LIFE ElderCare’s                  Fall Prevention                  ProgramMaureen Parent,               California Wellnes...
Fall risk to senior health             35% of people 65+ fall each year             Every 18 seconds someone 60+ is take...
Falls can be prevented             Over 44 million baby boomers live at home with                  an elderly or sick par...
Goal: Reduce falls, improve quality of life             Evidence-based program for frail, homebound seniors:             ...
Exercise is key             Exercise has a positive impact far beyond the                  physical, especially for the e...
Benefit of a Certified Fitness Trainer                               Assesses balance, gait, posture and                 ...
Unitek College, Department of Nursing                 Unitek College partners since                      program inceptio...
 1,589 nursing students trained in Fall                                  Prevention, home health and geriatric           ...
Intake Evaluation                                  Medical history                                  Medications         ...
High Quality Follow-Up            One hour, weekly exercise appointments include:                   Significant medical e...
Educating Nurses about                                Falls            Education on the prevention of falls and fall injur...
Education on Healthy Living                   How to get up from a fall                   Dehydration                  ...
Home Modification                    Unitek LVN students complete simple forms to                         assess client’s...
Medication Management                   Touro University, School of Pharmacy                   Unitek LVN students searc...
Continuum of Care            Unitek Registered Nursing students               Integral aspect of never ending care: Sustai...
Fall Prevention Works                              Stanford University, Business School Alumni                            ...
Program Results                                                   Post Program: Noticeable or Vast Improvements           ...
Dissemination                Centers for Medicare & Medicaid Services –                     Quality Improvement organizat...
Partnerships are               THE key to our success             The success of the program is dependent on our         ...
Mary Anderson             The woman who brought the Fall Prevention concept to                  LIFE ElderCare           ...
 Maureen Parent                                 510-673-7594                                 mparent@lifeelderc.hostpil...
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LIFE ElderCare Fall Prevention

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LIFE ElderCare's Fall Prevention Program

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LIFE ElderCare Fall Prevention

  1. 1. LIFE ElderCare’s Fall Prevention ProgramMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  2. 2. Fall risk to senior health  35% of people 65+ fall each year  Every 18 seconds someone 60+ is taken to the ER for a fall [16% of all ER visits]  #1 reason for entry into long-term care facilities  Leading cause of injury death in older adults – every 35 minutes  Over 1.3 million older Californians fall each year… many sustain hip fractures, head injury or deathMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  3. 3. Falls can be prevented  Over 44 million baby boomers live at home with an elderly or sick parent  Another 25 million at-risk elderly live alone and are unprotected from devastating falls  Research shows that an individualized, multi- factorial fall prevention program is the best approach to fall risk reductionMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  4. 4. Goal: Reduce falls, improve quality of life  Evidence-based program for frail, homebound seniors:  We work with the 60% at greatest risk for a fall and the people who are most costly for the community to care for.  Those who are often precluded from participating in other programs due to co-morbidities or serious medical conditions.  Average age is 88, the oldest client was 100. Holistic, individualized program, addressing each of the clients needs in:  Balance & Gait  Environment  MedicationsMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  5. 5. Exercise is key  Exercise has a positive impact far beyond the physical, especially for the elderly:  Delay of dementia and Alzheimers  Improved brain function, far more than Sudoku  Improved longevity  Parkinsons: 14 additional months of independent living Sometimes just holding the line is true success for a client based on their numerous conditions, declining health and advancing age.Maureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  6. 6. Benefit of a Certified Fitness Trainer  Assesses balance, gait, posture and muscle strength  Identified risk factors form the basis of an individualized exercise program  The routine is sent to the participant’s primary care physician for approvalMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  7. 7. Unitek College, Department of Nursing  Unitek College partners since program inception in 2005  Seven years of uninterrupted service  Licensed Vocational nursing program  LVN to RN programMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  8. 8.  1,589 nursing students trained in Fall Prevention, home health and geriatric care Students gain valuable experience in geriatric care and we are able to offer high quality care, free of charge, to the seniors.  2,092 seniors served  36,044 hours of service  Average cost of unending care per senior: $500Maureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  9. 9. Intake Evaluation  Medical history  Medications  Activities of Daily Living [ADL’s/IADL’s]  Subjective survey of clients perceived strength, agility, confidence to stop a fall  History of falls  MMSE – Folstein Mini-Mental  Geriatric Mood ScoreMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  10. 10. High Quality Follow-Up One hour, weekly exercise appointments include:  Significant medical event(s) since the previous visit  Edema or unusual physical changes such as fatigue or confusion  Fall(s): cause and severity  Compliance with medical condition self-care such as diabetes and high blood pressure  Blood pressure pre/post workouts  Frequency of workouts  Establishment and adherence to personal healthy living goalsMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  11. 11. Educating Nurses about Falls Education on the prevention of falls and fall injuries should be included in nursing curricula and on-going education with specific attention to:  Promoting safe mobility  Risk assessment  Multidisciplinary strategies  Risk management including post-fall follow-up” Registered Nurses Association of Ontario, 2005Maureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  12. 12. Education on Healthy Living  How to get up from a fall  Dehydration  Vitamin D  Educate about community resources  Establish and motive to achieve compelling goals  Ensure client safety through training, motivation and physical strengthening  Provides companionship, comfort and reassuranceMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  13. 13. Home Modification  Unitek LVN students complete simple forms to assess client’s home for possible fall safety hazards  LIFE ElderCare provides minor modificationsMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  14. 14. Medication Management  Touro University, School of Pharmacy  Unitek LVN students search database for interactions of client’s drugs  In-home teaching of pharmacist’s medication review  Complete medication list provided to client, to take to doctor and pharmacy visits  List of client medications shared with PCPMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  15. 15. Continuum of Care Unitek Registered Nursing students Integral aspect of never ending care: Sustainability  Complete physical, psycho-social and environmental work-up  Review key issues and concerns  Devise a care plan  Help client to set motivating goals  Supervise exercise workouts  Educate on pharmacist provided medication review  Educate on conditions and community resourcesMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  16. 16. Fall Prevention Works Stanford University, Business School Alumni Risk of Falling (Berg & Tinetti Assessment of Balance/Gait Test) 58% 41% 32% Pre-Program 29% 27% Post-Program 13% High Risk Moderate Risk Low RiskMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  17. 17. Program Results Post Program: Noticeable or Vast Improvements % Balance d, 72 Strength Flexibility , 65% Moo 3% % Energy 63 gy, 6 ngth Stamina 58% fall, Mobility 55% % Ener Stre 5% nt a y, 55 Mood ility, e, 5 ina, Ability to prevent a fall e Mob ibilit prev anc Stam Bal Flex ty toMaureen Parent, California Wellness Foundation Abili LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  18. 18. Dissemination  Centers for Medicare & Medicaid Services – Quality Improvement organizations in PA & CA  Home Health Quality Improvement: “Best Practices in Fall Prevention”  Alameda County, Afghan Coalition Health Promoters adopted this program  California: Contra Costa County MOW group – adopted this program. Launch June 2012Maureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  19. 19. Partnerships are THE key to our success  The success of the program is dependent on our partners… each contributing their strengths, knowledge and expertise to benefit frail, at-risk seniors  Without our partners we would be unable to deliver this highly effective, much-loved program  One final partner. . .Maureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  20. 20. Mary Anderson  The woman who brought the Fall Prevention concept to LIFE ElderCare  Hired me, became my E.D. and my friend “You don’t give back to the same people who give to you. Not at all. You give to different people and they in turn will give to someone entirely different. Not you. That’s the sloppy economy of gift and love.” Lorrie Moore Who Will Run the Frog Hospital?Maureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org
  21. 21.  Maureen Parent  510-673-7594  mparent@lifeelderc.hostpilot.com  LIFE ElderCare website  www.lifeeldercare.orgMaureen Parent, California Wellness Foundation LIFE ElderCare, Inc.Fall Prevention Coordinator April 18, 2011 www.lifeeldercare.org

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