Falls. Key Points. The highest proportions of community-dwelling older adults who fall are in the 80+ age cohort (de Negreiros Carbral et al., 2013).
|
|
- Brittany Tyler
- 5 years ago
- Views:
Transcription
1 Falls Key Points Reducing falls and fall-associated deaths and serious injuries is one of the major goals of Healthy People 2020 (U.S. Department of Health and Human Services, 2010). Twenty-eight to thirty-five percent of community-dwelling older adult aged 65+ years sustain at least one fall annually, while 9-14% sustain multiple falls each year (Vu, Finch, & Day, 2011). The highest proportions of community-dwelling older adults who fall are in the 80+ age cohort (de Negreiros Carbral et al., 2013). Falls are the leading cause of death due to injury in the older adult (CDC, 2013). Nearly 60% of all falls result in physical injuries and 20-50% of these require medical attention including emergency department care or hospitalization (Salva, Bolibar, Pera & Arias, 2004). The most important risk factor for falling is a history of falls. Adults age 75 and older who fall are 4 to 5 times more likely than their year old age cohort to be admitted to a long term care facility for a year or longer following a fall (Stevens & Dellinger, 2002). Exercise is an effective intervention for falls. Older adults should exercise regularly focusing on increasing core and leg strength, as well as improving balance (CDC, 2013). Tai Chi exercise programs are very effective in meeting these exercise goals. Interprofessional team work is critical to successful fall protection. Geriatric best practices include preventing polypharmacy, ophthalmology consults to assess for diminishing vision (cataracts) and to update glass prescriptions, dietary consults to insure adequate food intake including calcium and vitamin D, osteoporosis diagnostic work-ups when clinically indicated, physical therapy consults to assess gait and balance dysfunction and provide an exercise therapeutic plan, and interprofessional team home visits to conduct home safety evaluations (Gillepse et al, 2012). Overview Falls are defined as an unintentional lowering to rest from a higher to a lower position, not due to loss of consciousness or violent impact (Kellogg International Work Group on the Prevention of Falls by the Elderly, 1987). Falls often go unrecognized by health care professionals because they are not routinely evaluated while taking a patient s history or during a physical exam (unless there is frank injury). Fall Risk Assessments should be done at the following times:
2 On admission to any facility On any transfer from one unit to another within the facility Following any change of status At every visit when in outpatient primary care Many patients do not admit to falling for fear of losing their independence. The incidence of falls varies with age. Persons aged 65 to 79 years living at home have a fall incidence of 30-40%. Persons aged 80 years and older living at home has an increased fall incidence of 50%. Complications resulting from falls are the leading cause of death from injury in men and women aged 65 and older. The World Health Organization Europe (2004) has characterized risks into two broad categories, intrinsic and extrinsic risk factors for falls. Intrinsic risk factors include: history of falls age gender medical conditions impaired mobility and gait sedentary behavior psychological status nutritional deficiencies impaired cognition visual impairments, and foot problems. Many older adults have multiple comorbidities including neurological, cardiovascular, metabolic, urinary, musculoskeletal, and psychological disorders that may increase their risk of falls. In addition, medications to treat these conditions may produce side effects that further impair their physical or psychological status. Extrinsic risk factors for falls include environmental hazards such as: uneven surfaces poor lighting unstable or inappropriately placed furnishings inappropriate assistive devices, ill-fitting clothing and footwear.
3 Assessment Falls are multifactorial in nature. Health care providers should always ask patients, aged 65 and older, if they have fallen recently or have a history of falling. If the patient admits to a recent fall, query for specific circumstances surrounding the fall. Inquire about gait and balance dysfunction. A medication review is critical for both prescribed and over the counter medications. Ask your patient about current medical co-morbidities such as cardiovascular disease, musculoskeletal diseases (i.e. arthritis, osteoporosis) and genitourinary (i.e. urinary tract infection, BPH). For those that have had a fall or a near fall, obtain a functional history. CATASTROPHE (Sloan, 1997) is a mnemonic for a complete functional history. C Caregiver and housing A Alcohol (including withdrawal) T Treatment (i.e. medications) A Affect (depression or lack of initiative) S Syncope (any episodes of fainting) T Teetering (dizziness) R Recent illness O Ocular problems P Pain with mobility H Hearing (necessary to avoid hazards) E Environmental hazards Observing your patient s gait while entering the room, sitting on the exam table or in the chair, and their ability to move around your examination room will provide a tremendous amount of information. Physical examination should include a detailed assessment of the neurological and musculoskeletal system (gait, balance, ability to ambulate, lower extremity range of motion, muscle strength, assessment of extrapyramidal and cerebellar function). The cardiovascular system should be assessed including orthostatic blood pressure readings and heart rate/rhythm. Vision should be examined for reduced visual acuity (i.e. cataracts). The patient s feet should be inspected as well as their footwear. The American Geriatrics Society recommends conducting a fall risk assessment during routine primary care visits. High risk groups should have a more intensive assessment including the Timed Get Up and Go screening test.
4 Intervention Multifactorial and interprofessional interventions are the best approach to fall prevention. Recommendations include: 1. Exercise has been shown to reduce fall rates and the risk of falling. Exercise can include individual balance, gait training, aerobic and strength exercises, group exercises (Tai Chi) and home based exercise programs designed by a professional. 2. Interprofessional home safety evaluations for environmental risk for falls with specific recommendations to correct hazards. 3. Treatment of medical co-morbidities that would increase the elder s risk factors for falls (i.e. orthostatic hypotension secondary to cardiovascular disease and treatment; visual impairment related to cataracts; podiatry consults for foot problems). 4. Medication Reviews with the goal of reducing polypharmacy and medications that can increase fall risks (i.e. 4 or more medications, psychotropic medications, hypnotics) 5. Nutritional assessment especially under nutrition (i.e. low BMI) 6. Educate the older adult and their family members regarding risk factors and the interventions to reduce both environmental and physical risk factors. 7. Interprofessional Care Plans to Support Unpreventable Outcomes in Falls (Annals of Long-Term Care, 2015) a. Provide rehabilitative interventions ( e.g. formal physical therapy and/or informal regular exercise) b. Consider calcium and vitamin D supplementation to prevent fracture (for osteoporosis and vitamin D deficiency) c. Provide a low bed with one side of the bed against the wall to prevent rolls from bed d. Put mat on the floor next to the bed to cushion the impact of a possible bed fall e. Implement bed rails to allow for stabilization and mobility for the older adult to rise out of bed f. Provide frequent toileting to reduce the risk of the cognitively impaired/confused older adult getting up to toilet in the middle of the night and night calling for help g. De-prescribe medications when possible h. Perform environmental assessment
5 References American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopedic Surgeons Panel on Falls Prevention. (2001). Guideline for the prevention of falls in older persons. Journal of the American Geriatrics Society, 49,664. Chang, J.T., Morton, S.C., Rubenstein, L.Z., et al. (2004). Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomized clinical trials. British Medical Journal, 328, 680. De Negreiros Cabral, K, Perracini, M.R., Soares, A.T. et al. (2013). Effectiveness of a multifactorial fall prevention program in community-dwelling older people when compared to usual care: study protocol for a randomized controlled trial. BMC Geriatrics 13(27) 2-9/ Gillespie, LD, Robertson MC, Gillespie W.J. et al. (2009). Interventions for preventing fall in older people living in the community. Cochrane Database Systematic Review, 2, CD Graafmans, W.C., Ooms, M.E., Hofstee, H.M., et al. (1996). Falls in the elderly: A prospective study of risk factors and risk profiles. American Journal of Epidemiology, 143, Kellogg International Work Group on the Prevention of fall by the Elderly (1987). The Prevention of fall in Later Life. Danish Medical Bulletin, 41, Podsiadlo, D., & Richardson, S. (1991). The timed "Up & Go:" A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39,142. Salva, A., Bolibar, I., Pera, G., & Arias, C. (2004). Incidence and consequences of falls among elderly people living in the community. Med Clin (Barc), 122(5): Stevens, J.A. & Dellinger, A.M. (2002). Motor vehicle and fall related deaths among older Americans ; sex, race and ethnic disparities. Injury Prevention, 8, Summary of the Updated American Geriatric Society/British Geriatrics Society clinical practice guidelines for prevention of falls in older persons: Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons (2011). Journal of American Geriatric Society, 59(1), Tinetti, M.E. (2003). Preventing falls in elderly patients. New England Journal of Medicine, 348(1), U.S. Department of Health and Human Services (2010). Healthy People 2020: Improving the health of Americans. Washington DC: U.S. Government Printing Office. Vu, T., Finch, C.F., & Day, L. (2011). Patterns of comorbidity in community-dwelling older people hospitalized for fall-related injury: A cluster analysis. BMC Geriatrics, 11(45):
6 World Health Organization Europe. (2004). What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls? Retrieved from data/assets/pdf_file/0018/74700/e82552.pdf
Every year, a third of Americans over age 65
Falls and mobility problems are not just part of getting old! Every year, a third of Americans over age 65 living in the community suffer a fall, and 50% over the age of 80 fall at least once per year.
More informationDISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
More informationManaging falls in the elderly: real world approach DR PRISCILLA NG
Managing falls in the elderly: real world approach DR PRISCILLA NG A fall is defined as an event which results in a person coming to rest inadvertently on the ground or floor or other lower level. FALL:
More informationPreven&on of Falls in Older Adults
David Ganz, MD, PhD Staff Physician, VA Greater Los Angeles Assistant Professor of Medicine, UCLA Preven&on of Falls in Older Adults No conflicts of interest to disclose Objectives Detail the evidence-based
More informationUpper Extremity Fractures and Secondary Fall Prevention: Opportunities to Improve Management and Outcomes Across Disciplines
Upper Extremity Fractures and Secondary Fall Prevention: Opportunities to Improve Management and Outcomes Across Disciplines Christine McDonough, PhD, PT, CEEAA Health Outcomes Unit Department of Health
More informationLetter from Home for Direct Care Providers Fall Risk Identification and Prevention
Letter from Home for Direct Care Providers Fall Risk Identification and Prevention Each year, thousands of older adults will have a fall in their home. Falls are more common than strokes and can have just
More informationWhat outcomes are linked to falls?
The Facts: Trips & Falls i Among people 65 years and older, falls are the leading cause of injury deaths and the most common cause of nonfatal injuries and hospital admissions for trauma. Each year in
More informationFall Risk Factors Fall Prevention is Everyone s Business
Fall Risk Factors Fall Prevention is Everyone s Business Part 2 Prof (Col) Dr RN Basu Adviser, Quality & Academics Medica Superspecilalty Hospital & Executive Director Academy of Hospital Administration
More informationFall Prevention and hip protectors
Presenter Disclosure Information Edgar Pierluissi Division of Geriatrics Edgar Pierluissi, MD Medical Director, Acute Care for Elders Unit, San Francisco General Hospital and Trauma Center Fall Prevention
More informationMultifactorial risk assessments and evidence-based interventions to address falls in primary care. Objectives. Importance
Multifactorial risk assessments and evidence-based interventions to address falls in primary care Sarah Ross, DO, MS Assistant Professor Internal Medicine, Geriatrics Nicoleta Bugnariu, PT, PhD Associate
More information7/12/2016. Presenter Disclosure Information. The Other Half of the Fracture Equation: Fall Prevention and Management. Presentation Outline
Presenter Disclosure Information Edgar Pierluissi Division of Geriatrics Edgar Pierluissi, MD Acute Care for Elders Unit Zuckerberg San Francisco General Hospital July 21, 2016 OSTEOPOROSIS NEW INSIGHTS
More informationFALLS PREVENTION. S H I R L E Y H U A N G, M S c, M D, F R C P C
FALLS PREVENTION S H I R L E Y H U A N G, M S c, M D, F R C P C S T A F F G E R I A T R I C I A N T H E O T T A W A H O S P I T A L B R U Y E R E C O N T I N U I N G C A R E W I N C H E S T E R D I S T
More informationFall Risk Assessment and Prevention in the Post-Acute Setting A Road Map
Fall Risk Assessment and Prevention in the Post-Acute Setting A Road Map Cora M. Butler, JD, RN, CHC HealthCore Value Advisors, Inc. Juli A. James, RN Primaris Holdings, Inc. Objectives Explore the burden
More informationThank You to Our Sponsors: Evaluations & CE Credits. Featured Speakers. Conflict of Interest & Disclosure Statements 10/18/2016
Thank You to Our Sponsors: University at Albany School of Public Health NYS Department of Health Conflict of Interest & Disclosure Statements The planners and presenters do not have any financial arrangements
More informationPrimary Care Approach for Evaluating the Risk of Falls with Elderly Patients. Danielle Hansen, DO, MS (Med Ed), MHSA
Primary Care Approach for Evaluating the Risk of Falls with Elderly Patients Danielle Hansen, DO, MS (Med Ed), MHSA Clinical Assistant Professor, LECOM Associate Director, LECOM Institute for Successful
More informationTaking Positive Steps Preventing Falls in Care Homes
Taking Positive Steps Preventing Falls in Care Homes WORKBOOK Name: Home: INTRODUCTION A fall is defined as, a sudden, unintentional change in position causing an individual to land at a lower level, on
More informationA thorough history of falls is important to determine the mechanism of fall, the associated THE FALLING ELDERLY. Psychological trauma.
T H E M E : E L D E R L Y A N D H O M E H E A L T H C A R E Dr Noor Hadfizah INTRODUCTION Each year, about one third of elderly above the age of 65 years old fall. Falls are so common amongst the elderly
More informationUpdate on Falls Prevention Research
Update on Falls Prevention Research Jasmine Menant NSW Falls Prevention Network Rural Forum 26 th March 2015 Acknowledgments: Prof Stephen Lord Recent falls risk factor studies Vascular disease 38.6% of
More informationUpdate on Falls Prevention Research
Update on Falls Prevention Research Dr Jasmine Menant NSW Falls Prevention Network Rural Forum 17 th October 2014 Acknowledgement: Prof Stephen Lord Recent falls risk factor studies Vascular disease 38.6%
More informationSlide 1. Slide 2 Overview of Course. Slide 3 Overview of Course. Gait and Balance Standardized Assessment in Geriatric Fallers
Slide 1 Gait and Balance Standardized Assessment in Geriatric Fallers Dianna Saunders, MS, PT Nicole Prieto, MSPT NF/SG Veterans Health System Gait and Balance Clinic Gainesville, FL Lenni Jo Yarchin,
More informationCell Phones and Pagers
FALLS Cell Phones and Pagers Please turn your cell phones off or turn the ringer down during the session. If you must answer a call, please be considerate of other attendees and leave the room before you
More informationFall Risk Assessment and Management. Elizabeth A. Phelan, MD, MS Assistant Professor, Medicine/Gerontology October 24, 2007
Fall Risk Assessment and Management Elizabeth A. Phelan, MD, MS Assistant Professor, Medicine/Gerontology October 24, 2007 Slide 2 OBJECTIVES Know and understand: The importance of falls by older persons
More informationFalls in the Elderly. Causes and solutions.
Falls in the Elderly. Causes and solutions. Brent Tipping Sub-specialist Geriatrician and Specialist Physician Division of Geriatric Medicine University of the Witwatersrand 6 th Annual congress of the
More informationA program of awareness and safeguards for residents at risk of falling
A program of awareness and safeguards for residents at risk of falling General Population 34.9 million people 65 years of age One in three elderly persons living in the community fall each year Of deaths
More informationElderly Fallers: What Do We Need To Do?
Elderly Fallers: What Do We Need To Do? Si Ching Lim, MB. ChB, MRCP (UK) Department of Geriatric Medicine, Singapore General Hospital, Singapore Abstract Falls are very common among the elderly. Furthermore,
More informationCaring Advantage. Fall Prevention in Home Care
Caring Advantage Fall Prevention in Home Care Caring Advantage, a series of educational modules for healthcare facilities and home care presented by AIG s Casualty Risk Consulting, Patient Safety. The
More informationBackground (June 20, 2014)
Background (June 20, 2014) Overview Falls and resulting injuries are one of the most common adverse patient events in the VHA and the consequences can be devastating, especially our patients who are elderly.
More informationPREVENTIVE CARE GUIDELINE. Quality Management Committee Chair
PREVENTIVE CARE GUIDELINE Guideline Number: DHMP_DHMC_PG1008 Effective Date: 11/2016 Guideline Subject: Fall Prevention Guideline for 65+ & Above Revision Date: 11/2017 Page 2 of 4 Quality Management Committee
More informationFalls Prevention in Residential and Care Homes A North Wales Perspective
Falls Prevention in Residential and Care Homes A North Wales Perspective Promoting mental wellbeing how can you play your part? Dafydd Gwynne & Lee Parry Williams, Public Health Wales Aims Background of
More informationPrimary Screening and Ongoing Assessment, Diagnosis and Interventions
Primary Screening and Ongoing Assessment, Diagnosis and Interventions Vicky Scott, RN, PhD Clinical Professor, School of Population and Public Health Faculty of Medicine, University of British Columbia
More informationStaying on Your Feet. Taking Steps to Prevent Falls
Staying on Your Feet Taking Steps to Prevent Falls 1 Why falls prevention? 1 out of 3 Canadians over the age of 65 and 1 out of 2 Canadians over the age of 80 will fall at least once a year older adults
More informationFalls among Older Adults. Massachusetts February Judy A Stevens, PhD Centers for Disease Control & Prevention
Falls among Older Adults Massachusetts February 2013 Judy A Stevens, PhD Centers for Disease Control & Prevention Disclaimer: The findings and conclusions in this presentation are those of the author and
More informationCommunity-based Fall Prevention: It s a Team Sport
Community-based Fall Prevention: It s a Team Sport Objectives Community-based Fall Prevention Dispel common myths associated with falls 1. Epidemiology 2. Risk factor assessment 3. Evidence-based interventions
More informationCleveland Clinic Mellen Center for Multiple Sclerosis. Mellen Center Approaches: Falls and Fall Prevention in MS. Q: What is a fall?
Mellen Center Approaches: Falls and Fall Prevention in MS Q: What is a fall? A: A fall can be defined as an unplanned change in position resulting in the individual resting on the ground or a lower level.
More informationWHITE PAPER: FALLS AND THE ELDERLY POPULATION October 2009
WHITE PAPER: FALLS AND THE ELDERLY POPULATION October 2009 Recent attention has been given to falls that occur with older adults, particularly when they reside in care centers, and the subsequent health
More informationFall Risk Management. Is Everybody s Business
Fall Risk Management Is Everybody s Business A fall is An unintentional change in position, resulting in an individual coming to rest on the floor or a lower surface Risk Factors for Falls Over age 65
More informationWhat s the Use? And in the end, it s not the years in your life that count. It s the life in your years...abraham Lincoln
What s the Use? ISSUE #6 SPRING 2008 The System-Linked Research Unit on Health and Social Service Utilization PREVENTING FALLS IN OLDER PEOPLE inside The Effects and Costs of a Multifactorial and Interdisciplinary
More informationKupu Taurangi Hauora o Aotearoa
Kupu Taurangi Hauora o Aotearoa What it means to fall leading cause of injury in 65+ year olds loss of confidence, fear of further falls for frail elderly with osteoporotic fractures almost 50% will require
More informationRunning head: PREVENTING FALLS IN ELDERLY HOSPITALIZED PATIENTS 1
Running head: PREVENTING FALLS IN ELDERLY HOSPITALIZED PATIENTS 1 Preventing Falls in Elderly Hospitalized Patients: A Review of Evidenced Based Interventions Lisa Olko, Robert Pinkston, Sandra Shumate,
More informationHealth and Social Care Act 2008 (Regulated Activities) Regulations
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 12 Policy Statement The human body is essentially unstable; a vertical column on a narrow base. To be able to remain standing upright
More informationPresentation Outline. Meet Gloria, Robert and Alfred So, you live in Wisconsin?! Fall Risk Equation Treatment/Prevention what works and what doesn t!
Presentation Outline Meet Gloria, Robert and Alfred So, you live in Wisconsin?! Fall Risk Equation Treatment/Prevention what works and what doesn t! Their stories. Bottom Line Robert Gloria Alfred Did
More informationFalls Prevention in the Hamilton Niagara Haldimand Brant Local Health Integration Network (HNHB LHIN)
270 Main Street East, Units1-6 Grimsby ON L3M 1P8 Tel: 905-945-4930 866-363-5446 Fax: 905-945-1992 270, rue Main Est, unités 1-6 Grimsby ON L3M 1P8 Tél : 905-945-4930 866-363-5446 Téléc : 905-945-1992
More informationOn Your Own Two Feet. Exploring Ways to Reduce Your Risk of Falling. Amanda Distefano Program Coordinator Washington County Health Department
On Your Own Two Feet Exploring Ways to Reduce Your Risk of Falling Amanda Distefano Program Coordinator Washington County Health Department Falls Happen! Know the Facts Emergency Dept. Visits Maryland
More informationPREVENTING FALLS AT HOME
PREVENTING FALLS AT HOME INFORMATION FOR OLDER ADULTS, FAMILIES, AND CAREGIVERS READ THIS PAMPHLET TO LEARN: The Dangers of Falls. When You Are at Risk for a Fall. How You Can Help Prevent Falls at Home.
More informationFALL PREVENTION AND OLDER ADULTS BURDEN. February 2, 2016
February 2, 2016 FALL PREVENTION AND OLDER ADULTS Each year in Winnipeg, one in three adults over 65 years of age will experience a fall. 1 Approximately one third of people 65 years of age and older and
More informationManaging Falls and Fractures in Care Homes for Older People: DVD Education Pack
Managing Falls and Fractures in Care Homes for Older People: DVD Education Pack Facilitator notes This education pack should be used in conjunction with the Managing Falls and Fractures in Care Homes for
More informationFrailty and falls assessment and intervention tool
Frailty and falls assessment and intervention tool Contents Frailty and falls 4 Social circumstances 5 Mental health 6 Environment 7 Nutrition 8 Dizziness or blackout 9 Medications 10 Mobility and balance
More informationWhat are you trying to achieve? Falls Prevention, Assessment and Management Strategies. Falls can be classified into four main groups:
What are you trying to achieve? Falls Prevention, Assessment and Management Strategies Dr Adam Darowski Community: Falls risk assessment: Falls risk is 50% per year in 80yr population and higher in those
More informationSouthern Hospitals Network Falls Prevention Initiatives
Southern Hospitals Network Falls Prevention Initiatives Christine Quinn - Medical Stream Clinical Systems Manager Gaye Sykes - Quality Manager Port Kembla Hospital Background. Medical Stream Falls Working
More informationBalance Matters. Dan Mathers, MSPT. Balance Program Coordinator St. Vincent Rehabilitation.
Balance Matters Dan Mathers, MSPT Balance Program Coordinator St. Vincent Rehabilitation dpmather@stvincent.org Who I am Dan Mathers, MSPT Graduated with Master of Science in Physical Therapy in 1999 from
More informationBalance and Falls in the Elderly
ML IV Balance and Falls in the Elderly Heidi Piccione, DPT, GCS Jeannie Stephenson, PT, PhD, NCS USF Morsani College of Medicine School of Physical Therapy and Rehabilitation Sciences ML IV Healthcare
More informationBiological theory for the construct of intrinsic capacity to be used in clinical settings Matteo Cesari, MD, PhD
Biological theory for the construct of intrinsic capacity to be used in clinical settings Matteo Cesari, MD, PhD World Health Organization Geneva (Switzerland) December 1, 2016 World Health Organization.
More informationFalls Prevention Programs: Saving Lives, Saving Money
Falls Prevention Programs: Saving Lives, Saving Money TINA URIDGE, EXECUTIVE DIRECTOR CLAY COUNTY SENIOR SERVICES CO-CHAIR OF THE SENIOR FALLS PREVENTION COALITION OF CLAY & PLATTE COUNTIES Senior Falls
More informationFalls Injury Prevention in Residential Care
in Residential Care Guide to Best Practice Prepared by Mandy Harden and John Ward, HNE Health, Nov, 2010. Epidemiology About one-third of all hip fractures occur in aged care facilities Many people with
More informationHelpful Tips for the Unsteady Patient. Mairead Collins Senior Physiotherapist Bon Secours Hospital 20/09/14
Helpful Tips for the Unsteady Patient Mairead Collins Senior Physiotherapist Bon Secours Hospital 20/09/14 AIMS Brief discussion of Causes & Implications of Unsteady Gait/Imbalance Falls & Falls Prevention
More informationFalls in the Elderly. Resource Consultant Center for Studies in Aging & Health Providence Care
Falls in the Elderly Deanna Abbott-McNeil, BScPT, Dip. CPA Resource Consultant Center for Studies in Aging & Health Providence Care Learning Objectives By the end of the session you will be able to: 1.
More informationKey Components of Fall Prevention Rein Tideiksaar, PhD FallPrevent, LLC
Key Components of Fall Prevention Rein Tideiksaar, PhD FallPrevent, LLC This program was supported by a grant from Steps Key Components of Fall Prevention Rein Tideiksaar, PhD FallPrevent, LLC Actions
More informationi-hom-fra In Home Falls Risk Assessment Tool i-hom-fra In Home Falls Risk Assessment Tool
i-hom-fra In Home Falls Risk Assessment Tool i-hom-fra In Home Falls Risk Assessment Tool This falls risk assessment tool (i-hom-fra) was exclusively developed for use with older people at home in the
More informationFalls and Mobility Disorders
Falls and Mobility Disorders Patient Visit Note To be completed by medical assistant Reason for Visit: Fall since last visit (or in last year, if new patient) Fear of falling, balance/trouble walking History
More informationFalls Management. Jo A. Taylor, RN, MPH
Falls Management Jo A. Taylor, RN, MPH Objectives 1. 2. 3. 4. 5. Describe the challenge of falls in long term care Identify fall risk factors in older adults Identify components of fall risk screening
More informationfalls A g u i d e f o r h o m e s a f e t y
Preventing falls A g u i d e f o r h o m e s a f e t y Introduction E ach year, thousands of older Americans fall at home often sustaining serious injury. On a yearly basis as many as 1.6 million patients
More informationFall-predictive factors and calculation of probability of falls based on Assessment Score Sheet of Falls
ORIGINAL ARTICLE Fall-predictive factors and calculation of probability of falls based on Assessment Score Sheet of Falls Takashi Ishikura ) Miho Takahashi 2) ) Department of Rehabilitation Science, Osaka
More informationObjectives. Definition: Screen. Definition: Assessment 10/30/2013. Falls: Screens vs. Assessments vs. Outcome Measures
Objectives Falls: Screens vs. Balance and Falls SIG: Neurology & Health Policy and Administration Sections of the APTA Jacqueline Osborne PT, DPT, GCS, CEEAA Geriatric Residency Coordinator Brooks Institute
More informationBruyère Reports. What interventions prevent falls in long-term care? The case of Saint-Louis Residence. A Bruyère Rapid Review. Issue No.
Bruyère Reports Issue No. 4 June 2017 What interventions prevent falls in long-term care? The case of Saint-Louis Residence A Bruyère Rapid Review REPORT AUTHORS Vivian Welch Elizabeth Ghogomu Beverley
More informationBALANCE! You CAN Reduce Your Fall Risk
Ready Steady BALANCE! You CAN Reduce Your Fall Risk Falls in Adults: 65 years and older Every 11 seconds someone is seen in the emergency department due to a fall Every 19 minutes some dies due to a fall
More informationFall Prevention: A Primer for CNAs. 1.0 Inservice Hour
Fall Prevention: A Primer for CNAs 1.0 Inservice Hour NOTE: This course is not accredited for RNs, LPNs, LVNs, or APNs. This course is approved for 1 contact hour (1 inservice hour) for Certified Nursing
More informationReducing harm from falls in acute, mental health & community hospitals; what does & doesn t work
WELCOME TO THIS SIGN UP TO SAFETY WEBINAR Reducing harm from falls in acute, mental health & community hospitals; what does & doesn t work All participants lines are muted to reduce background noise Falls
More information9/23/2016 PREVALENCE OF FALLS PREMIER THERAPY. Approaches for Reducing Risks for Falls. Presented by Robin Boyle, PT
Approaches for Reducing Risks for Falls Presented by Robin Boyle, PT PREMIER THERAPY 701 Sharon Road Beaver, PA 15009 800.875.7041 www.embracepremier.com PREVALENCE OF FALLS 30% of people aged 65 or older
More informationUNTHSC TCOM Geriatric Competencies Curriculum Mapping Document
INSTRUCTIONS: Place a "B" (Basic), "I" (Intermediate), or "A" (Advanced) in the box next to the Geriatric Competency to indicate the Geraitaric Competency being taught, the corresponding Method of Subject
More informationPromoting Functional Independence and Activity in Older Adults
Promoting Functional Independence and Activity in Older Adults Mobility Activity Function Falls Mobility Individual Anna H. Chodos, MD, MPH Assistant Professor Division of Geriatrics UCSF Function Activity
More informationPrevention of falls in older people living in the community
Prevention of falls in older people living in the community Edgar R Vieira, 1 Richard C Palmer, 2 Paulo H M Chaves 3 1 Department of Physical Therapy, Nicole Wertheim College of Nursing and Health Sciences,
More informationContinence, falls and the frailty syndrome. Anne Foley - BGS Bladders and Bowel Health 2012
Continence, falls and the frailty syndrome Outline Frailty Geriatric syndromes and giants Aetiology What can be done? The future Frailty Frailty Frailty (noun): The state of being weak in health or body
More informationThe Role of Primary Care Providers in Managing Falls
INVITED COMMENTARY The Role of Primary Care Providers in Managing Falls Jamehl L. Demons, Pamela W. Duncan Falls threaten the ability of older adults to live independently in the community. Fortunately,
More informationPREVENTING FALLS AT HOME
PREVENTING FALLS AT HOME INFORMATION FOR OLDER ADULTS, FAMILIES, AND CAREGIVERS READ THIS PAMPHLET TO LEARN: The Dangers of Falls. When You Are at Risk for a Fall. How You Can Help Prevent Falls at Home.
More informationMultifactorial and multiple component interventions for preventing falls in older people living in the community(review)
Cochrane Database of Systematic Reviews Multifactorial and multiple component interventions for preventing falls in older people living in the community (Review) Hopewell S, Adedire O, Copsey BJ, Boniface
More informationFall Risk Assessment and Prevention in the Post-Acute Setting A Road Map
Fall Risk Assessment and Prevention in the Post-Acute Setting A Road Map Cora M. Butler, JD, RN, CHC HealthCore Value Advisors, Inc. Juli A. James, RN Primaris Holdings, Inc. Objectives Explore the burden
More informationKCMPA Quality Improvement Clinical Guideline: Prevention of Falls in Community-Dwelling Older Adults
KCMPA Quality Improvement Clinical Guideline: Prevention of Falls in Community-Dwelling Older Adults Background 2 Primary Prevention of Falls and Related Injuries 2 Initial Fall Risk Screening 3 Complete
More informationFall Prevention. Reduce Your Risk of Falling With Six Easy Exercises. Presenter: Laurie Swan, PT, PhD, DPT
Fall Prevention Reduce Your Risk of Falling With Six Easy Exercises Presenter: Laurie Swan, PT, PhD, DPT Address SightConnection 9709 Third Ave NE #100 Seattle, WA 98115 2027 Agency website www.sightconnection.org
More informationMinnesota Falls Prevention Initiative: State of the Art in Practice. MN Falls Prevention Initiative. MN Falls Prevention Initiative.
Minnesota Falls Prevention Initiative: State of the Art in Practice Statewide Videoconference Thursday, March 8, 2007 Kari Benson, Pam Van Zyl York, Lyle Felsch, Jean Wyman, and Suzanne Wiebusch MN Falls
More informationDraft. Case Study. Otago Exercise Program. Tiffany E. Shubert, PhD, PT
Case Study for Otago Exercise Program Tiffany E. Shubert, PhD, PT tshubert@med.unc.edu Funding A portion of this work was supported by the Bureau of Health Professions (BHPr), Health Resources and Services
More informationExplaining Epidemiological. Factors of Falls. to Older Adults. After a Fall. Before a Fall. Frequent Falls
Explaining Epidemiological Factors of Falls to Older Adults Before a Fall After a Fall Frequent Falls Epidemiological Factors of Falls Falls are a serious, epidemic problem. In Canada, it is estimated
More informationTHINGS TO KNOW ABOUT FALLS BY: ROBIN A. BLEIER, RN, LHRM, CLC
THINGS TO KNOW ABOUT FALLS BY: ROBIN A. BLEIER, RN, LHRM, CLC March 2015 Help! I ve Fallen and I Can t Get Up! Objectives Todays Objectives Affirm CMS definition of a Fall Recap of Accident Hazards Requirements
More informationFalls risk for Older People Community setting (FROP-Com) Assessment tool
Falls risk for Older People Community setting (FROP-Com) Assessment tool Developed by: National Ageing Research Institute and Melbourne Extended Care and Rehabilitation Service Format: Assessment tool
More informationFalls most commonly seen in RACFs are due to tripping, slipping and stumbling (21.6%). Falling down stairs is relatively uncommon in
This Presentation Medications and Falls Dr Peter Tenni M Pharm (Curtin), PhD (UTAS) AACPA Director, CPS A fall is an event which results in a person coming to rest inadvertently on the ground or floor
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 776/15
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 776/15 BEFORE: S. Netten: Vice-Chair HEARING: April 21, 2015 at Toronto Written DATE OF DECISION: May 1, 2015 NEUTRAL CITATION: 2015 ONWSIAT
More informationFalls Care Program Pre-Visit Questionnaire
Falls Care Program Pre-Visit Questionnaire To help us get to know you better, please complete this form before your visit and bring it with you to the visit. It will help us to work with you to reduce
More informationReducing the Risk of Resident Falls in Senior Care
Reducing the Risk of Resident Falls in Senior Care Did you know? Every 20 minutes, an older adult dies from a fall in the United States, and many more are injured. Source: Centers for Disease Control and
More informationMAHC 10 FALL RISK ASSESSMENT Clinician Education Program
MAHC 10 FALL RISK ASSESSMENT Clinician Education Program The MAHC 10 is a multi factorial, validated fall assessment especially designed for use with community dwelling patients. It fully satisfies the
More informationHow to Improve Balance and Prevent falls
How to Improve Balance and Prevent falls Presented by Maria Sarah Anson, BSPT, tdpt Certified Vestibular Therapist/Concussion Rehabilitation Certified Tai Chi Instructor Don Cao, PTA Vestibular Therapist
More informationMOVE ON: Mobilization Of Vulnerable Elders In Ontario. How Can We Keep Our Patients Moving?
MOVE ON: Mobilization Of Vulnerable Elders In Ontario Or How Can We Keep Our Patients Moving? Objectives After participating in this educational session, interprofessional team members will be able to:
More informationInternational Journal of Scientific & Engineering Research Volume 9, Issue 9, September ISSN
International Journal of Scientific & Engineering Research Volume 9, Issue 9, September-2018 2027 Comparative Study Of History Causes And Risk Of Fall Among Elderly People And People With Parkinson s Disease
More informationBriefing Document on Medication use and Falls
Briefing Document on Medication use and Falls This document is intended as a briefing document and is not to be regarded as a document offering definitive legal advice in relation to the subject matter.
More informationStrategies to Assess and Prevent Falls in Assisted Living Communities
Strategies to Assess and Prevent Falls in Assisted Living Communities WiCAL PEAL Webinar February 9, 2017 Jay Ford Susan Nordman-Oliveira Mary Schlaak Funding The project described was supported by the
More informationPrevention of Falls and Fractures
Prevention of Falls and Fractures Jonathan Treml Consultant Geriatrician, Queen Elizabeth Hospital Birmingham Co-Chair, British Geriatrics Society Falls and Bone Health Section Manchester, May 2016 This
More informationDelirium in the Elderly
Delirium in the Elderly ELITE 2017 Liza Genao, MD Division of Geriatrics Why should we care about delirium? It is: common associated with high mortality associated with increased morbidity Very much under-recognized
More informationPreventing falls in older people
Preventing falls in older people http://publications.nice.org.uk/ifp161 Published: June 2013 About this information NICE clinical guidelines advise the NHS on caring for people with specific conditions
More informationDelirium in the Elderly
Delirium in the Elderly ELITE 2015 Mamata Yanamadala M.B.B.S, MS Division of Geriatrics Why should we care about delirium? It is: common associated with high mortality associated with increased morbidity
More informationRisk factors for falls
Part I Risk factors for falls 1 Epidemiology of falls and fall-related injuries In this chapter, we examine the epidemiology of falls in older people. We review the major studies that have described the
More informationCARE HOME STAGE 2 - MULTIFACTORIAL FALLS RISK ASSESSMENT AND MANAGEMENT PLAN
CARE HOME STAGE 2 - MULTIFACTORIAL FALLS RISK ASSESSMENT AND MANAGEMENT PLAN FIRST NAME: DATE OF BIRTH: NHS NO: CARE HOME: ROOM NO: LAST NAME: Assessment to be completed on all residents aged 65 or older
More information