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(1993). Survey of special care units. K. C. Buckwaker PI. Iowa City: College of Nursing The University of Iowa.",{},{"id":24,"text":283,"url":24,"identifiers":284},"Berg L. Buckwalter K.C. Chafetz P.K. Gwyther L.P. Holmes D. Koepke KM. Lawton M.E Lindeman D.A. Magaziner J. Maslow K. Morley J.E. Oy M.G. Rabins RV Sloane P.D. & Teresi J. (1991). Special care units for persons with dementia. Journal of the American Geriatric Society 39(12) 12291236.",{"doi":285},"10.1111\u002Fj.1532-5415.1991.tb03579.x",{"id":24,"text":287,"url":24,"identifiers":288},"Beider D.G. (1993). Looking at special care units from a consumer's perspective. Long Term Care Quality Letter Í (January 20) 6-7.",{},{"id":24,"text":290,"url":24,"identifiers":291},"Braun R. (1980). A patient classification methodology for estimating nursing resource requirements in long-term care facilities. Unpublished doctoral dissertation Johns Hopkins University.",{},{"id":24,"text":293,"url":24,"identifiers":294},"Buckwalter K.C. & Hall G. (1987). Families of the institutionalized older adult: A neglected resource. In TH. Brubaker (Ed.) Aging health and family (pp. 176-196). Newbury Park CA: Sage.",{},{"id":24,"text":296,"url":24,"identifiers":297},"Cameron DJ. Gambert S.R. Bashian N. Edelman G Benson Dn & Davis J. (1987). A specialized dementia unie Cost benefit analysis. The New York Medical Quarterly 7(3) 103107.",{},{"id":24,"text":299,"url":24,"identifiers":300},"Coons D.H. (Ed.). (1991). Specialized dementia care units. Baltimore: The Johns Hopkins University Press.",{},{"id":24,"text":302,"url":24,"identifiers":303},"Cross PS. & Gurland GJ. (1986). The epidemiology of cementing disorders. Contract report prepared for the Office of Technology Assessment United States Congress. 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Potter D.E.B. & Cunningham PJ. (1990). Current and projected availability of special nursing home programs for Alzheimer's patients (DHHS Publication No. 90-34$3). 'National Medical Expenditure Survey Data Summary. Agency for Health Care Policy and Research. Rockville MD: Public Health Services.",{},{"id":24,"text":335,"url":24,"identifiers":336},"Maas M. (1983). Report of the development of a workload measurement system. Unpublished consultant's report Iowa Veterans Home.",{},{"id":24,"text":338,"url":24,"identifiers":339},"Maas M\" & Buckwalter K.C. (1990). Nursing evaluation research: Special Alzheimer's unit. Final report. Bethesda MD: National Institutes of Health National Center for Nursing Research.",{},{"id":24,"text":341,"url":24,"identifiers":342},"Maas M. Buckwalter K. Swanson E. & Mobily P. (1994). Training key to job satisfaction. Journal of Long-Term Care Administration 22(1) 23-26.",{},{"id":24,"text":344,"url":24,"identifiers":345},"Mehr D.R. & Fries B.E. (1995). 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The major purposes of this study were to identify the most difficult times, unmet needs, and advice of caregivers during the first 2 years of caregiving; and to examine resource use and perceptions of resource importance. Qualitative and quantitative methods were used. The hospitalization period and first months at home were most difficult for 76% of caregivers. Unmet needs were related to caregiver preparation, promoting the survivor’s function, and sustaining the self and family. Although 50% or more of caregivers rated most resources important, only home health care was used by 50% of caregivers. 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A retrospective audit was conducted of the medical records of 291 residents of 14 long-term care facilities in western Washington State. Data revealed a gap between actual practice and current best practice. Assessment of persistent pain was limited primarily to intensity and location. Although prescribing practices were more in line with evidence-based guidelines, a significant number of residents did not obtain adequate pain relief. Nonpharmacological pain management methods were rarely implemented. Nursing home staff and administrators must critically examine both system and individual staff reasons for failure to comply with best pain management practices. 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Falls have affected as many as 10% of older adurtsduring an acute care inpatient stay. The acute care environment has contributed to elderly patient falls. Additionally, manifestations of acute illness, porypharmacy, and medication side effects have been risk factors for falls in the acute care setting. Individualized fall prevention strategies, initial patient assessments, and ongoing patient reassessments have been linked to a decrease in falls in the acute care setting. Approaches to fall prevention have included identification of high-risk patients, communication among staff and family members about an individual's risk of falls, and both case-specific and universal interventions for fall prevention. The purpose of this article is to describe a fall prevention program instituted in an acute care setting in southern Arizona that has produced encouraging results. 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