ln Ceagc Ckg`kckty

Gs GCNs agkd plpucgrkty tbey gre gssuhkda tbe respldsk`kckty ln fgrkda nlr reskoedts wktb kdfregskdacy bkaber heokfgc deeos gdolr fladktkve khpgkrhedt Gs g resuct ckg-`kckty sukts gagkdst GCNs espefkgccy tblse recgteo tl ngcckda gre hludtkda GCNs wkccdever `e g`ce tl ergokfgte tbe rksis kdberedt kd fgrkda nlr nrgkc reskoedts `ut puttkda gngcc prevedtkld prlargh kd pcgfe fgd becp ngfkcktkes hgdgae ngcc rksi `y prevedtkda ngccs`enlre tbey lffur gdo tbere`y hkdkhkze tbe fbgdfes ln ckg`kckty sukts

GLU_ _BKV FO-PLH

_bks FO-PLH fldtgkds g Hkfrlslnt ]lwer]lkdt reg

presedtgtkld Peoufkda tbe Pksi ln Ngcckda kd Gssksteo Ckvkda Ngfkcktkes _bks presedtgtkld wkcc prlvkoe kd-servkfe eoufgtlrs wktb gd ndashlnn-tbe-rgfilsquo cefture ld ngcc prevedtkld Kt fgd `e useo gs pgrt ln ldalkdakd-servkfe stgnn eoufgtkld lr kd tbe lrkedtgtkld ln dew stgnn heh`ers _be presedtg-tkld sckoes fgd `e prkdteo gs bgdoluts tl gfflhpgdy g cefture lr `e prkdteo gclda

wktb expcgdgtlry dltes tl `e useo gs g secn-kdstruftkld prlargh (G secn-kdstruftkldprlargh hgy `e espefkgccy becpnuc kd gfflhhlogtkda tbe eoufgtkldgc deeos ln stgnn heh`ers wbl wlri ourkda evedkda dkabt gdo weeiedo sbknts) Nlr tblse users

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6Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

wktblut gffess tl Hkfrlslnt‛s ]lwer]lkdt reg slntwgre skhpcy cla ldtl www hkfrlslntflh gdo olwdclgo tbe nree ]lwer]lkdt reg ^kewer 0==6 _bks gcclwsgdy user tl vkew gdo prkdt tbe presedtgtklds

Kd gooktkld tbe FO-PLH fldtgkds gcc ln tbe oefkskld-hgikda aukoeckdes gdo gssess-hedt tllcs tbgt tbe stgnn deeos tl `eakd lr hgkdtgkd g fldskstedt ngcc prevedtkld prl-

argh _bese nkces gre presedteo kd ]ON nlrhgt gdo fgd `e vkeweo uskda Gol`ereg

Pegoer wbkfb ks kdfcuoeo ld tbks FO-PLH

Gcc olfuhedts ld tbks FO-PLH fgd `e gffesseo nrlh tbe furredt olfuhedt Ckdiseh`eooeo kd tbe _g`ce ln Fldtedts `eclw wkcc tgie regoers okreftcy tl tbe seftkld lrnlrh kdokfgteo

_GCE LN FLD_ED_V

Ngccs kd Gssksteo Ckvkda Ngfkcktkes

Bere ks g fldfkse lvervkew ln tbe khplrtgdfe gdo fldsequedfes ln ngccs tbe fguses ln ngccs kdtervedtkld strgteakes gkheo gt reoufkda ngccs gdo gd lragdkzeo gpprlgfb tl ngccprevedtkld nlr GCNs

Peoufkda tbe Pksi ln Ngcckda kd GCNs (kd Hkfrlslnt ]lwer]lkdt reg)

_bks ]lwer]lkdt reg presedtgtkld kdfcuoes kdstruftkldgc dltes gdo ks oeskadeo nlr stgnn eoufgtkld _be presedtgtkld revkews tbe extedt gdo flhpckfgtklds ln ngccs kd GCNstbe fguses gdo rksi ngftlrs nlr ngccs prevedtkve strgteakes gkheo gt reoufkda ngcc rksitbe essedtkgc flhpldedts ln g ngcc prevedtkld prlargh gdo g step-`y-step gpprlgfb

tl khpcehedtkda g prlargh

Udoerstgdokda Ngcc Pksi

Oesfrk`es spefknkf kdterdgc gdo exterdgc rksi ngftlrs nlr ngccs kd GCNs

Kdjury Pksi Ngftlrs

]rlvkoes g ckst ln flhhld ngftlrs tbgt kdfregse tbe rksi ln kdjury nrlh ngccs

Pksi ln Ngccs kd Gczbekher‛s Oksegse

Oesfrk`es ngcc rksi gdo hgdgaehedt strgteakes gs tbey recgte tl Gczbekher‛s oksegse

Ngcc ]revedtkld Aukoeckdes

_bks lde-pgae aukoe prlvkoes `ltb g suhhgry ln tbe ngcc prevedtkld prlfess gdo gstgdogro tl nlcclw nlr ngcc prevedtkld kd GCNs

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6Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

wktblut gffess tl Hkfrlslnt‛s ]lwer]lkdt reg slntwgre skhpcy cla ldtl www hkfrlslntflh gdo olwdclgo tbe nree ]lwer]lkdt reg ^kewer 0==6 _bks gcclwsgdy user tl vkew gdo prkdt tbe presedtgtklds

Kd gooktkld tbe FO-PLH fldtgkds gcc ln tbe oefkskld-hgikda aukoeckdes gdo gssess-hedt tllcs tbgt tbe stgnn deeos tl `eakd lr hgkdtgkd g fldskstedt ngcc prevedtkld prl-

argh _bese nkces gre presedteo kd ]ON nlrhgt gdo fgd `e vkeweo uskda Gol`ereg

Pegoer wbkfb ks kdfcuoeo ld tbks FO-PLH

Gcc olfuhedts ld tbks FO-PLH fgd `e gffesseo nrlh tbe furredt olfuhedt Ckdiseh`eooeo kd tbe _g`ce ln Fldtedts `eclw wkcc tgie regoers okreftcy tl tbe seftkld lrnlrh kdokfgteo

_GCE LN FLD_ED_V

Ngccs kd Gssksteo Ckvkda Ngfkcktkes

Bere ks g fldfkse lvervkew ln tbe khplrtgdfe gdo fldsequedfes ln ngccs tbe fguses ln ngccs kdtervedtkld strgteakes gkheo gt reoufkda ngccs gdo gd lragdkzeo gpprlgfb tl ngccprevedtkld nlr GCNs

Peoufkda tbe Pksi ln Ngcckda kd GCNs (kd Hkfrlslnt ]lwer]lkdt reg)

_bks ]lwer]lkdt reg presedtgtkld kdfcuoes kdstruftkldgc dltes gdo ks oeskadeo nlr stgnn eoufgtkld _be presedtgtkld revkews tbe extedt gdo flhpckfgtklds ln ngccs kd GCNstbe fguses gdo rksi ngftlrs nlr ngccs prevedtkve strgteakes gkheo gt reoufkda ngcc rksitbe essedtkgc flhpldedts ln g ngcc prevedtkld prlargh gdo g step-`y-step gpprlgfb

tl khpcehedtkda g prlargh

Udoerstgdokda Ngcc Pksi

Oesfrk`es spefknkf kdterdgc gdo exterdgc rksi ngftlrs nlr ngccs kd GCNs

Kdjury Pksi Ngftlrs

]rlvkoes g ckst ln flhhld ngftlrs tbgt kdfregse tbe rksi ln kdjury nrlh ngccs

Pksi ln Ngccs kd Gczbekher‛s Oksegse

Oesfrk`es ngcc rksi gdo hgdgaehedt strgteakes gs tbey recgte tl Gczbekher‛s oksegse

Ngcc ]revedtkld Aukoeckdes

_bks lde-pgae aukoe prlvkoes `ltb g suhhgry ln tbe ngcc prevedtkld prlfess gdo gstgdogro tl nlcclw nlr ngcc prevedtkld kd GCNs

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Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Kdtrlouftkld gdo Fldtedts

Ngcc ]revedtkld ]rltlflc

_bks prltlflc ks g oetgkceo oesfrkptkld ln gcc tbe gpprlprkgte steps tl tgie tl reoufetbe fbgdfes ln reskoedt ngccs

Ngcc ]revedtkld ]rlargh ]lckfy

_be plckfy oesfrk`es g prlgftkve stgdogrokzeo gpprlgfb GCNs fgd tgie tl prevedtkdangccs

Ngcc Pksi Kdtervedtkld gdo Vfreedkda _llc

_bks sfreedkda tllc gssesses gcc rksi ngftlrs nlr ngccs gdo reflhhedos tgraeteo strgte-akes nlr respldokda tl koedtknkeo ngcc rksi ngftlrs

Gssesskda Heokfgtklds gdo Ngcc Pksi

Heokfgtklds fgd `e g pgrtkfucgrcy flhpcex ngftlr kd ngccs sl bere ks g skhpce gpprlgfb

tl gssesskda heokfgtklds gdo ngcc rksi

]lst-Ngcc Gssesshedt

_bks flhprebedskve plst-ngcc gssesshedt nlrh becps koedtkny tregtg`ce fguses ln ngccsnlr tbe purplses ln reoufkda tbe rksi ln nuture ngccs

G gskf Ngcc Pksi Vfreedkda gdo ]revedtkld ]rlargh

]resedts g skhpce gpprlgfb tl ngcc rksi sfreedkda gdo prevedtkld

Fgdes Qgciers gdo Qbeecfbgkrs

_bks `gskf revkew ln fgdes wgciers gdo wbeecfbgkrs ks oeskadeo tl becp GCN stgnn trlu`cesbllt flhhld prl`cehs wktb tbese hl`kckty gkos

Edvkrldhedtgc Vgnety

_bks bgdoy fbefickst becps stgnn heh`ers splt gdo flrreft flhhld edvkrldhedtgcbgzgros

Edvkrldhedtgc ]refgutklds

_bks bgdolut oesfrk`es bgzgros gsslfkgteo wktb pgtbwgys ckabtkda ncllr surngfesstgkrwgyssteps stlrgae gregs segtkda `gtbrllhs gdo tg`ces gdo reflhhedosgpprlprkgte hloknkfgtklds

Exkt Gcgrhs

_bks revkew ln exkt gcgrhs oesfrk`es tbe types gvgkcg`ce gdo tbe kdokfgtklds nlr uskdaegfb type

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8132019 Essential Falls Management Series Managing Falls in Assisted Living (Tideiksaar Excerpt)

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7Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Ngccs kd Gssksteo Ckvkda

CEGPDKDA LJEF_K^EV

_l udoerstgdo tbe

bull Vflpe gdo flhpckfgtklds ln ngccs

bull Fguses ln ngccs gdo ngcc rksi

bull ]revedtkve strgteakes gkheo gt reoufkda ngccs

VFL]E LN _BE ]PLCEH GDO FLH]CKFG_KLDV

Ngccs gre g skadknkfgdt kssue nlr lcoer pelpce reskokda kd gssksteo ckvkda ngfkcktkes(GCNs)9 gdywbere nrlh 6= tl 5= ln reskoedts ngcc G`lut twl tbkros ln tbese kdok-

vkougcs experkedfe huctkpce ngccs Gctbluab tbe hgjlrkty ln ngccs ol dlt resuct kd kdjurytbe hlre ngccs gd kdokvkougc bgs tbe aregter tbe fbgdfe ln kdjury

bull Gpprlxkhgtecy 6= ln ngccs resuct kd pbyskfgc kdjury serklus edluab tl wgrrgdt heokfgc gttedtkld G`lut 05 ln ngccs cego tl hkdlr kdjurkes (ea bego gdo slnt tkssue trguhg husfuclsiecetgc sprgkds) gdo tbe rehgkdkda 65 resuct kd serk-lus kdjurkes (ea bego trguhg bkp gdo extrehkty nrgftures spkdgc flro kdjury)

bull Ngccs lnted cego tl g negr ln ngcckda wbkfb fgd resuct kd reoufeo hl kckty gdo kdoe-

pedoedfe pgrtkfucgrcy kn g persld clses fldnkoedfe kd tbe g`kckty tl pernlrh every-ogy gftkvktkes (ea regfbkda up lr olwd nlr l`jefts ld g sbecn lr ncllr wgcikda`gtbkda tlkcetkda trgdsnerrkda nrlh `eo lr tlkcet) Up tl 5= ln tblse wbl bgvengcced gvlko fertgkd gftkvktkes‟pgrtkfucgrcy gd gftkvkty tbgt ceo tl g prevklus ngcc‟`efguse ln negr ln nurtber ngccs lr kdjury

bull Ngccs fgd gcsl cego tl epksloes ln oepresskld pgrtkfucgrcy kn g persld experkedfesgdy clss ln kdoepedoedfe gdo hl`kckty gs g resuct

bull Peflvery nrlh ngccs lnted ks flhpckfgteo `y pllr qugckty ln ckne fguseo `y restrkft-eo hl`kckty nudftkldgc oefckde gdo kdfregseo rksi nlr durskda blhe pcgfehedtNgccs gre lde ln tbe tlp regslds GCN reskoedts cegve nlr sikcceo durskda ngfkcktkes

bull Qbed reskoedts ngcc nghkcy heh`ers gre gnnefteo gs wecc _bey lnted `eflhe wlrrkeo g`lut tbe sgnety ln tbekr clveo ldes

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0Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Ngccs kd Gssksteo Ckvkda

FKPFUHV_GDFEV LN NGCCKDA

_be hgjlrkty ln ngccs lffur wbed reskoedts gre alkda g`lut tbekr usugc gftkvktkes ln ogkcy ckvkda Hlst ngccs lffur kd gftkvkty rllhs okdkda rllhs bgccwgys `gtbrllhsgdo lutollrs _be hlst nrequedt gftkvktkes gt tbe tkhe ln ngcckda kdfcuoe wgcikda up

lr olwd stgkrs gdo steps9 aettkda lut ln g `eo g fbgkr tbe `gtbtu` lr sblwer lr lnn gtlkcet9 aettkda ld gdo lnn `uses gdo vgds9 ngcckda nrlh lde‛s fbgkr lr wbeecfbgkr9 trkp-pkda lver l`jefts ld tbe ncllr9 sckppkda ld wgter lr urkde ld tbe ncllr9 gdo rusbkda lrburrykda pgrtkfucgrcy wktblut uskda fgdes lr wgciers

Ngccs kd GCNs fgd `e reoufeo `y udoerstgdokda

bull Qby ngccs lffur

bull Qbgt ngftlrs gre gsslfkgteo wktb ngcc rksi

bull Qbkfb strgteakes reoufe ngcc rksi

bull Gdo hlst khplrtgdt tgikda gftkld tl prevedt ngccs

FGUVEV LN NGCCKDA

Ngccs bgve hgdy oknneredt fguses gdo reskoedts hgy bgve severgc preoksplskda rksi ngftlrs _be recgtkve fldtrk`utkld ln egfb rksi ngftlr oknners gfflrokda tl tbe kdokvko-ugc‛s udoercykda heokfgc fldoktkld nudftkldgc cevec gdo edvkrldhedtgc fkrfuh-stgdfes

Vlhe GCNs fgre nlr gcc lcoer pelpce kdfcuokda tblse wktb oehedtkg gdo Gczbekher‛s

oksegse wbkce ltbers hgy ldcy fgre nlr kdokvkougcs wktb Gczbekher‛s oksegse Gs nlrgdy gakda persld ngccs gsslfkgteo wktb Gczbekher‛s oksegse gre lnted prefkpktgteo `y gblst ln kdterdgc gdo exterdgc rksi ngftlrs Kdokvkougcs wktb Gczbekher‛s oksegse hgy bgve hlre fladktkve rksi ngftlrs nlr ngccs tbgd tbe lcoer persld wbl ks fladktkvecy kdtgft `ut tbe gpprlgfb tl ngcc prevedtkld kd `ltb plpucgtklds ks skhkcgr

Ngccs gre fguseo `y g flh`kdgtkld ln kdterdgc ngftlrs (ea gfute gdo fbrldkf oksegsestgtes goverse heokfgtkld ennefts) gdolr exterdgc ngftlrs (ea edvkrldhedtgc bgzgrosgdo l`stgfces kdternerkda wktb hl`kckty) _be ckieckbllo ln ngcckda kdfregses wktb tbeduh`er ln rksi ngftlrs g reskoedt bgs (see Udoerstgdokda Ngcc Pksi )

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7Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Ngccs kd Gssksteo Ckvkda

CEGPDKDA LJEF_K^EV

_l udoerstgdo tbe

bull Vflpe gdo flhpckfgtklds ln ngccs

bull Fguses ln ngccs gdo ngcc rksi

bull ]revedtkve strgteakes gkheo gt reoufkda ngccs

VFL]E LN _BE ]PLCEH GDO FLH]CKFG_KLDV

Ngccs gre g skadknkfgdt kssue nlr lcoer pelpce reskokda kd gssksteo ckvkda ngfkcktkes(GCNs)9 gdywbere nrlh 6= tl 5= ln reskoedts ngcc G`lut twl tbkros ln tbese kdok-

vkougcs experkedfe huctkpce ngccs Gctbluab tbe hgjlrkty ln ngccs ol dlt resuct kd kdjurytbe hlre ngccs gd kdokvkougc bgs tbe aregter tbe fbgdfe ln kdjury

bull Gpprlxkhgtecy 6= ln ngccs resuct kd pbyskfgc kdjury serklus edluab tl wgrrgdt heokfgc gttedtkld G`lut 05 ln ngccs cego tl hkdlr kdjurkes (ea bego gdo slnt tkssue trguhg husfuclsiecetgc sprgkds) gdo tbe rehgkdkda 65 resuct kd serk-lus kdjurkes (ea bego trguhg bkp gdo extrehkty nrgftures spkdgc flro kdjury)

bull Ngccs lnted cego tl g negr ln ngcckda wbkfb fgd resuct kd reoufeo hl kckty gdo kdoe-

pedoedfe pgrtkfucgrcy kn g persld clses fldnkoedfe kd tbe g`kckty tl pernlrh every-ogy gftkvktkes (ea regfbkda up lr olwd nlr l`jefts ld g sbecn lr ncllr wgcikda`gtbkda tlkcetkda trgdsnerrkda nrlh `eo lr tlkcet) Up tl 5= ln tblse wbl bgvengcced gvlko fertgkd gftkvktkes‟pgrtkfucgrcy gd gftkvkty tbgt ceo tl g prevklus ngcc‟`efguse ln negr ln nurtber ngccs lr kdjury

bull Ngccs fgd gcsl cego tl epksloes ln oepresskld pgrtkfucgrcy kn g persld experkedfesgdy clss ln kdoepedoedfe gdo hl`kckty gs g resuct

bull Peflvery nrlh ngccs lnted ks flhpckfgteo `y pllr qugckty ln ckne fguseo `y restrkft-eo hl`kckty nudftkldgc oefckde gdo kdfregseo rksi nlr durskda blhe pcgfehedtNgccs gre lde ln tbe tlp regslds GCN reskoedts cegve nlr sikcceo durskda ngfkcktkes

bull Qbed reskoedts ngcc nghkcy heh`ers gre gnnefteo gs wecc _bey lnted `eflhe wlrrkeo g`lut tbe sgnety ln tbekr clveo ldes

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0Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Ngccs kd Gssksteo Ckvkda

FKPFUHV_GDFEV LN NGCCKDA

_be hgjlrkty ln ngccs lffur wbed reskoedts gre alkda g`lut tbekr usugc gftkvktkes ln ogkcy ckvkda Hlst ngccs lffur kd gftkvkty rllhs okdkda rllhs bgccwgys `gtbrllhsgdo lutollrs _be hlst nrequedt gftkvktkes gt tbe tkhe ln ngcckda kdfcuoe wgcikda up

lr olwd stgkrs gdo steps9 aettkda lut ln g `eo g fbgkr tbe `gtbtu` lr sblwer lr lnn gtlkcet9 aettkda ld gdo lnn `uses gdo vgds9 ngcckda nrlh lde‛s fbgkr lr wbeecfbgkr9 trkp-pkda lver l`jefts ld tbe ncllr9 sckppkda ld wgter lr urkde ld tbe ncllr9 gdo rusbkda lrburrykda pgrtkfucgrcy wktblut uskda fgdes lr wgciers

Ngccs kd GCNs fgd `e reoufeo `y udoerstgdokda

bull Qby ngccs lffur

bull Qbgt ngftlrs gre gsslfkgteo wktb ngcc rksi

bull Qbkfb strgteakes reoufe ngcc rksi

bull Gdo hlst khplrtgdt tgikda gftkld tl prevedt ngccs

FGUVEV LN NGCCKDA

Ngccs bgve hgdy oknneredt fguses gdo reskoedts hgy bgve severgc preoksplskda rksi ngftlrs _be recgtkve fldtrk`utkld ln egfb rksi ngftlr oknners gfflrokda tl tbe kdokvko-ugc‛s udoercykda heokfgc fldoktkld nudftkldgc cevec gdo edvkrldhedtgc fkrfuh-stgdfes

Vlhe GCNs fgre nlr gcc lcoer pelpce kdfcuokda tblse wktb oehedtkg gdo Gczbekher‛s

oksegse wbkce ltbers hgy ldcy fgre nlr kdokvkougcs wktb Gczbekher‛s oksegse Gs nlrgdy gakda persld ngccs gsslfkgteo wktb Gczbekher‛s oksegse gre lnted prefkpktgteo `y gblst ln kdterdgc gdo exterdgc rksi ngftlrs Kdokvkougcs wktb Gczbekher‛s oksegse hgy bgve hlre fladktkve rksi ngftlrs nlr ngccs tbgd tbe lcoer persld wbl ks fladktkvecy kdtgft `ut tbe gpprlgfb tl ngcc prevedtkld kd `ltb plpucgtklds ks skhkcgr

Ngccs gre fguseo `y g flh`kdgtkld ln kdterdgc ngftlrs (ea gfute gdo fbrldkf oksegsestgtes goverse heokfgtkld ennefts) gdolr exterdgc ngftlrs (ea edvkrldhedtgc bgzgrosgdo l`stgfces kdternerkda wktb hl`kckty) _be ckieckbllo ln ngcckda kdfregses wktb tbeduh`er ln rksi ngftlrs g reskoedt bgs (see Udoerstgdokda Ngcc Pksi )

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0Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Ngccs kd Gssksteo Ckvkda

FKPFUHV_GDFEV LN NGCCKDA

_be hgjlrkty ln ngccs lffur wbed reskoedts gre alkda g`lut tbekr usugc gftkvktkes ln ogkcy ckvkda Hlst ngccs lffur kd gftkvkty rllhs okdkda rllhs bgccwgys `gtbrllhsgdo lutollrs _be hlst nrequedt gftkvktkes gt tbe tkhe ln ngcckda kdfcuoe wgcikda up

lr olwd stgkrs gdo steps9 aettkda lut ln g `eo g fbgkr tbe `gtbtu` lr sblwer lr lnn gtlkcet9 aettkda ld gdo lnn `uses gdo vgds9 ngcckda nrlh lde‛s fbgkr lr wbeecfbgkr9 trkp-pkda lver l`jefts ld tbe ncllr9 sckppkda ld wgter lr urkde ld tbe ncllr9 gdo rusbkda lrburrykda pgrtkfucgrcy wktblut uskda fgdes lr wgciers

Ngccs kd GCNs fgd `e reoufeo `y udoerstgdokda

bull Qby ngccs lffur

bull Qbgt ngftlrs gre gsslfkgteo wktb ngcc rksi

bull Qbkfb strgteakes reoufe ngcc rksi

bull Gdo hlst khplrtgdt tgikda gftkld tl prevedt ngccs

FGUVEV LN NGCCKDA

Ngccs bgve hgdy oknneredt fguses gdo reskoedts hgy bgve severgc preoksplskda rksi ngftlrs _be recgtkve fldtrk`utkld ln egfb rksi ngftlr oknners gfflrokda tl tbe kdokvko-ugc‛s udoercykda heokfgc fldoktkld nudftkldgc cevec gdo edvkrldhedtgc fkrfuh-stgdfes

Vlhe GCNs fgre nlr gcc lcoer pelpce kdfcuokda tblse wktb oehedtkg gdo Gczbekher‛s

oksegse wbkce ltbers hgy ldcy fgre nlr kdokvkougcs wktb Gczbekher‛s oksegse Gs nlrgdy gakda persld ngccs gsslfkgteo wktb Gczbekher‛s oksegse gre lnted prefkpktgteo `y gblst ln kdterdgc gdo exterdgc rksi ngftlrs Kdokvkougcs wktb Gczbekher‛s oksegse hgy bgve hlre fladktkve rksi ngftlrs nlr ngccs tbgd tbe lcoer persld wbl ks fladktkvecy kdtgft `ut tbe gpprlgfb tl ngcc prevedtkld kd `ltb plpucgtklds ks skhkcgr

Ngccs gre fguseo `y g flh`kdgtkld ln kdterdgc ngftlrs (ea gfute gdo fbrldkf oksegsestgtes goverse heokfgtkld ennefts) gdolr exterdgc ngftlrs (ea edvkrldhedtgc bgzgrosgdo l`stgfces kdternerkda wktb hl`kckty) _be ckieckbllo ln ngcckda kdfregses wktb tbeduh`er ln rksi ngftlrs g reskoedt bgs (see Udoerstgdokda Ngcc Pksi )

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6Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Ngccs kd Gssksteo Ckvkda

Kdterdgc ngftlrs resuctkda nrlh tbe reskoedt‛s pbyskfgc lr hedtgc fldoktkld

tbgt fldtrk`ute tl tbe rksi ln ngccs kdfcuoe

bull ]llr vkskld gdo begrkda

bull Udstegoy agkt gdo `gcgdfe

bull ]grikdsld‛s oksegseltber deurlclakfgc okslroers

bull Fgrokgf lr begrt g`dlrhgcktkes

bull Husfce wegidessbull Grtbrktks

bull Nllt prl`cehs

bull Clw cllo pressure

bull Fladktkvehedtgc khpgkrhedt (see Pksi ln Ngccs kd Gczbekher‛s Oksegse )

bull Heokfgtkld skoe ennefts

bull Okzzkdess

bull ]gkd

bull Ngtkaue

bull Urkdgry nrequedfykdfldtkdedfe

bull ebgvklrgc prl cehs

Exterdgc ngftlrs gsslfkgteo wktb ngcc rksi fldskst ln edvkrldhedtgc l`stgfces

gdo oeskad negtures tbgt kdternere wktb sgne hl`kckty Vlhe ln tbese kdfcuoe

bull Ncllr spkccs gdo fcutter

bull Vckppery ncllr surngfes

bull _brlw ruas

bull Qet lutollr wgcikda surngfes

bull Udstg ce lr clw-segteo fbgkrs

bull ]llrokh ckabtkda

bull Cgfi ln `gtbrllh arg` `grs

bull Clw tlkcet segts

bull Kdgpprlprkgte `eo bekabt

bull Ngucty stgkrssteps

bull Khprlper nlltwegr

bull Khprlper utkckzgtkld lr pllr repgkr (wlrd tkps strufturgc oenefts) ln fgdes

wgciers gdo wbeecfbgkrs

_be rksi ln tbe edvkrldhedt fldtrk`utkda tl ngccs ks aregtest nlr kdokvkougcs wbl bgvehl`kckty prl`cehs `efguse bgzgrolus edvkrldhedtgc fldoktklds fgd kdternere wktbsgne hl`kckty

]PE^ED_KLD PEOUFKDA NGCCV GDO KDJUPKEV

]revedtkda ngccs kd tbe GCN sbluco nlfus ld hkdkhkzkda ngcc rksi gdo tbe rksi ln kdju-rklus ngccs wbkce hgxkhkzkda kdokvkougc kdoepedoedfe _be g`kckty tl prevedt ngccsaedergccy nlcclws g step-`y-step prlfess (see Ngcc ]revedtkld ]rltlflc)

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Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Ngccs kd Gssksteo Ckvkda

Vtep 7 Ngcc ]ltedtkgc

Ks tbe reskoedt gt rksi ln ngcckdalt Pefgcc tbgt hgdy ngftlrs gre gsslfkgteo wktb ngccs _be `est wgy tl oeterhkde g reskoedt‛s ngcc pltedtkgc gdo kdokvkougc rksi ngftlrs ks tlflhpcete g ngcc rksi gssesshedt

bull Oles tbe reskoedt bgve g bkstlry ln ngccslt Kt ks khplrtgdt tl gsi gcc reskoedts gdotbekr fgreakvers g`lut tbe lffurredfe ln ngccs ourkda tbe prefeokda hldtbOeteftkda g refedt bkstlry ln ngcckda ks frufkgc skdfe bgvkda lde lr hlre ngccs ks gstrlda preokftlr ln nuture ngccs

bull G ngcc rksi gssesshedt kdfcuoes ckstkda skadknkfgdt rksi ngftlrs revkewkda tbe fkr-fuhstgdfes surrludokda prevklus ngccs (kn tbe reskoedt bgs ngcced) gdo `rkency gssesskda tbe reskoedt‛s hl`kckty (see Ngcc Pksi Kdter vedtkld gdo Vfreedkda _llc)

Kt ks khplrtgdt tl refladkze tbgt ngcc rksi preokftkld ks khprefkse Vlhe clw-

rksi reskoedts hgy ngcc gdo slhe bkab-rksi kdokvkougcs hgy dlt Enneftkve rksi

gssesshedt sbluco edg`ce stgnn tl gdtkfkpgte rksis flrreftcy hlre lnted tbgd

dlt blwever

Vtep 0 Koedtknkfgtkld ln Pksi

Nlcclwkda ngcc rksi sfreedkda kt ks khplrtgdt nlr gcc stgnn heh`ers tl `e gwgre ln tbereskoedt‛s ngcc rksi stgtus Vkhpce rehkdoers sufb gs flclreo wrkst `rgfecets nlr gt-rksi kdokvkougcs lr tbe use ln flclreo stkfiers lr tgas pcgfeo ld g reskoedt‛s fcltbkda fgd`e useo tl flhhudkfgte rksi stgtus _bese koedtknkfgtkld hetblos rehkdo stgnn tbgt tbe reskoedt ks gt bkab rksi nlr ngccs gdo sbluco trkaaer kdtervedtklds tbgt reoufe tberksi ln ngccs sufb gs supervkskld lr gsskstgdfe wktb gh`ucgtkld

Vtep 6 G ]cgd nlr Hgdgakda Ngcc Pksi

Ldfe g reskoedt‛s pltedtkgc lr rksi ln ngcckda bgs `eed koedtknkeo kt ks khplrtgdt tlpcgd kdtervedtklds lr strgteakes gkheo gt reoufkda tbe ckieckbllo ln ngcckda Ngcc pre-

vedtkld strgteakes tbgt gre put kdtl pcgfe sbluco `e `gseo ld tbe spefknkf rksi ngftlrskoedtknkeo nrlh tbe reskoedt‛s ngcc rksi gssesshedt Vkdfe tbe rksi lr tbe lffurredfe ln ngccs kd reskoedts hgy bgve hlre tbgd lde fguse severgc kdtervedtklds lr strgteakeshgy `e requkreo Vtrgteakes sbluco gooress `ltb kdterdgc gdo exterdgc rksi ngftlrs

Heokfgc Vtrgteakes

efguse ngccs gdo ngcc rksi ngftlrs hgy `e fguseo `y udoercykda oksegses goverse heokfg-tkld ennefts gdo resuctkda oksg`kcktkes gcc reskoedts sbluco `e renerreo tl tbekr prkhgry fgre prlvkoer nlr evgcugtkld Okgadlskda gdo tregtkda rksi ngftlrs sufb gs vksugc okslr-

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5Essedtkgc Ngccs Hgdgaehedt Verkes Hgdgakda Ngccs kd Gssksteo Ckvkda

`y Pekd _koekisggr copy 0==gt Begctb ]rlnessklds ]ress Kdf gctkhlre

Gcc rkabts reserveo

Ngccs kd Gssksteo Ckvkda

oers agkt gdo `gcgdfe khpgkrhedt husfce wegidess fladktkve khpgkrhedt plsturgcbypltedskld gdo fgroklvgsfucgr krreaucgrktkes fgd aregtcy reoufe ngcc rksi Gcsl oksfld-tkdukda kdgpprlprkgte lr exfesskve heokfgtklds gdo hgdgakda exkstkda fbrldkf oksegsesks khplrtgdt Cgst okgadlskda gdo tregtkda lstelplrlsks (ke wegi `lde stredatbfguseo `y fgcfkuh oenkfkts gdo prlcldaeo perklos ln khhl`kckty lr reoufeo wekabt-

`egrkda gftkvkty) fgd becp tl reoufe tbe rksi ln kdjurklus ngccs sufb gs bkp nrgfture

Ghlda lcoer pelpce kd GCNs gfute oksegses gdo skoe ennefts ln oruas gre

khplrtgdt prefkpktgtkda ngftlrs nlr ngccs Ngccs sbluco tberenlre `e reagroeo gs

g plssk`ce syhptlh ln oksegse lr g orua skoe enneft udtkc prlved ltberwkse

_khecy flrreftkld ln prefkpktgtkda gdo preoksplskda ngftlrs wkcc becp prevedt

nurtber ngccs Vee G gskf Ngcc Pksi Vfreedkda gdo ]revedtkld ]rlargh gdo

Gssesskda Heokfgtklds gdo Ngcc Pksi `ltb ln wbkfb lnner g skhpce gpprlgfb

tl flhhudkfgtkda g`lut ngcc gdo heokfgtkld rksi wktb reskoedts‛ olftlrs

Pebg`kcktgtkve Gpprlgfbes

Peskoedts wktb khpgkreo hl`kckty hgy `edenkt nrlh lde lr hlre rebg`kcktgtkve strgte-akes _bese fldskst ln exerfkse prlarghs prlper nlltwegr gdo gh`ucgtkld oevkfes tlgsskst wktb hl`kckty

bull Exerfkse prlarghs fgd `e arlupeo kdtl twl rlgo fgtealrkes aedergc pbyskfgcgftkvkty (ea wgcikda gerl`kf hlvehedts ltber edourgdfe exerfkses) gdo spefknkfpbyskfgc gftkvkty (ea trgkdkda aegreo spefknkfgccy tlwgro kdfregskda `gcgdfe gdostredatb) _l `e enneftkve exerfkse deeos tl `e tgkclreo tl tbe reskoedt‛s pbyskfgc

fgpg`kcktkes gdo deeos _be Dgtkldgc Kdstktute ld Gakda lnners kdnlrhgtkld g`lut exerfkse prlarghs nlr lcoer goucts ld kts we` skte (bttpwww dkgpu`ckfgtkldslra edagaepgaesexerfksegsp)

bull Gcc sbles gdo sckppers wlrd `y reskoedts sbluco nkt prlpercy (ke dlt tll tkabt lrcllse) gdo tbekr slces sbluco `e sckp reskstgdt gcgdfe ks aedergccy `etter wktbsbles tbgt bgve tbkd dldsckp slces rgtber tbgd nlltwegr sufb gs sdegiers lr rud-dkda sbles wktb tbkfier slces tbgt gftugccy kdternere wktb `gcgdfe Vbles gdo sckp-pers wktb ru``er lr frepe slces prlvkoe goequgte sckp reskstgdfe ld sckppery ncllrsurngfes sufb gs ckdlceuh Kn nllt prl`cehs (ea bghhertles `udklds fgccusesdgkc okslroers) prlbk`kt wegrkda prlper nlltwegr kdokvkougcs sbluco `e renerreo

nlr plokgtrkf fgre

bull Peskoedts wbl bgve agkt gdo `gcgdfe okslroers sbluco `e uskda fgdes lr wgciers tlhgkdtgkd lr khprlve `gcgdfe gdo hl`kckty Fgdes gdo wgciers gcsl nurdksb resk-oedts wktb g vksugc presedfe ln supplrt tbgt kdstkccs fldnkoedfe ourkda gh`ucgtkld

wbkfb fgd becp reoufe tbekr negrs ln kdstg`kckty Gs wktb fgdes gdo wgciers wbeec-fbgkrs sbluco `e tgkclreo tl heet tbe spefknkf deeos ln tbe kdokvkougc gdo `e evgcu-gteo rlutkdecy tl edsure tbey gre `ekda useo sgnecy Kt ks khplrtgdt nlr stgnn tl