Changing Behaviors to Prevent Falls. Sponsored by Home Instead Senior Care & Philips Lifeline

Transcription

1 Changing Behaviors to Prevent Falls Sponsored by Home Instead Senior Care & Philips Lifeline

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3 Prevalence of Falls On average one out of three people age 65+ fall each year 1 Half of them will fall more than once 2 Among those 80 plus years, half of them fall each year 3 Post-hospitalization is a high risk time 14% of Medicare patients fall in the first month after discharge 5 20% of those sick enough to go home on homecare fall within 30 days 6 Most of these falls happen in the first two weeks after discharge FOOTNOTES 1. Hornbrook, Gerontologist, 1994; Hausdorff, Arch Phys Med & Rehab, Tinetti, New Eng J Med, 1988; Teno, JAGS, As reported in Tinetti, M E, MD et al, Fall-risk evaluation and management: Challenges in adopting geriatric care practices, The Gerontologist, Vol. 46, No. 6, 2006, p Sterling, J Trauma-Inj Infection & Critical Care, Mahoney, Jane M.D.; Mark Sager; Nancy Cross Dunham; Jill Johnson. Risk of Falls After Hospital Discharge, Journal of the American Geriatrics Society. 42(3): , 1994 MAR 6. Mahoney, JE, MD et al. Temporal association between hospitalization and rate of falls after discharge. Arch Intern Med. 2000:

4 Quality of Life Impact of Falls 10%-20% of falls cause serious injuries 4 Each year in US: 1 300,000 hip fractures & 90% are from falling. This equals nearly 1,000 hip fractures a day ~25 percent of hip fracture patients make a full recovery: 2 50 percent will become dependent upon a cane or a walker; 40 percent will require nursing home admission 20 percent will die in one year FOOTNOTES 1. American Academy of Orthopedic Surgeons website aaos.org 2. American Academy of Orthopedic Surgeons website aaos.org; www6.aaos.org/member/pemr /COAP/previnj_script.doc - 01/25/2005 4

5 Falls Can Be Prevented A research study shows a 30% reduction in falls 1 FOOTNOTE 1. Tinetti, M., Baker, D, McAvay, G., Claus, E., Garrett, P., Gottschalk, M., Koch, M., Trainor, K., Horwitz, R. (1994). A controlled trial of a multifactorial intervention to reduce risk of falls among community elderly persons. New England Journal of Medicine 331(13),

6 Multifactorial Etiology Falls Risk Factors 1. Balance problems 2. Mobility issues 3. Multiple medications 4. Low blood pressure 5. Sensory deficits 6. Home hazards (2) Mobility (6) Hazards (5) Sensory (4) Low Blood Pressure (3) Medications (1) Balance 6

7 Not all falls can be prevented Ask yourself important questions: 1. If you were to fall tonight, would you be able to get up? and 2. If you were injured and couldn t get up, how would you get help? 7

8 How Home Instead Senior Care Lifeline Works 1 Subscriber Summons Help Personal Help Button Lifeline Home Unit 2 Professional Intervention 3 Caring Lifeline Response 4 Closed loop Lifeline makes sure that help arrived 8

9 Home Instead Senior Care Home Instead Senior Care is the world s largest and most trusted provider of comprehensive home care and companionship services for mature adults. Activities of Daily Living Bathing Dressing Eating Transferring Toileting Continence Additional Services Meal Preparation Light Housekeeping Errands Medication Reminders Shopping

10 Don t be a Humpty Dumpty. Be Hunky Dandy Reduce your falls risk today! No one plans an accident

11 Resources National Center on Injury Prevention and Control: A Tool Kit To Prevent Senior Falls Center for Healthy Aging Falls Free Electronic News Center of Excellence for Fall Prevention National Resource Center on Supportive Housing and Home Modification National Center for Patient Safety Falls Toolkit 11

12 Resources continued Home Safety Council: State of Home Safety Facts about safety in the home American Geriatrics Society: Falls in Older Adults Management in Primary Practice A Matter of Balance Partnership for Healthy Aging Safe Steps Program Home Safety Council Home Instead Senior Care 40/70 Program 12

13 Resources continued FallProof! A Comprehensive Balance and Mobility Training Program National Center for Safe Aging 13