F.A.L.L.S. Rapid Fire Presentations

Transcription

1 SMIFS F.A.L.L.S. Rapid Fire Presentations Sept 13, 2016 End Falls This Fall - Casino Rama

2 BUILDING BALANCE: Exercise-Based Fall Prevention Program for Community-Dwelling Seniors (Collingwood & Wasaga Beach) Marci Janecek, PT

3 Why A Fall Prevention Program? (2009/10) NSM LHIN: HIGHEST RATE IN THE PROVINCE OF ONTARIO: Seniors hospitalized for a fall * Seniors hospitalized for a fractured hip * *(seniors age 65+)

4 Grey Tsunami is Coming By 2020, 1 out of 4 North Simcoe Muskoka residents will be over age 65* *NSM LHIN Annual Report

5 OVERVIEW: Building Balance Program Led by a physiotherapist 1 PTA & trained volunteers 2 days/week x 6 weeks Max 12 participants

6 OVERVIEW: Building Balance Program Balance & Strengthening Exercise (as individualized as possible) Education Home exercise (booklets)

7 Target Population Community-dwelling seniors, ideally BEFORE they have had their first fall, when balance is just starting to decline Admission Criteria (1 or more of the following): Fearful of falling 1 or more near falls in the past 3 months 1 or more falls in past year

8 Referral Sources

9 Assessment of Risk Factors Pre & Post by Physiotherapist Identify individual risk factors for falls & ensure all have been addressed in some way by end of program Test outcome measures pre & post

10 Static stable Engage vision, somatosensory and vestibular systems

11 Dynamic

12 Dual Tasking, Perterbations, & Stepping Strategy Practice

13 Leg Strengthening Arm Strengthening

14 Video Pre/Post Gait

15 Conclusion In anticipation of this impending grey tsunami, fall prevention programs should be front-line strategies for reducing its impact on our already over-stressed healthcare system Marci Janecek, PT

16 Osteoporosis Canada presents Bone Fit Workshops

17 Bone Fit Bone Fit is an evidence-informed exercise training workshop for health professionals. Bone Fit teaches the design & adaptation of safe exercise programs for people with osteoporosis/those at risk of fractures due to bone loss. Workshop demonstrations include simple transitional movements, strengthening exercises for the back, activities of daily living and modifications to Yoga/Pilates for people with or at risk of osteoporosis.

18 Bone Fit for professionals health Basics Workshop (1 day) for: Personal Trainers, Fitness Instructors, Personal Support Workers, Chiropractors, Health Promoters, Rehabilitation Assistant Workers (OTA s, PTA s) & other certified fitness or health professionals. Clinical (2 Day) Workshop for: Physiotherapists, Physio Assistants, Kinesiologists, Exercise Physiologists & other certified exercise health professionals.

19 Bone Fit Membership includes Member s Area Professional Locator Research Updates Accreditation Relationship with Osteoporosis Canada s Regional Integration Leads Community of Practice

20 Register at bonefit.ca Workshop Information Visit bonefit.ca for upcoming workshops Time: Day 1 : 7:30 am - 5:00 pm Day 2: 8:00 am - 3:30 pm Cost: 1 Day Workshop: $200 2 Day Workshop: $400

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25 Too Fit to Fall or Fracture Judy Porteous, Regional Integration Lead, Osteoporosis Canada, Ontario Osteoporosis Strategy

26 Multicomponent exercise recommendations combine muscle strengthening and balance training as a means of reducing falls and resulting fractures for people living with osteoporosis

27 Too Fit To Fracture: A Consensus to Establish Recommendations on Exercise and Physical Activity for Individuals with Osteoporosis, with or without Spine Fractures Giangregorio LM, Cheung, AM, Heinonen A, McGill S, Laprade J, Ashe MC, Shipp K, Wark JD, MacIntyre NJ, Keller H, Jain R, Papaioannou A.

28 Key facts about TFTF: For people with Osteoporosis/Fragility Fracture. Key to know their FRACTURE RISK Level. If Moderate or High risk for Fragility Fracture follow TFTF recommendations Spine sparing strategies help spare the spine from injury. Exercises to help prevent falls Patient booklets and Tear off pads for practitioners to give to patients- newest version available through OC

29 Recommendations to manage osteoporosis with exercise: Strength exercises at least 2 times per week to keep you strong and fit Posture exercises every day to keep you standing tall and not stooped Balance exercises every day to keep you stable on your feet, walk more easily. Good balance helps prevent falls. Aerobic physical activity that is weight bearing (moderate to vigorous intensity) at least 150 minutes per week to improve your overall health. It can reduce your risk of disease. It may improve your bone strength.

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34 Osteoporosis Canada Recommendations for Preventing Fracture for the Frail Elderly in Community and Long-Term Care

35 Impact of fractures on the Frail Elderly Fragility fractures are responsible for excess mortality, morbidity, chronic pain, admission to institutions and economic costs 1-3 Those with hip or vertebral fractures have substantially increased risk of death after the fracture 2 Multiple vertebral fractures can cause significant pain, anxiety, depression, reduced pulmonary function and agitation 4 1 Papaioannou A et al. Osteoporos Int Ioannidis G et al. CMAJ Wiktorowicz ME. Osteoporos Int Papaioannou A et al. Am J Med Papaioannou A et al. CMAJ. 2015

36 Why the recommendations Reduce immobility and pain Admission to hospital Improve the quality of life of the frail elderly Papaioannou A et al. CMAJ. 2015

37 The recommendations integrate falls and osteoporosis assessment taking into consideration lifespan, renal impairment and simultaneous risks of falls and fractures Recommendations consider various treatment strategies in addition to pharmacotherapy Papaioannou A et al. CMAJ. 2015

38 More information Available at Osteoporosis Canada through the Regional Integration Lead in your area Or at; Papaioannou A et al. CMAJ. 2015

39 Simcoe County Victorian Order of Nurses & North Simcoe Muskoka Integrated Regional Falls Program Regional Fall Prevention Education Program Ulla Rose District Executive Director, VON Canada Ontario branch Ryan Miller RN, MN, GNC(C), Program Manager, Orillia Soldiers Memorial Hospital

40 Ministry of health funding Summer 2013 Regional Fall Prevention Education Program (LHIN wide) Participants offered 24 hours of Fall Prevention education in a variety of different settings All classes delivered by a regulated health professional Minimum required unique individuals served annually : 830

41 Modules developed by the IRFP interdisciplinary team including physiotherapist, occupational therapist, registered nurse, pharmacist, kinesiologist and registered dietician. Modules: 1. Fall Basics: Staying on Your Feet 2. Take Charge of your Health 3. Medications and Falls 4. Exercise, Posture and Deconditioning 5. Nutrition and Incontinence 6. Footwear and Foot Care 7. Tools to Stay Safe and Independent 8. Speaking of Bones (delivered in partnership w/ ) 9. Home and Community Considerations for Fall Prevention 10. Take Charge: Sleep 11. Brain Health 12. Pay Attention to Keep Safe and Series Wrap Up

42 Safety Starts at Home Safety Check Project CHATS - HAMP Program, in collaboration with South Simcoe Police with be providing safety checks in the months of September and October Working on funding partnership with Town of Bradford West Gwillimbury for this joint initiative. Comprehensive outdoor/indoor safety check of home at no cost to clients. South Simcoe Police will provide outdoor checks assisting with Crime prevention for example motion lighting and cutting back shrubs.

43 Safety Starts at Home Town of BWG would provide funds for batteries, latches, smoke detectors and CO detectors. CHATS Home Adaptation and Maintenance Program will provide: Checks of batteries for CO and Smoke Detectors Free in-home Safety Assessments Maintenance of property Adaptations (bath chairs, grab bars, bath mats, hand held shower heads) Increased community awareness about falls prevention aligning with the South Simcoe Police and Township Resources.

44 Safety and Falls Prevention One of CHATS strategic goals is to continue to develop partnership with other community partners to ensure safety and falls preventation for all clients. CHATS established in 1980, operating in York Region and South Simcoe Home Adaptation Program in Bradford established in x 6227 CHATS Programs: Transportation, Meals on Wheels, Home Help, Adult Day Programs, Wellness Programs, Assisted Living and Respite

45 Ulla Rose District Executive Director VON Canada Ontario branch

46 Falls Med Review Frailty Pain Incontinence Cognition Heart Failure Addictions Nutrition Delirium

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48 Thank you! SMIFS