Transcript STEP SAFELY PROJECT

HACC workers falls prevention training
presentation
Working together to prevent falls
Developed by: Banyule Community Health (adapted and modified from the Boroondara (now Inner East) Primary Care Partnership Step Safely Program)
Format: Manual, PowerPoint presentation and evaluation forms
Availability: Download manual <PDF version> <Word version>
Download PowerPoint presentation <PDF version> <PowerPoint version>
Download pre and post evaluation forms <PDF version> <Word version>
This HACC workers falls prevention training manual provides an overview of a one hour training session aimed at local government home and community
care staff. The aim of the session is to inform participants of the consequences of falls, demonstrate that falls are preventable, increase the knowledge
and ability of staff to identify falls risk factors, and to involve HACC service providers in promoting falls prevention among seniors. The training manual
includes an outline for each topic covered in the training session (activity, goals, resources and timing), additional references for facilitators and is
accompanied by a PowerPoint presentation that includes 5 case studies, and pre and post evaluation questionnaires.
The resource requires organisations to include local falls prevention service information and falls data, and provide falls prevention handouts available
from the organisation for distribution to participants. If your organisation does not currently have any suitable handouts go to ‘seniors resources’ on this
website: (Downloadable)
In 2009 the Department of Health funded Northern Health, in conjunction with National Ageing Research Institute, to review falls prevention resources for the Department of
Health’s website. The materials used as the basis of this generic resource were developed by Banyule Community Health (adapted and modified from the Boroondara (now
Inner East) Primary Care Partnership Step Safely Program) under a Service Agreement with the Department of Human Services, now the Department of Health. Other
resources to maintain health and wellbeing of older people are available from www.health.vic.gov.au/agedcare.
<organisation name>
Falls Prevention Project
FALLS PREVENTION TRAINING
FOR HACC WORKERS
Insert
Organisation logo
OVERVIEW OF THE
TRAINING
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Introduction
Falls prevention project
Falls and older people
Prevention of falls
Case studies
Summary
Evaluation
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OBJECTIVES OF THE
TRAINING
• To outline the consequences of falls
• To demonstrate that falls are preventable
• To increase your knowledge & ability to
identify falls risk factors
• To provide you with information about local
services
• To involve health and community care
providers in the promotion of falls prevention
among older people
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AIM OF THE FALLS
PREVENTION PROJECT
• To reduce falls and injuries caused by falls
amongst older people living in their own
homes
• Our primary target group is people over the
age of 65 and who are living at home
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OBJECTIVES OF THE
PROJECT
• Improve public and professional
understanding of falls risks in older people
• Improve community safety
• Develop interventions to target special at risk
group
• Improve referral pathways
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OBJECTIVES OF THE
PROJECT continued
• Involve the community in developing
appropriate strategies to reduce falls
• Increase the general target group’s
participation in physical activity that enhances
strength, balance and social participation
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PHILOSOPHY
• If older people are given the necessary
information and support they will take
control of health and environmental
issues that influence their lives.
• Falls and decreased mobility are not an
inevitable part of growing older, but can
be prevented or minimized through 8
simple steps.
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WHAT IS A FALL?
A fall may be described as:
“…an event that results in a person coming to
rest inadvertently on the ground or other lower
level and other than a consequence of the
following:
-
Loss of consciousness
Sustaining a violent blow
Sudden onset of paralysis
Epileptic seizure.”
(Kellogg, 1987)
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LOCATION OF FALLS
9%
7%
4%
WC
Laundry
Kitchen
Meals
Pantry
Dining
Living
Bathroom
50%
Living
Entry
Bedroom
Source:
Victorian Injury Surveillance System
Garage
5%
25%
WHERE DO FALLS
OCCUR?
• 65% of falls occur at home
• 50% in living areas and the bedroom
• Less than 10 % in bathrooms, toilets or
kitchens
• 25% in public places; mainly on footpaths, in
shopping centres and on stairs.
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FREQUENCY OF FALLS
• > 65 years: 1 in 3 fall at least 1 x year
• > 80 years: 1 in 2 fall at least 1 x year
• 1 in 4 people require residential age
care after a fall
• 1 in 5 people will break a bone due to a
fall, or have a serious injury
• Of all injuries for > 80 years: 75% linked
to falls
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LOCAL DATA
Insert local data for your area Hospital admissions due to falls - this could
be displayed as a graph, table, chart
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LOCAL DATA
Insert local data for your area -
Emergency presentations due to falls - this
could be displayed as a graph, table, chart
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COST OF FALLS
• In Australia:
– 1114 deaths (1998)
– over 45,000 injuries (1998)
– $498 million in annual health care costs (2001)
• In Victoria
– $323 million in direct annual health care costs in
2002/3 (VAED 2002/3)
– 21,390 public and private hospital admissions in
2002/3 (VAED 2002/3)and
– 7,808 ED presentations to public hospitals (2001)
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CONSEQUENCES OF
FALLS
• Major cause of injury-related hospitalization
for people 65+
• 10% - 20% result in fractures or other injury
• Hip fracture most common serious injury
• 50% restrict activities after fall
- fear of falling
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A fall is a symptom:
what is the problem?
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Risk Factors
• Intrinsic (personal)
– Gender: Female
– Chronic medical conditions e.g. Stroke and
Parkinson’s disease
– On multiple medications and specific medications
e.g. psychotropic medication
– Decreased bone density
– Low levels of physical activity
– Balance or walking problems (past history of falls)
– Impaired cognition
– Sensory loss / Impaired vision
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Risk Factors
• Extrinsic (environmental)
– Home hazards
– Public places hazards
• Behavioural
– Risk taking activities
– Inappropriate foot wear
All these factors may interact to
increase the risk of falling
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PREVENT FALLS
Falls may seem to be common…
But many falls can be prevented!
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8 SIMPLE STEPS TO
PREVENT FALLS
Steps
Related risk factor
1. General health
1. Poor general health
2. Medication
2. Medication that influences
balance
3. Eyesight and
vision
3. Changes in eyesight and vision
4. Exercise and
fitness
4. Lack of exercise and poor
fitness
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8 SIMPLE STEPS TO
PREVENT FALLS
Steps
Related risk factor
5. Healthy diet
5. Unhealthy diet
6. Feet and Footwear
6. Painful feet and unsafe
footwear
7. Home safety
7. Hazards in the home
8. Public safety
8. Hazards in public places
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YOUR RESPONSIBILITY
• As a professional carer:
– hazard identification
– risk assessment
– risk control
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SIGNS THAT SOMEONE
IS AT RISK OF FALLS
Person:
• Has loose shoes
• Has loose clothing
• Lacks energy
• Looks tired
• ‘Furniture walks’
• Is dizzy, drowsy and unsteady
• Is confused and anxious
• Is short of breath
• Has had a recent fall or near fall
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CASE STUDY 1
• Mary is a 75-year-old woman living alone. She
has home care fortnightly. She wears bifocals
and has osteoarthritis (which mainly affects her
spine), and uses a walking stick outside. Mary
has had several falls in her garden and in the
street over the past six months. She has told
you she is having trouble negotiating the steps
from the veranda to the garden.
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CASE STUDY 2
• John is a 75-year-old and has
Parkinson’s disease. He lives in a first
floor flat with his wife Betty. You attend
for Home Care only. John is currently
using the bath and has had several falls
when getting in and out of the bath. He
rarely leaves the flat and spends most of
the day in his dressing gown and
slippers.
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CASE STUDY 3
• Emily is a 72-year-old woman. She uses the
community bus for shopping and is generally
well. However she suffers from insomnia, for
which she takes medication and you notice
she can be drowsy in the mornings. She had
two falls getting on the bus over the last
several months. Emily is of light build and
wears layers of clothing to keep warm.
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CASE STUDY 4
• Another client you see is an 80-year-old
woman who has osteoporosis and is in
bed with the flu. She expresses a wish
for a cup of tea. On the way to the
kitchen you nearly trip over something
on the floor in the corridor. On
attempting to put on the light to see what
the obstacle is, you realise that the light
bulb has blown.
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CASE STUDY 5
• Your client, Mrs S, is a 97-year-old
widow who lives on her own. She has
very little family support and she suffers
from incontinence. You attend fortnightly
for Home Care and she has Meals on
Wheels delivered daily. She has told you
she is getting up to go to the toilet 2-3
times per night. You noticed that her
toilet is at the end of the house.
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ATTITUDES AND MYTHS
Common attitudes and myths about falls that
you may encounter:
• “ This isn’t relevant to me!”
• “ Changing things around the home can be
expensive and difficult”
• “ I just need to slow down”
• “ I’ve had that cord running across the
lounge room floor for a long time”
• “ I am not that old and frail yet”
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PROMOTIONAL
MATERIALS
Insert list of Falls Prevention
materials/handouts here
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