Table 1B

Environmental interventions organised by types of incidents

Environmental interventions
 PhysicalSocialOrganisational
Falls
  • Home assessment and adaptation25 27 31 32 40 44 49 58 64 75 83–86

  • Better roads and sidewalk maintenance, especially in winter50

  • Education of caregivers and staff on risks and prevention measures23 33 48 49 75 86 87 even entire communities49

  • Education of caregivers and staff on dementia42

  • Improvement of building code and regulations32

  • Smartphone apps to report changes in the environment or surface conditions50

  • A public phone line to report falls and fall risks in the environment32

  • Multidisciplinary teams84 and multifactorial interventions (eg, Prevention of Falls in the Elderly Trial (PROFET)), Multifactorial Personalised Intervention (MPI))84 89

Traffic accidents
  • Elderly-friendly environment/public amenities26 34

  • Increased stop light and pedestrian crossing times, modified roadway markings26

  • Education of staff and caregivers regarding risks, monitoring and supervision61 75 90

  • Road safety campaigns34 90

  • Stricter law enforcement related to jay-walking26

  • Promoting alternatives to driving34 48 61 75 90

Burns
  • Comprehensive home safety evaluation and modifications25 63

  • Home fire safety visits targeting vulnerable populations64

  • Education for caregivers on dementia and on burn safety measures, including adequate assistance and supervision62

  • Nursing home policies limiting smoking to under supervision and in determined locations65

  • Smoking cessation programmes (social/emotional support, non-smoking related activities, pharmacological options)65

Harm due to self-neglect
  • Frequent visits by staff or family members trained to identify problems associated with negligence67

  • Case management for high-risk population67

Harm due to wandering
  • Education of informal and formal caregivers72

  • Strategies including neighbours, formal/informal caregivers and law enforcement72 75

  • Special programmes (eg, Safe Return) that help rapidly locate and return lost individuals72

  • Safety plans in formal care settings that prevent wandering72