Deborah Behre, DPM
|
|
|
- Daniella Tucker
- 5 years ago
- Views:
Transcription
1 Deborah Behre, DPM
2 NO DISCLOSURES
3 SAVE THE DATE! SEPTEMBER 22
4 WHO CARES? PATIENTS FAMILY & FRIENDS YOU, YOUR STAFF AND YOUR PRACTICES THE HEALTH CARE SYSTEM (MEDICARE) CDC & WHO
5 EVERY SECOND COUNTS 1 OUT OF 3 PEOPLE 65 Y.O. OR OLDER FALL (1 IN 4 REPORT) 1 OUT OF 5 IS SERIOUS TBI S: 81% HIP FRACTURES: 95% 1 OUT OF EVERY 3 NEVER RETURN HOME MILLION NON FATAL INJURIES 24,190 FATALITIES
6 DIRECT MEDICAL COSTS FOR FALL RELATED INJURIES NON FATAL FATAL 2012 $30.3 BILLION $616.5 MILLION 2015 $ 31.3 BILLION $637.5 MILLION AVERAGE COST OF A FRACTURED HIP: $50,000
7 Can we make a difference? 5000 providers 6 million Pts screened 1 million falls prevented (1 in 6) $3.5 billion direct medical cost saving
8 RISK FACTORS VISION MEDICATIONS MUSCLE WEAKNESS BALANCE HISTORY OF A FALL (FEAR OF FALLING) PERIPHERAL NEUROPATHY PRE DISPOSING DISEASES (CVA, Parkinson s) LOW VIT D LEVELS FOOTWEAR SHOES & SOCKS FOOT PAIN OTHER PODIATRIC FACTORS
9 LOWER EXTREMITY RISK FACTORS PERIPHERAL NEUROPATHY FOOT PAIN MUSCLE WEAKNESS (includes intrinsics) BALANCE PROPRIOCEPTION FOOTWEAR (SHOES & SOCKS) FOOT DEFORMITIES (hallux valgus, lesser toe deformities, equinus,foot drop)
10 RISK INCREASES WOMEN AGE BAREFOOT OR SOCKS 11x HEEL HEIGHT > 4.5 CM 1.9 X HALLUX VALGUS - 2x LESSER TOE DEFORMITIES 1.32X POOR FITTING SHOES CONTRIBUTED to 51% OF FALLS IN HOSPITALS
11 RISK DECREASES EXERCISE most important activity (Tai Ji Quan for balance: 28% improvement) VIT D 43% improvement
12 PODIATRY BASED PROGRAM Pre Fab Inserts Shoegear (Non skid fitting) Falls Prevention Education Exercise 30 minutes 3X/week) Falls Decreased 36%
13 HERE S WHERE YOUR FALLS PREVENTION PROGRAM STARTS
14 OR IT MAY START HERE
15 IF YOU DO NOTHING ELSE HAND THIS TO YOUR PATIENTS
16
17 CONSIDER GOING FURTHER
18 SAVE Safety Appt Vision Exercise
19 CONSIDER GOING FURTHER
20 THE RECOMMENDATION IS THAT EVERYONE 65 YEARS OR OLDER HAVE A YEARLY FALLS RISK ASSESSMENT
21 HERE S WHAT S RECOMMENDED FOR FALLS RISK ASSESSMENT
22 WHY START HERE? YOUR STAFF CAN DO THE FIRST PART OF THIS FORM QUESTIONING ABOUT FALLS 3 GAIT, STRENGTH AND BALANCE TESTS TUG (Timed Up and Go) (Recommended) 30 second chair stand (Optional) 4 stage Balance Test (Optional)
23 TIMED UP AND GO (TUG) ARM CHAIR MARK 10 FEET AWAY FROM CHAIR RECORD TIME TO STAND UP, WALK TO MARK, RETURN AND SIT DOWN OBSERVE GAIT (12 SECONDS OR LONGER = HIGH FALL RISK)
24 30 SECOND CHAIR STAND SIT IN CHAIR DON T USE HANDS TO GET UP (USE OF HANDS = 0 SCORE) COUNT NUMBER LOOK UP SCORE ON CHART
25 4 STAGE BALANCE TEST 4 DIFFERENT STANDING POSITIONS (PROGRESS IN DIFFICULTY) IF CAN DO 10 SECOND HOLD, GO ON TO THE NEXT POSITION IF CAN T DO TANDEM STANCE FOR 10 SECS, HIGH FALL RISK
26 CONSIDER GOING FURTHER
27 EXERCISE CHOICES FOR YOUR PTS SELF PROGRAM EXERCISE CLASS: TAI JI QUAN,YMCA MOVING FOR BETTER BALANCE, SAIL (stay active and independent for life), STEPPING ON PT CONSULT (OTAGO EXERCISE PROGRAM - dec falls 35-40%)
28 WHY DISCUSS EXERCISE? 28 % improvement
29 SELF PROGRAM CHAIR RISE EXERCISE MARBLES TOWEL CURLS
30
31 MOVE 20 MARBLES PER FOOT
32 TOWEL CURL EXERCISES
33 CONSIDER GOING FURTHER
34
35
36 CONSIDER GOING FURTHER
37 REFERRALS PCP OT (SAFETY) PT (BALANCE, STRENGTH, PROPRIOCEPTION, OTAGO)
38 CONSIDER GOING FURTHER
39 PRESCRIBE WALKING AIDS REFER FOR MOORE BALANCE BRACES PRESCRIBE AND DISPENSE MOORE BALANCE BRACES SELL SHOES AND SOCKS
40 CONSIDER GOING FURTHER
41 NOWA NO ONE WALKS ALONE (HOSPITAL BASED FALLS PREVENTION PROGRAM)
42 Good Sources of Information JAPMA Nov/Dec 2013 Vol 3 # 6 APMA Webinar Cloud (Falls Prevention) CDC NCOA
43 SAVE THE DATE! SEPTEMBER 22 NATIONAL FALLS PREVENTION DAY
44 REFERENCES 1. CENTER FOR DISEASE CONTROL ATLANTA, GA 2. J AM GERIATRIC SOCIETY 64: , BMC GERIATRIC 2011; AM J LIFESTYLE MEDICINE 2016; JAN-FEB: 10(1) 5. APMA FALLS PREVENTION WEBINAR 6. MENZ et al FOOT & ANKLE RISK FACTORS FOR FALLS IN OLDER PEOPLE; A PROSEPECTIVE STUDY; JL OF GERONTOLOGY 2006;8: NATIONAL COUNCIL ON AGING (NCOA) ARLINGTON, VA 8. KOBYASHI et al; J PHYS THER SCI 1999, 11: SAFESTEP.NET 11. GUIDELINE FOR THE PREVENTION OF FALLS IN OLDER PERSONS; JAGS May 2001-Vol. 49, No 5 pp EFFICACY OF A MULTIFACETED PODIATRY INTERVENTION TO IMPROVE BALANCE AND PREVENT FALLS IN OLDER PEOPLE; STUDY PROTOCOL FOR A RANDOMISED TRIAL pp 1-16 Spink, Mens, Lord (Australia) BMC Geriatrics GAIT AND BALANCE DISORDERS IN OLDER ADULTS SALZMAN, MD AMERICAN FAMILY PHYSICIANS July 1, 2010 Vol 82 # 1 pp61-68
45 Thank you!
46 SIMBA BOOTS REX LEO!
BGS Falls Feet, footwear and falls. Prof. Dawn Skelton Monserrat Conde
Feet, footwear and falls. Prof. Dawn Skelton Monserrat Conde 18 th International Conference in Falls and Postural Stability Birmingham, 15 th September 2017 Summary of session Falls and risk factors The
Fall 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
Slide 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,
7/12/2016. 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
Fall 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
Footwear Assessment. Ken Wong (OT) Price of Wales Hospital
Footwear Assessment Ken Wong (OT) Price of Wales Hospital Intrinsic factors Introduction Fall risk factors Poor lower limb proprioception Visual impairment Decreased reaction time Decreased lower limb
What 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
Fall 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
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
Safe & Effective Exercises for Osteoporosis
Safe & Effective Exercises for Osteoporosis Karen Kemmis, PT, DPT, MS, GCS, CDE, FAADE SUNY Upstate Medical University Physical Medicine & Rehabilitation Joslin Diabetes Center and University Endocrinologists
Fall 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
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 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
Balance and Fall Prevention. Created by: Julia Taylor DPT Presented by: Jeronimo Jimenez MSOTR/L ATRI Assisted Rehab Inc.
Balance and Fall Prevention Created by: Julia Taylor DPT Presented by: Jeronimo Jimenez MSOTR/L ATRI Assisted Rehab Inc. 1 Why should I be concerned about balance and fall risk? Frequency Falls are NOT
BALANCE! 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
Multifactorial 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
VON SMART. (Seniors Maintaining Active Role Together) In-Home Program. Exercise Instructions
VON SMART (Seniors Maintaining Active Role Together) In-Home Program Exercise Instructions This VON SMART Exercise Instruction Packet is designed to guide you through the 15 VON SMART In- Home Exercises.
Created in January 2005 Duration: approx. 20 minutes
1 1 The Timed Up and Go Test Created in January 2005 Duration: approx. 20 minutes 2 Credits 2005 Stein Gerontological Institute. All rights reserved. Principal medical contributors: Alan Katz, MD Francois
PRESCRIPTION FOOTWEAR
PRESCRIPTION FOOTWEAR Standards of Practice for Chiropodists and Podiatrists I. Introduction Prescription footwear is an integral part of patient care for the management of lower extremity pathology and
Better 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
Prevent Falls. with the Moore Balance Brace. Many falls can be prevented. By making minor changes, you can lower your chances of falling
Prevent Falls with the Moore Balance Brace Many falls can be prevented. By making minor changes, you can lower your chances of falling Moore Balance Brace (MBB) Instructions for use Putting the MBB into
Clinical 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
Available Reproducibles
A Guide to Common Foot Deformities A Shoe for Every Sport A True or False Quiz About Walking Aerobics and Your Feet Aging and Your Feet All Toes On-Deck Alternatives to Walking Amputation Prevention Checklist
Get Moving For Better Bone Health: Safe & Effective Exercises for Osteoporosis
Get Moving For Better Bone Health: Safe & Effective Exercises for Osteoporosis Karen Kemmis, PT, DPT, MS, GCS, CDE SUNY Upstate Medical University Physical Medicine & Rehabilitation Joslin Diabetes Center
Healthy feet. Everything you need to keep your feet in good condition. medi. I feel better.
Healthy feet Everything you need to keep your feet in good condition. medi. I feel better. Outstanding performance for healthy feet On average, our feet are exposed to the stresses and strains of about
Podiatry in Practice. Alan M. Singer, DPM, FACFAS
Podiatry in Practice Alan M. Singer, DPM, FACFAS Podiatry in Practice Alan Singer, D.P.M. UNIVERSITY PODIATRY GROUP Onychomycosis Anti-fungals Onychocryptosis (Ingrown Nails) Ingrown Nails Partial Nail
Upper 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
Objectives. Saturday Morning Cartoon Memories! Too Bad It s Not That Funny. Golden Years in the Golden State? Not According to Data for California
P R E S E N T E D B Y The OC (Anaheim), CA August 12 16, 2009 August 14, 2009 Session 230 Exercise Program Design for Falls Prevention Dr. Christian Thompson & Rodney Corn Objectives 1. Describe the prevalence
Balance Tests (as used in OTAGO 1 programme)
Balance Tests (as used in OTAGO 1 programme) The OTAGO 1 programme utilises 2 standardised functional tests to aid decisions regarding exercise prescription and to monitor progress. These tests are simple
Practical advice when treating feet
Practical advice when treating feet Helen Mandic Clinical Lead Podiatrist in Health Promotion and Student Mentor Department of Podiatry and Foot Health Dawlish Hospital Falls Prevention The Role of the
Conservative Management to Restore and Maintain Function in Limb Preservation Patients
Conservative Management to Restore and Maintain Function in Limb Preservation Patients Tyson Green, DPM Department Chair Imperial Health Center for Orthopaedics Lake Charles, LA Founder & Medical Director
Static Back. Instructions: Purpose: Hold this ecise for 05 min. prepared for Pain Free Posture MN
1 Static Back Hold this ecise for 05 min. 1. Lie on your back with your legs up over a block or chair 2. Place your arms out to the sides at 45 degrees from your body with palms up 3. Relax your upper
Your Orthotics service is changing
Your Orthotics service is changing Important for referrers on changes effective from January 2015 Why is the service changing? As demand for the orthotics service increases and budgets remain relatively
Copyright Cardiff University
This exercise programme has been developed by physiotherapists specifically for people with movement disorders. Exercise is not without its risks and this or any other exercise programme has potential
COS SPORTS MEDICINE CONCUSSION ASSESSMENT FORM BASELINE TEST Adapted from SCAT3
COS SPORTS MEDICINE CONCUSSION ASSESSMENT FORM BASELINE TEST Adapted from SCAT3 Name Sport Examiner Name: Date of BASELINE TEST: Age Gender M / F COGNITIVE ASSESSMENT Orientation (1 pt each) What month
Why do I need Diabetic Footwear?
Why do I need Diabetic Footwear? A guide to healthier, happier feet for people with diabetes. To find a provider near you, go to www.drcomfort.com and click on Find a Footwear Professional. Or call Dr.
Draft. 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
Ankle Program Range of Motion Exercises Stretches:
Ankle Program Range of Motion Exercises Due to injury, immobilization or a combination of both your ankle has become stiff. These exercises are designed to help regain the motion and strength lost. You
TOE PLANTARFLEXION EXERCISE FOR METATALSALGIA
TOE PLANTARFLEXION EXERCISE FOR METATALSALGIA St. luke s international hospital and *Kogakuin university KENTARO AMAHA M.D. *KUNIO HORIUCHI EISHI KURODA TOE PLANTARFLEXION EXERCISE FOR METATALSALGIA My
Fall Prevention for Community Dwelling Older Adults: An Update on Assessment and Intervention Strategies
Fall Prevention for Community Dwelling Older Adults: An Update on Assessment and Intervention Strategies Erica A. Pitsch, PT, MPT, DPT, NCS UCSF/SFSU Graduate Program in Physical Therapy Objectives Be
Home Care Assistance of Omaha. Super Six for Stairs. Exercises to Target Lower Body Muscles
Home Care Assistance of Omaha Super Six for Stairs Exercises to Target Lower Body Muscles 6 Exercises for Lower Body Thank you to the National Institute on Aging 1. STANDING REAR LEG RAISES 2. SIDE LEG
AMG Virtual CME Series Plantar Fasciitis Brian T. Dix, DPM, FACFAS Board Certified in Foot and Reconstructive Hindfoot & Ankle Surgery
AMG Virtual CME Series Plantar Fasciitis 11-9-17 Brian T. Dix, DPM, FACFAS Board Certified in Foot and Reconstructive Hindfoot & Ankle Surgery Anatomy 3 bands of dense connective tissue, which originate
Could this Research Change the Way You Treat Hallux Limitus?
Could this Research Change the Way You Treat Hallux Limitus? Lawrence Z. Huppin, D.P.M. Assistant Clinical Professor, Western University of Health Sciences, College of Podiatric Medicine Disclosure: Medical
PREVENTIVE 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
Exercises for using assistive devices
Exercises for using assistive devices For individuals who use an assistive device (cane, walker, etc.) please select from the exercises on the following pages. Completing these exercises on a regular basis
Creating a Safer Home: Useful Equipment and Strategies for Household Activities Key Points and References
Creating a Safer Home: Useful Equipment and Strategies for Household Activities Key Points and References Falls 1 in 3 people over 65 fall each year 15% of people with knee osteoarthritis fall each year
Tips to Treat Bunion and avoid Surgery
Tips to Treat Bunion and avoid Surgery DR JK i Important Legal Disclaimer Before beginning using any of our tips or our bunion relief products, consult your physician first to be sure it is appropriate
Prevention of falls in older age: The role of physical activity. Dr Anne Tiedemann Senior Research Fellow
Prevention of falls in older age: The role of physical activity Dr Anne Tiedemann Senior Research Fellow Fall definition Prevention of Falls Network Europe (ProFaNE) definition 1 : an unexpected event
Assessment of the Feet Handbook
Assessment of the Feet Handbook The content of this handbook has been adapted from the assessment methods designed by Simon J. Wikler, Doctor of Surgical Chiropody Step Forward to Better Health Reflexology
Diabetes Mellitus and the Associated Complications
Understanding and the complications relating to the disease can assist the fitter to better serve patients. and the Associated Complications Released January, 2011 Total: 25.8 million people, or 8.3% of
Summary of session. Preventing and Managing Falls some thoughts. When do we become fallers instead of trippers? Falls in the UK 02/02/2013
Summary of session Preventing and Managing Falls some thoughts Professor Dawn Skelton The size of the problem The risk factors The Interventions (New CMO Physical Activity Guidelines) Adherence to interventions
Falls 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
Berg Balance Scale. Name: Date of Test:.
Berg Balance Scale Name: Date of Test:. 1. Sit to Stand Instructions: Please stand up. Try not to use your hands for support ( ) 0: Needs moderate or maximal assistance to stand ( ) 1: Needs minimal assistance
Strength and Balance Exercises
Strength and Balance Exercises LEG EXTENSIONS Purpose: Strengthen the thigh and leg muscles. Starting Position: Sit tall with your feet flat on floor, shoulderwidth apart. You may hold onto the sides of
FALLS 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
Creating a Safer Home: Useful Equipment and Strategies for Household Activities Key Points and References
Creating a Safer Home: Useful Equipment and Strategies for Household Activities Key Points and References Falls 1 in 3 people over 65 fall each year 15% of people with knee osteoarthritis fall each year
PLANTAR FASCIITIS - Advice & Rehabilitation Leaflet
Dr Patrick Wheeler Consultant in Sport and Exercise Medicine Leicester General Hospital Gwendolen Road, Leicester, LE5 4PW Telephone: 0116 258 4365 Patient information and rehabilitation leaflet Plantar
CORE MEASURE: CORE MEASURE: BERG BALANCE SCALE (BBS)
OVERVIEW NUMBER OF TEST ITEMS SCORING EQUIPMENT TIME (NEW CLINICIAN) TIME (EXPERIENCED CLINICIAN) COST o The BBS is a widely-used, clinician-rated scale used to assess sitting and standing, static and
Their sense of freedom. Your peace of mind.
Their sense of freedom. Your peace of mind. MyNotifi is a one-of-a-kind medical alert wristband. They can keep living the active lifestyle they love. You can rest easy knowing you ll be instantly notified
Stepping 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
Maintaining Remission Induced Frailty by Offloading Bijan Najafi, PhD. Baylor College of Medicine Houston, Texas, USA
Maintaining Remission Induced Frailty by Offloading Bijan Najafi, PhD Professor of Surgery Director of Clinical Research, Division of Vascular Surgery and Endovascular Therapy Director of Interdisciplinary
2/8/2017 WHERE ARE WE? East Amherst East Aurora Hamburg West Seneca Williamsville Boulevard
2/8/2017 WHERE ARE WE? East Amherst East Aurora Hamburg West Seneca Williamsville Boulevard 1 2/8/2017 MY GOAL TODAY. 1. Provide a quick overview on falls 2. How our balance systems work 3. What treatments
Heel Slides. Isometric Quad. For Appointments call:
For Appointments call: 612-672-7100 Login ptrx.org/en/fv2d6ekjsq Exercise Prescription Date May 11, 2017 Assigning Provider Shannon Kelly PT, OCS Prescription Description - Post-op Phase 1 & 2 Heel Slides
Promoting 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
9 PROGRESSED YOGA HIP
MY ACEACCOUNT ACE Professional ResourcesExpert Articles9 Progressed Yoga Hip Opener Postures 9 PROGRESSED YOGA HIP OPENER POSTURES /2/2015 Yoga is an ideal form of exercise to open tight and stiff hips.
Diabetes Foot Health and Prevention Program:
Diabetes Foot Health and Prevention Program: A Podiatrist / RN Collaborative Practice Dr. Pamela Monk Visiting Podiatrist drpamelamonk@live.ca(204) 391-9719 Danna Ferry RN Ferry RN Services dlferry@live.ca
Comprehensive Diabetic Foot Exam, WorryFree DME SM Shoe Order Form
Comprehensive Diabetic Foot Exam, WorryFree DME SM Shoe Order Form First perform CDFE, then use WorryFree DME! Perform CDFE on 50% or more of patients with Medicare and diabetes and qualify for PQRS end
Better Balance & Fall Prevention Guide
Better Balance & Fall Prevention Guide Reclaim Movement, Function and Life By: Denise Schwartz, PT, IMT,C Copyright 2018 The Manual Touch Physical Therapy LLC For personal and noncommercial use only. The
State of the States in Head Injury
State of the States in Head Injury Successful Strategies to Reduce Older Adult Falls Risks Ellen Schneider, MBA National Falls Prevention Resource Center National Council on Aging University of North Carolina
Evidence-based Health Program Overview. yourjuniper.org. Today
Evidence-based Health Program Overview Paula Woischke Healthy Aging Coordinator Central MN Council on Aging yourjuniper.org Today What are Evidence based Health Programs (EBHP)? Which EBHP s relate to
Custom ToeOFF & BlueRocker
Custom ToeOFF & BlueRocker Achieving Success! After viewing this presentation you will be fully aware of the proper techniques required to fit a or BlueRocker. This presentation will cover Indications
GENERAL EXERCISES FOOT AND ANKLE BMW MANUFACTURING CO. PZ-AM-G-US I July 2017
GENERAL EXERCISES FOOT AND ANKLE BMW MANUFACTURING CO. PZ-AM-G-US I July 2017 Disclosure: The exercises, stretches, and mobilizations provided in this presentation are for educational purposes only are
Gait Assessment & Implications in Geriatric Rehabilitation
Gait Assessment & Implications in Geriatric Rehabilitation Therapy Network Seminars, Inc. Nicole Dawson, PT, PhD, GCS Learning Objectives Following completion of this webinar, participants will be able
1 - Calf Raise Reps Sets Duration Freq
1 - Calf Raise Reps Sets Duration Freq. 2-3 2-4 x day Stand on a flat surface (or with your heel over the edge of a step if advised by your physiotherapist) and hold onto the wall or a stable object. Raise
Your Guide to Independent Living
Your Guide to Independent Living What you can do to reduce your risk for falls These are things you can do to stay strong and reduce your risk for falls. Begin a regular exercise program Do exercises that
Disclosures. JAMA Care of the Aging Patient. Objectives 6/25/2012. My funding. Industry relationships: none Other financial relationships: none
Disclosures JAMA Care of the Aging Patient Anna Chang, M.D. Associate Professor of Medicine Division of Geriatrics, Department of Medicine University of California, San Francisco My funding SCAN Foundation
Letter 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
Flexibility and Stretching
Flexibility and Stretching Stretching before exercise prepares the joints for motion, helps avoid injury and increases the range of motion of the area being stretched. After exercise stretching reduces
Functional Hallux Limitus Orthotic Therapy for Hallux Valgus and Hallux Rigidus
Pathology Specific Orthoses Evidence Based Orthotic Therapy: Functional Hallux Limitus Orthotic Therapy for Hallux Valgus and Hallux Rigidus Lawrence Z. Huppin, DPM California School of Podiatric Medicine
Take Care of Your Feet for a Lifetime
ENGLISH Take Care of Yor Feet for a Lifetime A booklet for people with diabetes Do yo want to lower yor chances of getting foot problems that can lead to the loss of a toe, foot, or leg? This booklet tells
Calcaneal Fracture. Phase 1 Maximum Protection Phase (0-8 weeks)
Phase 1 Maximum Protection Phase (0-8 ) Goals for Phase 1 Education of injury and surgical precautions Decrease edema Pain reduction Scar tissue mobility Increase ankle ROM Prevent muscular inhibition
7 Chair Yoga Poses for Better Balance
FIT LIFE Search Articles ACE Fit Life / 7 Chair Yoga Poses for Better Balance 7 Chair Yoga Poses for Better Balance June 18, 2015 For active older adults, maintaining good balance, gait and range of motion
Mitigating Falls and Risk In an Older Population
Mitigating Falls and Risk In an Older Population Lisa Kournetas PT, DPT Objectives Recognize risk factors for falls in older adults Identify home safety suggestions necessary for fall prevention List measures
Berg Balance Scale. CVA, Parkinson Disease, Pediatrics
CVA, Parkinson Disease, Pediatrics CVA Highly recommended for inpatient and outpatient rehabilitation Recommended for acute care Parkinson s Disease Recommended for H and Y stages 2 and 3 G code-changing
NICHOLAS J. AVALLONE, M.D.
NICHOLAS J. AVALLONE, M.D. www.dravallone.com ACHILLES TENDON REPAIR REHAB GUIDELINES DISCLAIMER: The intent of this protocol is to provide therapists with guidelines for rehabilitation based on a review
Diabetic Foot Exams. Comprehensive. The Foot & Ankle Center Located on the Campus of Johnston-Willis Hospital
Comprehensive Diabetic Foot Exams The Foot & Ankle Center Located on the Campus of Johnston-Willis Hospital Dr. Mitchell R. Waskin Dr. Jeffrey P. Frost Diabetes is a serious illness that causes numerous
A Guide for People With Diabetes. Take Care of Your Feet for a
A Guide for People With Diabetes Take Care of Your Feet for a You can take care of your feet! Do you want to avoid serious foot problems that can lead to a toe, foot, or leg amputation? Take Care of Your
A 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
Helpful 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
Government of Western Australia Department of Health STAY ON YOUR FEET. Call or visit the website
Government of Western Australia Department of Health STAY ON YOUR FEET Move Improve Remove Call 1300 30 35 40 or visit the website www.stayonyourfeet.com.au Move Your Body Improve Your Health Remove Hazards
STRETCHES.
STRETCHES I have put this document together for you to learn and understand the important stretches that you should be doing regularly as part of your fitness programme so I hope it helps you. Hold each
LEG EXERCISES. Remember to always stretch out the legs after each workout you do to avoid muscle soreness from setting in.
No other training will burn fat faster than lower body training. Since the legs are the largest muscles in the body, they ll use up a high amount of energy each and every time they contract, giving you
Simple Strength, Balance and Flexibility Exercises to Do at Home
Simple Strength, Balance and Flexibility Exercises to Do at Home For someone with medical problems, or who has been inactive and wants to exercise vigorously, always check with a doctor before beginning
a health care guide Footwear for high-risk feet
a health care guide Footwear for high-risk feet Why is good footwear important? If you have a high-risk foot you have a much higher chance than the general population to develop serious foot problems and
Overview The BBS is a widely-used, clinician-rated scale used to assess sitting and standing, static and dynamic balance.
Core Measure: Berg Balance Scale (BBS) Overview The BBS is a widely-used, clinician-rated scale used to assess sitting and standing, static and dynamic balance. Number of Test Items The BBS consists of
REHABILITATION FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION (using Hamstring Graft)
REHABILITATION FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION (using Hamstring Graft) PHASE 1: (0-3 WEEKS) Goal: Protect graft, manage pain, decrease swelling and improve range of movement. To optimise
Balance 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
Diabetes is a serious disease that can develop from lack of insulin production in the body or due to
Page 1 The Diabetic Foot Definition Diabetes is a serious disease that can develop from lack of insulin production in the body or due to the inability of the body's insulin to perform its normal everyday
3 Part Neck? Movements
3 Part Neck? Movements Guidelines: #1 - You don t have to do the movement. You can simply imagine doing the movement or read the instructions and then find out for yourself if your brain and body is working
Routine For: Total Hip Arthroplasty - Standard Precautions
Standard Hip Precautions TOTAL HIP - 4 Ankle Pump not bend your operative hip beyond a 90 degree angle. not sit with your legs crossed or lie on your back with your operative leg crossed over the other