The Vincent Fairfax Family Foundation Churchill
Fellowship to discover new ways to develop
and deliver multidisciplinary f...
THE PROGRAM
Fullerton, CA, Center for Successful Aging
Albany, NY, New York State Department of Health
Boston, MA, Divisio...
OUTLINE
Exercise programs for Falls Management
Translation and implementation of research
evidence into practice
Older peo...
Visiting Dr Debra Rose and the Centre for
Successful Aging (California)
4
Visiting Dr Debra Rose and the Centre for
Successful Aging (California)
Low and high impact exercises
Continuum of exercis...
FallProof™
This program is for frail older adults
Screening pre and post program implementation
Center of gravity contro...
Balance and Mobility
Intermediate program for older people who graduated from
FallProof™ Program
This program aims at easi...
Fit 4 Life
This program is for older people who have graduated from both, the FallProof™
and ‘Balance and Mobility’ progra...
Lifespan Wellness Centre
9
Stay Well At Home Program (SWAH)
The program is conducted by trained peer facilitators with each visit running for
90 minu...
Visiting Dr Vivian Weerdesteyn and the Sint
Maartens Hospital in Nijmegen, Netherlands
The Nijmegen Falls Prevention Progr...
The Nijmegen Falls Prevention Program
This program was developed for the community dwelling adults, 65
years and older
It ...
Martial Arts Techniques (MAT) to reduce falls
severity
13
Visiting Dr Vicky Scott in Vancouver, Canada
14
Canadian Falls Prevention Curriculum© (CFPC)
SAIL program
Canadian Falls Prevention Curriculum© (CFPC)
The most comprehensive falls prevention education course in the
world
Develop...
Strategies and Action for Independent Living
(SAIL) Program
Designed to promote safety and independence of older adults li...
Strategies for translation and implementation
of falls prevention research evidence into
practice
National Council on Agin...
Visiting Lynn Beattie, Vice-President of the
National Council on Aging from Washington DC
18
The National Council on Aging and State
Falls Prevention Coalitions
In the USA Falls state preventions are guided by Natio...
The Prevention of Falls Network for
Dissemination (ProFouND)
(ProFouND) aim at the dissemination and the implementation of...
Mrs Smith’s model of integrated care
Who is Mrs Smith?
21
Integrated Health and Social Care Community
Team in Paington
22
Integrated Health and Social Care Community
Team in Paington
Patients are visited in their own homes
Patients at crisis ar...
Visiting Dr Angela Dickinson at The Centre for
Research in Primary and Community Care
Hertfordshire, UK
Older people’s per...
The ways to improve older people uptake of
falls prevention interventions
To introduce a major public falls prevention cam...
The ways to improve older people uptake of
falls prevention interventions
Services should be conveniently located with goo...
Thinking outside of the box
27
RECOMMENDATIONS
What is essential?
To understand what is an effective falls prevention intervention
To develop a national ...
29
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Nataliya Shkuratova - Epworth Rehabilitation - The Vincent Fairfax Family Foundation Churchill Fellowship-New Ways to Develop and Deliver Multidisciplinary Falls Prevention

The annual Hip Fracture Management, Falls Prevention, and Reducing Avoidable Pressure Injuries Conferences, has been streamlined into three consecutive one day programs addressing the theme of improving patient safety and preventing the risk of falls, fractures and pressure injuries. Visit the website at:http://bit.ly/1JmCFyB
Published on: Mar 3, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Nataliya Shkuratova - Epworth Rehabilitation - The Vincent Fairfax Family Foundation Churchill Fellowship-New Ways to Develop and Deliver Multidisciplinary Falls Prevention

  • 1. The Vincent Fairfax Family Foundation Churchill Fellowship to discover new ways to develop and deliver multidisciplinary falls prevention intervention that can effectively protect older Australians from falls after discharge from hospital 1
  • 2. THE PROGRAM Fullerton, CA, Center for Successful Aging Albany, NY, New York State Department of Health Boston, MA, Division of Violence and Injury Prevention, BMC Injury Center Washington DC, National Council on Aging Vancouver, Canada, Centre of Excellence on Mobility, Falls Prevention and Injury in Aging (CEMFIA) Nijmegen, Netherlands, Department of Rehabilitation, Sint Maartens Hospital London, UK, British Geriatrics Society Paington, UK, Community and Home based Falls Prevention Services Manchester, UK, Falls Network and Active Aging Group Hertfordshire, UK, Centre for Research in Primary and Community Care and Older People Health (CRIPACC) Bordeaux, France, Hospital Xavier Arnozan 2
  • 3. OUTLINE Exercise programs for Falls Management Translation and implementation of research evidence into practice Older people’s perceptions and uptake of falls prevention interventions Recommendations 3
  • 4. Visiting Dr Debra Rose and the Centre for Successful Aging (California) 4
  • 5. Visiting Dr Debra Rose and the Centre for Successful Aging (California) Low and high impact exercises Continuum of exercise programs: FallProof™ Balance and Mobility Fit 4 Life 5
  • 6. FallProof™ This program is for frail older adults Screening pre and post program implementation Center of gravity control training Multisensory training Postural strategy training Gait training Strength and flexibility training The program is delivered by Certified Balance and Mobility Specialist Instructors Individual and group classes run twice a week Each session run for 60 minutes The program is conducted for the period of 24 weeks There are 10-12 participants in a group 6
  • 7. Balance and Mobility Intermediate program for older people who graduated from FallProof™ Program This program aims at easing older people into a more fitness oriented exercise program It introduces older adults to resistance and cardiovascular equipment It introduces older adults to aerobic exercises This program includes group activities Classes run twice a week Each session run for 60 minutes There are 15 participants in each group 7
  • 8. Fit 4 Life This program is for older people who have graduated from both, the FallProof™ and ‘Balance and Mobility’ programs Health, fitness and mobility assessments are conducted before the program, following completion of the program and once every year This is a well-rounded gym-like program It combines aerobic, machine based resistance training, balance, mobility and flexibility training Each exercise emphasises agility and speed of movement Individualised and group classes run twice per week Each session runs for 90 minutes Program is conducted for the period of 10 weeks There are 25 people in each group 8
  • 9. Lifespan Wellness Centre 9
  • 10. Stay Well At Home Program (SWAH) The program is conducted by trained peer facilitators with each visit running for 90 minutes  falls risk screening and assessment;  an individually tailored progressive exercise program presented to participants by the expert instructor via DVD;  home assessment and modification;  in-person and over the telephone guidance focused on changing the recipient’s falls prevention knowledge, attitudes, and behaviours For the first month, peer facilitators visit participants twice a week For the second month, peer facilitators visit participants once a week and call them the following week For the third month, peer facilitators provide participants with two support phone calls a week For the fourth month, peer facilitators are on call and the participant can call them at any time 10
  • 11. Visiting Dr Vivian Weerdesteyn and the Sint Maartens Hospital in Nijmegen, Netherlands The Nijmegen Falls Prevention Program Martial Arts Techniques (MAT) to reduce falls severity 11
  • 12. The Nijmegen Falls Prevention Program This program was developed for the community dwelling adults, 65 years and older It is conducted for the period of five weeks, twice a week with each class running for 1.5 hours It consists of various functional task specific exercises: obstacle avoidance tasks, walking over stepping stones, uneven pavement and over various kinds of ground surfaces, performance of secondary tasks during walking, training on how to negotiate crowded environment The Nijmegen Falls Prevention Program decreased the number and rate of falls in older community dwelling participants by 46% 12
  • 13. Martial Arts Techniques (MAT) to reduce falls severity 13
  • 14. Visiting Dr Vicky Scott in Vancouver, Canada 14 Canadian Falls Prevention Curriculum© (CFPC) SAIL program
  • 15. Canadian Falls Prevention Curriculum© (CFPC) The most comprehensive falls prevention education course in the world Developed to improve knowledge of health professionals, community support workers, carers and policy makers in the area of falls prevention Can be completed through the workshops or through the e-learning course and is available in English and French It’s goal is to increase knowledge and understanding of various stakeholders working with older people on how to define a problem, assess the risk, examine best practices, implement the program and to conduct the evaluation of the program’s effectiveness 15
  • 16. Strategies and Action for Independent Living (SAIL) Program Designed to promote safety and independence of older adults living in the community and receiving home support services It is unique because it is conducted by community health care workers It empowers the community health care workers to expand their roles to falls risk assessment, education, advice on home modifications and help with exercises The major components of the SAIL program include a training curriculum for community health workers (CHW) and home health professionals (HHP) and an 83-item Falls Prevention Checklist and Action Plan (C&A) Recommended actions following the completion of the C&A plan include education, exercises, various environmental and home modifications and facilitation of referrals through liaison with nurses or allied health professionals SAIL interventions resulted in 44% reduction in the number and the rate of falls in frail older people. 16
  • 17. Strategies for translation and implementation of falls prevention research evidence into practice National Council on Aging and State Falls Prevention Coalitions Prevention of Falls Networks (ProFouND) Integrated health and social care services 17
  • 18. Visiting Lynn Beattie, Vice-President of the National Council on Aging from Washington DC 18
  • 19. The National Council on Aging and State Falls Prevention Coalitions In the USA Falls state preventions are guided by National Action Plan, Falls Free © initiative and through the State Coalition on Falls Prevention Workgroups. Fostering growth and development of community partnerships between aging and public health Promotion and implementation of ‘Preventing Falls in Older Patients’ Provider Resources Kit (STEADY ) for General Practitioners and other health care providers working with older people Celebration of Annual National Falls Prevention Awareness Day on September 22 to promote and to increase public awareness on how to prevent falls among older adults A survey, evaluation and implementation of the best evidence-based falls prevention programs A social marketing campaign and a series of educational sessions for older adults and their families, promoting state-wide awareness of falls risk factors. Working with city and state planners to implement environmental modifications to provide environmental safety for older adults 19
  • 20. The Prevention of Falls Network for Dissemination (ProFouND) (ProFouND) aim at the dissemination and the implementation of the best falls prevention evidence-based research and practice across Europe and making falls prevention an important government agenda ProFouND brings together 21 partners from 12 countries, with associate members from 10 more countries ProFouND includes eight work-packages (WP). It’s main work-packages are WP1,WP2,WP7 and WP8 WP1 coordinates and monitors network activity WP2 produces the FPApp and maintains the ProFouND website WP7 works with E-NOFALLS to promote the development of innovative falls prevention products, solutions and interventions though an Europe-wide forum WP8 supports and helps network partners to implement innovative fall prevention strategies across Europe. 20
  • 21. Mrs Smith’s model of integrated care Who is Mrs Smith? 21
  • 22. Integrated Health and Social Care Community Team in Paington 22
  • 23. Integrated Health and Social Care Community Team in Paington Patients are visited in their own homes Patients at crisis are visited on a daily basis The team operates from 8 am till 6 pm The team respond to referrals within 2.5 hours and/or as soon as the referrals arrive Usually patients are attended by two members of the team If a patient deemed to be unsafe at home, the patient is referred to the intermediate care placements where they continue to receive daily interventions Patients in crisis can receive intermediate care placement for 10-14 days only, followed by the discharge back home under the care of the integrated team On average the team provides a 30 minute visit every day for six weeks 23
  • 24. Visiting Dr Angela Dickinson at The Centre for Research in Primary and Community Care Hertfordshire, UK Older people’s perceptions and uptake of falls prevention interventions The views of older people on ageing and falls are quite diverse and complex but can be combined into four distinct categories. In the first category people try to resist age and to be in control of life through positive attitude to exercises and through actively seeking treatment and interventions. In the second category people believe that falls are a combination of age and medical pathology. In the third category people have a fatalistic approach to ageing and think that nothing can be done to prevent falls. Those people will try to avoid interventions and will only seek help for injuries following a fall. In the fourth category people resist ageing in general. These people avoid interventions that are perceived to be associated with being seen as old and dependent. 24
  • 25. The ways to improve older people uptake of falls prevention interventions To introduce a major public falls prevention campaign similar to campaigns focusing on stroke, diabetes and heart disease is required To enhance positive approach: older people need to perceive falls as preventable To develop appropriate and targeted interventions To provide older people with the information about falls prevention services in their area To improve the input of GP’s and other health professionals in the falls prevention campaign To run falls prevention programs during the day 25
  • 26. The ways to improve older people uptake of falls prevention interventions Services should be conveniently located with good accessibility for those using public transport Falls prevention interventions should be culturally sensitive and appropriate with consideration given to specific issues of various ethnic groups Cost of interventions needs to be considered. Free sample lessons were thought to be a good way to improve the uptake of exercise programs Feeling the benefits from interventions and having noticeable improvements in strength, balance and mobility is important in the improvement of participation of older people in these interventions Adherence of older people to falls prevention interventions is improved when exercising in a group with people of a similar age and when interventions include food and social interactions 26
  • 27. Thinking outside of the box 27
  • 28. RECOMMENDATIONS What is essential? To understand what is an effective falls prevention intervention To develop a national falls prevention coalitions or networks such as those operated in the USA and in Europe To develop a national falls prevention curriculum of the same merit as the one created in Canada To involve community health care workers in the delivery of falls prevention interventions To develop integrated model of care for older adults 28
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