Objectives: 1.Introduction to the current shift to aging at home and safety considerations for this setting 2.To describe why we need better tools to help older adults have more control in their lives 3.To discuss the root causes of falls and inactivity and how to address each of them: •Need for better assistive devices including footwear •Stairs and handrails •Getting around the home and using the bathroom •Sidewalks •Peripheral neuropathy •Other balance problems

1. Preventing falls while encouraging mobility for older adults: Research at Toronto Rehab November 21, 2014
Speakers:
Karen Ray, Saint Elizabeth Health Care
Tilak Dutta, Toronto Rehab Institute – UHN
Facilitators:
Susan McNeill, Registered Nurses’ Association of Ontario
Maryanne D’Arpino, Canadian Patient Safety Institute
Hélène Riverin, French Language Support, Canadian Patient Safety Institute

3. Yes
No

6. Objective
To give older adults and their caregivers the tools they need to independently live in their own homes.

7. Objective
To give older adults and their caregivers the tools they need to independently live in their own homes. We do this by developing new:
•
Products
•
Policies
•
Therapies

8. •
A community-based, not-for-profit, health care organization
•
Nursing, personal and home support and rehabilitation services
•
Over 7000 nurses, rehab therapists, personal support workers and crisis intervention staff
•
Full range of services from maternal-newborn to end of life
•
Service Delivery Centres (SDCs) across Ontario with over 6 million visits annually
Saint Elizabeth

9. Saint Elizabeth Expertise
•
A focus on ageing in place; we can keep people at home vs institutionalized through support and resources
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Over hundred years of experience working in the community and community resources
•
Access to the voice of the client, their families and professional providers
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Many of the issues that make living at home difficult; design of stairs and bathrooms; getting out of the bed or tub

10. •
Preventing falls/encourage mobility
•
Preventing injuries in caregivers
•
Preventing spread of infection
3 focus areas for the TRI Tech Team:

11. •
Preventing falls/encourage mobility
•
Preventing injuries in caregivers
•
Preventing spread of infection
3 focus areas for the TRI Tech Team:

12. Fall Injuries in Canada, 65+ 2010/2011
•
78,330 fall-related hospitalizations
•
85% of all injury- related hospitalizations for older adults
•
50% of fall-related hospitalization occurs in the home
•
34% of all fall-related hospitalizations are hip #
•
Length of hospital stay is 10 days longer for people who have sustained falls

14. Prevent falls but encourage mobility
•
Footwear
•
Poor balance control
•
Intersections

15. Prevent falls but encourage mobility
o
Outdoors
•
Footwear
•
Poor balance control
•
Intersections
o
At home
•
Stairs
•
Bathrooms

16. Prevent falls but encourage mobility
o
Outdoors
•
Footwear
•
Poor balance control
•
Intersections
o
At home
•
Stairs
•
Bathrooms

20. WinterLab

24. WinterLab

27. Prevent falls but encourage mobility
o
Outdoors
•
Footwear
•
Poor balance control
•
Intersections
o
At home
•
Stairs
•
Bathrooms

29. www.balancepro.ca

31. Prevent falls but encourage mobility
o
Outdoors
•
Footwear
•
Poor balance control
•
Intersections
o
At home
•
Stairs
•
Bathrooms

34. Prevent falls but encourage mobility
o
Outdoors
•
Footwear
•
Poor balance control
•
Intersections
o
At home
•
Stairs
•
Bathrooms

35. HomeLab

36. Mobility Kit

37. How to you convince someone they need a device?

38. Prevent falls but encourage mobility
o
Outdoors
•
Footwear
•
Poor balance control
•
Intersections
o
At home
•
Stairs
•
Bathrooms

39. Relative risk of run length
9.0
8.0
10.0
Run length in inches
8.5
9.5

42. Relative risk of run length
9.0
8.0
10.0
Run length in inches
8.5
9.5

43. StairLab
WinterLab
StreetLab

45. Prevent falls but encourage mobility
o
Outdoors
•
Footwear
•
Poor balance control
•
Intersections
o
At home
•
Stairs
•
Bathrooms

48. •
Grab bars
•
Repositioning the toilet
•
Slip resistance of the tub

51. Toilocator

52. Toilevator

54. Toilocator

56. TriTechTeam.org
karenray@saintelizabeth.com tilak.dutta@uhn.ca