Preven&on of Falls in Older Adults
|
|
- Beatrice Knight
- 6 years ago
- Views:
Transcription
1 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
2 Objectives Detail the evidence-based strategies available to reduce falls in independently living older people Describe the basic components of an officebased fall evaluation Understand organizational changes needed to reduce falls in nursing homes and hospitals 2
3 Common and Costly Age 65 years, 1/3 fall each year 5-10% of fallers have serious injuries fractures, head trauma, lacerations most common (62%) mechanism of nonfatal injury treated in ER in 2001 Nursing home/hospital: 150 falls/100 beds/year Fall injuries cost $19 billion in 2000 Rubenstein LZ. Clin Geriatr Med 2002;18:141 MMWR Morb Mortal Wkly Rep 2003;52:1019 Stevens JA et al. Inj Prev 2006;12(5):290 3
4 Why Are Falls Important? Marker for underlying functional decline May be reversible Serious injury after a fall may mean the end of independent living Fear of falling may cause older adults to restrict their activities 4
5 Why Are Falls Important? In hospital and nursing home, may lead to length of stay Non-reimbursement (hospital) Litigation Wong CA. Joint Commission Journal 2011;37:81 5
6 I: POPULATION HEALTH STRATEGIES TO PREVENT FALLS 6
7 Fall Risk Pyramid 7
8 USPSTF Recommendations Recommended (Grade B) for at-risk older patients: Exercise or physical therapy Vitamin D supplementation Moyer VA. Ann Intern Med 2012;157:
9 Systematic Reviews: Exercise Group exercise, Tai Chi, and home based exercise ALL effective Fall rate reduction: 28% to 32%, significant Effective in lower and higher risk patients Gillespie LD. Cochrane Library Systematic Reviews
10 Exercise: Key Findings PCP plays important role in recruitment Most common forms: Gait/balance/functional training Strength/resistance training 3x/week in most successful programs Shier V et al., submitted for publication 10
11 Exercise: Options Group programs (see AoA website): Outpatient physical therapy prescription Home physical therapy via home health Make community exercise handout, e.g., falls_community_resources.pdf 11
12 Exercise Prescription to Patient Frequency -- times per week Intensity e.g., moderate (= brisk walk) Duration minutes/session Type e.g., balance training 12
13 Exercise Prescription to Patient Tailor to individual conditions, level of motivation Exercise handouts -- patient-education If safety concern, refer to physical therapy 13
14 Systematic reviews: Vitamin D Did not reduce falls overall Benefit in subgroup with low vitamin D levels Current recommendations for older adults Age 51-70: 600 IU daily Age > 70: 800 IU daily Gillespie LD. Cochrane Database Systematic Reviews 2012; CD Moyer VA. Ann Intern Med 2012;157:
15 Vitamin D: Clinical Strategies Public health approach Empiric Vitamin D to those with limited sun exposure Medical approach Check 25-hydroxy-D levels and treat those who are low Contraindication: hypercalcemia 15
16 Vitamin D: Harms Toxic in overdose Safe upper limit: 4000 IU/day Slight increased risk of kidney stones with 400 IU Vitamin D3/Calcium 1000 mg in Women s Health Initiative 16 Moyer VA. Ann Intern Med 2012;157:
17 II: FALL EVALUATION FOR VULNERABLE BUT INDEPENDENTLY LIVING ELDERS 17
18 Fall Risk Pyramid 18
19 Systematic reviews Multifactorial fall assessment/intervention Reduced rate of falls by 24% (95% CI 14% to 33%) Did not reduce number of people who fell But components have benefit Exercise, home modifications, first-eye cataract surgery, medication withdrawal Gillespie LD. Cochrane Library Systematic Reviews
20 USPSTF Recommendations Do not automatically perform multifactorial assessment consider individual patients risks, benefits, preferences (grade C recommendation) Moyer VA. Ann Intern Med 2012;157:
21 Causes of Falls Multiple interacting causes no magic bullet However, intervening on these causes decreases the rate of future falls 21
22 Evaluation Seven Elements Orthostatic vital signs Visual acuity Gait/balance Functional status Cognitive Medications Home hazards Chang JT et al. BMJ 2004;328:680 22
23 Orthostasis Orthostatic hypotension dizziness or loss of consciousness fall Check orthostatic vital signs Interventions Discontinue or dose causative medicines Support stockings In severe cases, treat orthostatic hypotension 23
24 Vision Visual impairment inability to see hazards puts patients at risk Check for eye exam in the past year If not, perform visual acuity examination Intervention Referral to eye care May lead to cataract extraction Single-lens distance glasses for outdoors Harwood RH. Br J Ophthalmol 2005;89:53-59 Haran MJ. BMJ 2010; 340: c
25 Gait/balance/strength Gait/balance/strength impairment likelihood of losing balance or tripping Observe gait Side-by-side/semi-tandem/full tandem (balance) Watch patient arise from chair without using his/her arms to push off (strength) Interventions Physical therapy Assistive device Exercises for balance 25
26 Function Functional impairments inability to complete tasks safely Ask patient or caregiver about basic/ instrumental activities of daily living (ADL s) Interventions Occupational therapy Equipment to support ADL s 26
27 Cognition Cognitive impairment Poor insight, judgment, awareness of surroundings unsafe decisions Cognitive evaluation (e.g., 3-item recall) Impairment evaluate for reversible causes Interventions Treat reversible causes (e.g., depression) Develop a plan with caregiver for supervising patient 27
28 Medications Medications (particularly CNS-active medications) confusion or drowsiness Assessment/Intervention Identify and discontinue medicines without a clear indication Discontinue or benzodiazepines, antidepressants, and antipsychotic agents after weighing risks and benefits 28
29 Environment Environmental hazards inciting factor that initiates a fall Order home safety evaluation Through home health Intervention Remove hazards Improve lighting 29
30 Evaluation Seven Elements Orthostatic vital signs Visual acuity Gait/balance Functional status Cognitive Medications Home hazards Chang JT et al. BMJ 2004;328:680 30
31 Resources American Geriatrics Society guidelines clinical_practice/clinical_guidelines_recommendations/2010/ CDC STEADI toolkit 31
32 III: FALLS AND SAFE MOBILITY IN HOSPITALS AND NURSING HOMES 32
33 Systematic Reviews: Fall Prevention Hospitals: possibly effective strategies include Multifactorial interventions Exercise (in subacute settings) Nursing homes: possibly effective strategies include Multifactorial interventions Vitamin D supplementation Cameron ID. Cochrane Database Systematic Reviews 2012; CD
34 Systematic Reviews: Exercise As part of multidisciplinary intervention: Reduce hospital length of stay by about one day Save $278 per hospital stay Six additional patients discharged to home per 100 treated De Morton N. Cochrane Datab Syst Rev 2009, Issue 1 34
35 Falls in hospitals: risk factors Recent fall Muscle weakness Behavioral disturbance Urinary frequency/incontinence Medications Orthostatic hypotension/syncope Oliver D. Clin Geriatr Med 2010;26:645 35
36 Falls in hospitals Affected by staff supervision Physicians responsible for treatment plan Medications Multifactorial interventions target patient risk factors for falls and environmental hazards See AHRQ Falls Toolkit for specific guidance Kolla BP. J Hosp Med 2013;8;1 36
37 Problems with Bedrest Loss of muscle strength of 5% per day Loss of function Among older medical inpatients, 17% of those who enter the hospital able to ambulate leave the hospital needing help to walk Increased risk of complications Pressure ulcers, venous thromboembolism, aspiration, falls De Morton N. Cochrane Datab Syst Rev 2009, Issue 1 Creditor MC. Ann Intern Med 1993;118: Anderson FA. Circulation 2003;107:I-9-I-16 37
38 Hospital Mobility Program Can be run by nursing staff Specially trained nursing assistants Range of motion (in bed) Transfer from bed to chair Walking Complementary to physical therapy for more complex patients 38
39 Other Strategies Volunteer walking program Example: Hospital Elder Life Program public-main.php 39
40 Fall prevention in nursing homes Leadership involvement, interdisciplinary team are key Hybrid between hospital and independentliving approach Falls Management Program website: Becker C. Clin Geriatr Med 2010;26:693 40
41 Key Points on Falls and Mobility For high-functioning older people, offer exercise For vulnerable community-dwelling elders, consider seven-point fall evaluation, and then act on results Hospitals and nursing homes require multifaceted organizational change strategy 41
42 THANK YOU! 42
DISCLAIMER: 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 informationFalls. Key Points. The highest proportions of community-dwelling older adults who fall are in the 80+ age cohort (de Negreiros Carbral et al., 2013).
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
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 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 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 informationEvery 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 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 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 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 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 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 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 informationMental health and falls in older people. Stephen Lord
Mental health and falls in older people Stephen Lord Depression Common Risk Factors Biderman et al (2002) Identified 5 common risk factors for depression and falls Poor self-rated health Poor cognitive
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 informationUpdate on Falls Prevention Research
Update on Falls Prevention Research Professor Stephen Lord Coffs Harbour Falls Prevention Network Rural Forum 28 th February 2014 Acknowledgments: Dr Jasmine Menant, Mr. Daniel Schoene Recent falls risk
More informationSolving Gravity: Injury Prevention
Solving Gravity: Injury Prevention Sally Aerts, MPH, PT Falls Prevention Specialist, Utah Department of Health/Bureau of Health Promotion; Salt Lake City, Utah Kristen Gooch, MPH, RN Trauma Outreach and
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 informationKeep them STEADI: Implementation of a Hospital-Based Fall Prevention Program
Keep them STEADI: Implementation of a Hospital-Based Fall Prevention Program Older Adult Falls 1 out of 3 older adults (65 yrs or greater) fall each year In 2010, 2.3 million nonfatal fall injuries among
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 informationEvaluating Functional Status in Hospitalized Geriatric Patients. UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series
Evaluating Functional Status in Hospitalized Geriatric Patients UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series Case 88 y.o. woman was admitted for a fall onto her hip. She is having trouble
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 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 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 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 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 informationFalls prevention strategies for people with visual impairment
Falls prevention strategies for people with visual impairment Clare Robertson University of Otago Medical School Dunedin, New Zealand Vision loss in Australia 480,000 visually impaired in both eyes (visual
More informationDelirium. Dr. John Puxty
Delirium Dr. John Puxty Learning Objectives By the end of the workshop participants will be able to: Appreciate the main diagnostic criteria for delirium. Describe common risk factors, causes and main
More informationUnintentional Fall-Related Injuries among Older Adults in New Mexico
Unintentional Fall-Related Injuries among Older Adults in New Mexico 214 Office of Injury Prevention Injury and Behavioral Epidemiology Bureau Epidemiology and Response Division Unintentional fall-related
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 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 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 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 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 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 informationPreventing Falls in Older Adults March 28, 2018 Retired Teacher s Association Meeting
Preventing Falls in Older Adults March 28, 2018 Retired Teacher s Association Meeting Chiso Oboite Injury Prevention Specialist MD Falls Free Coalition Coordinator Center for Injury and Sexual Assault
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 information5/12/2015. Evidence & Team Based Interventions to Reduce Risks for Falls. Overview. Who falls nationally?
Evidence & Team Based Interventions to Reduce Risks for Falls LeadingAge Oregon Annual Conference May 18, 2015 Overview Identify risk factors for falls in community dwelling older adults Describe an evidence-based
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 informationClinical and Community Connections for Falls Prevention
Clinical and Community Connections for Falls Prevention Kathleen Cameron, MPH Senior Director Center for Healthy Aging October 5, 2018 Morton Kesten Summit USC Leonard Davis School of Gerontology About
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 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 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 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 informationFalls Prevention Best Practice
Falls Prevention Best Practice Prepared by Denise Tomassini Falls Prevention A case study : Mr Tony Topples ISLHD Clinical Quality Manager Clinical Governance Unit November 2011 Falls Prevention Best Practice
More informationRural Falls Forum Falls Prevention in MLHD An Update
Rural Falls Forum 2014 Falls Prevention in MLHD An Update Presented by Phil Major Chair, National Standard 10 (Falls) Governance Group, MLHD Nazmul Ahasan District Falls Prevention Coordinator Where falls
More informationUpdate on Falls Prevention Research
Update on Falls Prevention Research Jasmine Menant NSW Falls Prevention Network Rural Forum 24 th August 2018 Acknowledgements: Prof Stephen Lord, Dr Daina Sturnieks Recent falls risk factor studies Lubaszy
More informationEvidence Synthesis Number 80. Interventions to Prevent Falls in Older Adults: An Updated Systematic Review
Evidence Synthesis Number 80 Interventions to Prevent Falls in Older Adults: An Updated Systematic Review Prepared for: Agency for Health Care Research and Quality U.S. Department of Health and Human Services
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 informationDelirium in Hospital Care
Delirium in Hospital Care Dr John Puxty 1 Learning Objectives By the end of the workshop participants will be able to: Appreciate the main diagnostic criteria for delirium. Describe common risk factors,
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 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 informationA Step Forward: Promoting Independence through Falls Prevention
A Step Forward: Promoting Independence through Falls Prevention 2014 Geriatric Update Meharry Consortium Geriatric Education Center A Step Forward: Promoting Independence through Falls Prevention Moderator:
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 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 informationFunctional Ability Screening Tools for the Clinic
Functional Ability Screening Tools for the Clinic Shelley Hockensmith,, P.T., NCS Objectives Review screening tools for physical or functional ability including Five Times Sit to Stand, Walking Speed,
More informationStaying Independent: Check Your Fall Risk!
Staying Independent: Check Your Fall Risk! Disclaimer This is general information developed by The Ottawa Hospital. It is not intended to replace the advice of a qualified health-care provider. Please
More informationFalls Prevention Research Update, Stephen Lord
Falls Prevention Research Update, 2017 Stephen Lord Gait adaptability impaired as an indicator of fall risk in older people Joana Caetano Stephen Lord Jasmine Menant 53% of falls are caused by trips and
More informationTai Chi for Prevention of Falls in Older Adults. Yolanda Suarez, DO Geriatrics Fellow University of Reno School of Medicine June 20, 2018
Tai Chi for Prevention of Falls in Older Adults Yolanda Suarez, DO Geriatrics Fellow University of Reno School of Medicine June 20, 2018 Through this interactive presentation you will learn to Identify
More informationDementia and Fall Geriatric Interprofessional Training. Wael Hamade, MD, FAAFP
Dementia and Fall Geriatric Interprofessional Training Wael Hamade, MD, FAAFP Prevalence of Dementia Age range 65-74 5% % affected 75-84 15-25% 85 and older 36-50% 5.4 Million American have AD Dementia
More informationHealthy Body, Healthy Mind
Volume 3 Spring 2016 The Firelands S.P.O.T. Inside this issue: 2 Speech Therapy Corner REPORT 3 Physical Therapy Corner Your quarterly guide to new information, insights, and events from Speech, Physical,
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 informationExercise prescription for falls prevention A/Prof Cathie Sherrington
Exercise prescription for falls prevention A/Prof Cathie Sherrington Affiliated with the University of Sydney 1 ProFaNE taxonomy for exercise Gait, balance, and functional training Strength/resistance
More informationUpdate on Falls Prevention Research
Update on Falls Prevention Research Jasmine Menant NSW Falls Prevention Network Rural Forum 8 th March 2018 Acknowledgments: Prof Stephen Lord Recent falls risk factor studies Brain activation in older
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 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 informationResearch Update: Vitamin D and falls in older people Fall prevention in hospitals. Stephen Lord
Research Update: Vitamin D and falls in older people Fall prevention in hospitals Stephen Lord Vitamin D insufficiency, physiological and cognitive functioning and falls in older people Jasmine Menant,
More informationAppendix E : Evidence table 9 Rehabilitation: Other Key Documents
Appendix E : Evidence table 9 Rehabilitation: Other Key Documents 1. Cameron et al. Geriatric rehabilitation following following fractures in older people: a systematic review. Health Technology Assessment
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 informationFall prevention research update. Professor Stephen Lord Neuroscience Research Australia University of NSW Sydney, Australia
Fall prevention research update Professor Stephen Lord Neuroscience Research Australia University of NSW Sydney, Australia Simple Predictors of Falls in Residential Care Dwellers Whitney J et al, Arch
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 Prevention is Everyone s Business. Types of Falls. What is a Fall 7/8/2016
Fall Prevention is Everyone s Business Part 1 Prof (Col) Dr RN Basu Adviser, Quality & Academics Medica Superspecilalty Hospital & Executive Director Academy of Hospital Administration Kolkata Chapter
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 informationRunning head: ADVANCED PRACTICE NURSES KNOWLEDGE AND USE OF FALL
Running head: ADVANCED PRACTICE NURSES KNOWLEDGE AND USE OF FALL ADVANCED PRACTICE NURSES KNOWLEDGE AND USE OF FALL PREVENTION GUIDELINES Presented in Partial Fulfillment of the Requirements for the Degree
More informationExercise for the prevention of falls in residential aged care. Results of the SUNBEAM trial
Exercise for the prevention of falls in residential aged care Results of the SUNBEAM trial jenniehewitt@feroscare.com.au Acknowledgements Professor Kathryn Refshauge Professor Stephen Goodall Professor
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 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 informationThe U.S. Preventive Services Task Force (USPSTF) makes
Annals of Internal Medicine Clinical Guideline Prevention of Falls in Community-Dwelling Older Adults: U.S. Preventive Services Task Force Recommendation Statement Virginia A. Moyer, MD, MPH, on behalf
More informationiprefer intervention to PREvent Falls after Emergency Response Stefanie Mikolaizak
iprefer intervention to PREvent Falls after Emergency Response Stefanie Mikolaizak s.mikolaizak@neura.edu.au Background Ambulance Service of NSW responded to 50000+ falls in 2008/9 Falls is second most
More informationBetter Health While Aging Fall Prevention for Homebound Seniors
Better Health While Aging Fall Prevention for Homebound Seniors SPEAKERS 1. Kathleen Cameron, Senior Director, National Council on Aging 2. Chelsea Gilchrist, Senior Program Manager, National Council on
More informationFall Prevention II. Impact, Assessment and Hidden Risks. Webinar Education Series May 2016
Fall Prevention II Impact, Assessment and Hidden Risks Webinar Education Series May 2016 Presented by Barbara E. West, RN, MSN, CWOCN and Capital Nursing Education Fall Prevention II This webinar will
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 informationAgeing baby boomers: will falls prevention need to change as the ageing population changes?
Ageing baby boomers: will falls prevention need to change as the ageing population changes? Professor Keith Hill, Head, School of Physiotherapy and Exercise Science Keith.Hill@Curtin.edu.au Curtin University
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 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 informationWHAT IS THE ROLE OF EXERCISE IN PREVENTING FALLS AND FRACTURES IN LONG-TERM CARE?
WHAT IS THE ROLE OF EXERCISE IN PREVENTING FALLS AND FRACTURES IN LONG-TERM CARE? CAITLIN MCARTHUR, PHD, MScPT, BSc(KIN) POST-DOCTORAL FELLOW GERAS CENTRE FOR AGING RESEARCH MCMASTER UNIVERSITY ABOUT ME...
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 informationQuarterly Collaborative Call #24 April 18, :00 2:30 p.m. CST. Critical Thinking: (R) CVA AND Orthostatic Hypotension as Fall Risk Factors
Quarterly Collaborative Call #24 April 18, 2017 2:00 2:30 p.m. CST Critical Thinking: (R) CVA AND Orthostatic Hypotension as Fall Risk Factors 1. Housekeeping Quarterly Calls AGENDA 2. KNOW Falls Debrief
More informationDelirium assessment and management. Dr Kim Jeffs Northern Health
Delirium assessment and management Dr Kim Jeffs Northern Health What do you need to know? Epidemiology How big is the problem? Who is at risk? Assessment Tools for diagnosis Prevention Evidence base Management
More informationSlide 1. Slide 2 VHA NCPS VISN 8 FOCI: MISSION: Advances in Protecting Patients from Fall Injury: VHA Innovation Community
Slide 1 Advances in Protecting Patients from Fall Injury: VHA Innovation Community Pat Quigley,PhD,MPH,ARNP,CRRN,FAAN,FAANP Associate Director, VISN 8 Patient Safety Center Associate Chief for Nursing
More informationPatients with heart failure who fall: Why, how and what to do about it? The great conundrum BACPR Oct 5 th 2017 London
Patients with heart failure who fall: Why, how and what to do about it? The great conundrum BACPR Oct 5 th 2017 London Ward B21 Falls and Heart Failure Davies sign What do you want from me? A practical
More informationExercise for Falls Prevention in Older People: Evidence & Questions. Professor Pam Dawson
Exercise for Falls Prevention in Older People: Evidence & Questions Professor Pam Dawson Associate Pro Vice Chancellor Strategic Workforce Planning and Development Northumbria University 13 March 2017
More informationStepping On. Building Confidence and Reducing Falls. Wisconsin Institute for Healthy Aging
Stepping On Building Confidence and Reducing Falls Wisconsin Institute for Healthy Aging NCOA Webinar September 26, 2013 Presenters Jane Mahoney, MD Executive Director, Wisconsin Institute for Healthy
More informationPrevention of Medication-Related Falls Through Appropriate Medication Use. Clay Sprouse, MEd., CPhT Piedmont Technical College
Prevention of Medication-Related Falls Through Appropriate Medication Use Clay Sprouse, MEd., CPhT Piedmont Technical College Disclosure I have no relevant financial or nonfinancial relationships to disclose
More informationBest Practice Approaches: Fall and Injury Reduction
Best Practice Approaches: Fall and Injury Reduction Pat Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP Associate Director, VISN 8 Patient Safety Center Associate Chief for Nursing Service/Research E-Mail:
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 informationFalls and Mobility. Katherine Berg, PhD, PT and Arielle Berger, MD. Presented by: Ontario s Geriatric Steering Committee
Falls and Mobility Katherine Berg, PhD, PT and Arielle Berger, MD Key Learnings Arielle Berger, MD Key Learnings Learn approaches to falls assessment Understand inter-relationship between promoting safe
More informationA Multidisciplinary Approach to Falls Prevention. Ross Ehrmantraut, RN, CCRN Patient Safety Officer Harborview Medical Center UW Medicine Seattle, WA
A Multidisciplinary Approach to Falls Prevention Ross Ehrmantraut, RN, CCRN Patient Safety Officer Harborview Medical Center UW Medicine Seattle, WA Harborview Medical Center Harborview Medical Center
More informationHealth Policy Research Brief
Health Policy Research Brief May 2010 Older Californians At Risk for Avoidable Falls Steven P. Wallace, Nadereh Pourat, Eva Durazo and Rosana Leos More than a half million older Californians (565,000)
More information5 older patients become delirious every minute
Management of Delirium: Nonpharmacologic and Pharmacologic Approaches Sharon K. Inouye, M.D., M.P.H. Professor of Medicine Beth Israel Deaconess Medical Center Harvard Medical School Milton and Shirley
More information