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2016: Fall Prevention Loteria-Soto
1.
2. Welcome to our Presentation!
Who We Are
We are St. Paul’s Senior Services
Located in San Diego, CA
Serving the physical, spiritual, and social needs of the elderly
since 1960.
Provide affordable, innovative and comprehensive programs
in a non denominational environment
Promote optimal independence at all stages of life
Our communities include Independent living, Assisted living,
an inter-generational day care program, and PACE
3. Today’s Objectives
Become familiar with the game Loteria
Share our process of adapting Loteria to teach fall
prevention
4. What is Loteria?
Traditional Mexican game
Similar to American BINGO
Differences:
More visually and intellectually engaging
Playing boards use pictures instead of numbers
Images reflect characters, elements of nature, religious
objects/concepts, and animals significant to Mexican
culture
(Villegas 2015)
17. Participant Feedback
Received positive feedback
Fun
Would play again
Information presented was helpful
Increased awareness of unsafe practices
Playing Loteria provided an opportunity to reminisce
20. Our Observations
Facilitated group discussion
Promoted exchange of ideas
Sharing of personal experiences
Competitive spirit
Win the game
Who was the safest?
21.
22. Resources
Driscoll, D.M. (2003). Diabetes Education Outreach to
Latino Families (Rep.).
History of La Loteria. (2015). Retrieved from
http://www.teresavillegas.com/history-of-la-loteria/
Shears, L.M., 7 Bower, E.M. (1974). Games in education
and development. Springfield, IL: C.C. Thomas.
Sheridan-Leos, N. (1995) Women’s Health Loteria: A new
cervical cancer education tool for Hispanic
females[Abstract]. Nursing Oncology Forum, 22.
23. Contact Information
Monica Ayoub- Monica.ayoub@genesishcc.com
Occupational Therapist
Rubi Weaver- Rweaver@stpaulspace.org
Recreation Coordinator
Katrina Soto- Ksoto@stpaulspace.org
Day Center Supervisor
Editor's Notes
Each player chooses a board with a randomly shuffled arrangement of pictures
The caller controls the deck of cards. Each card corresponds to a picture on the larger game board. The caller retrieves a card, reads the name on the card.
Player with corresponding picture on game board covers that picture with a marker
The first person to complete a row, column or full board shouts “Loteria!” and wins the game.
The benefits of using games to facilitate the learning process was discussed in “Games in Education and Development” by Shears and Bower
For example, games engage people in the learning experience and also increases socialization and peer interactions.
In 1995, Women’s Health Loteria: To increase cervical cancer awareness. 87% of participants achieved learning objective-importance of PAP testing
In 2003, Diabetes Loteria: Method of providing education to diabetics in a Hispanic community in Oregon
Outcome:
37 of 39 participants were able to identify at least 1 new piece of information learned
20 participants were able to identify 4+
35/39 participants were able to identify at least 1 thing they can do
17/39 were able to identity 4+
In 2015, Our QAPI fall prevention strategy was to focus on level II falls and consider which falls the team could have prevented.
Team determined that there were some falls that were just going to happen given medical conditions, some were due to the need for increased supervision and Team determined of a different placement was required or if a ppt’s caregiver or facility staff needed more education themselves to maintain safety and independence.
In 2016, the previous year’s QAPI efforts led the group to focus on increasing educational efforts for our higher functioning ppts ( for example, ppts who had falls due to “poor judgement” as opposed to the other fall categories )
This year’s efforts include monthly in-services at PACE, caregiver and facility staff education and culturally appropriate activites like Loteria to make trainings more interactive, personal, and fun. Currently Fall Prevention Loteria is on the activities calendar twice a month.
This is a preliminary look at the outcome of our education efforts to include our Loteria trials:
2015 Q4: 28%
2016 Q1: 26%
2016 Q2: 21%
2016 Q3: 17%
Though it is hard to truly determine the actual correlation between Loteria’s impact on decreasing falls due to poor judgment, it should help to note that since QAPI has taken a closer look at preventable cases and increased educational efforts, it has led to a decrease in the number of falls due to poor judgment since Q4 of 2015.
As of September 2016, the participant population at Akaloa is 60% Hispanic
Education data: 8.9% of Akaloa participants have no formal education, 45.77% grade school education, 21.89% high school education, 15.9% some college, 4.48% college graduate
Literacy: 62.21% full literacy, 16.13% limited literacy, 5.53% illiterate
PT//OT and worked together to selected 54 topics related to safety and fall prevention
Some examples of topics: Nutrition, Medication, Hearing/Vision, footwear, various assistive devices, adaptive equipment, durable medical equipment, exercise, home environment ie clutter, furniture, lighting etc
Once the topics were determined, PT/OT gathered the education points for each topic
Activities department selected image to represent each topic
Translation from English to Spanish- activities department and even some of our participants provided input
Cognitive Level-Normal cognition to Mild cognitive impairment- ability for new learning, ability to retain
Quantity of Information- We have had to reduce the amount of education presented to 1-2 tips max
Meaningful vocabulary- Received input from participants during early trials of play regarding appropriate vocabulary
Size of Pictures- Vision
After each game played, our participants were able to name at least 1 new fall prevention strategy that they had learned.
