Education in the Park - Using Education Technology as a Proactive Approach to Healthy Ageing a presentation by Anne Spencer and Daragh Rodger

1. Education in the Park
Using Education
Technology as a
Proactive Approach to
Healthy Ageing
Daragh Rodger
Advanced Nurse Practitioner,
St Mary’s Hospital, Dublin
Anne Spencer
Educational Technologist
PETAL

2. Report of the National Steering Group on
the Prevention of Falls in Older People and
the Prevention and Management of
Osteoporosis throughout Life (2008)
•Falls are the main reason for attendance at
A&E departments – 30,000 each year
•7250 older adults admitted to hospital
each year with falls related injuries
• 75% of all injuries are as a result of a fall
•Falls and falls related injuries cost in excess
of €404 million per annum - by 2030 the
cost will be €1587 - €2043 million.
• 1:3 over 65 years and 1:2 over 80 years fall
each year
• Fractures are the most common injury.
Hip fracture is the most serious bone injury.
Fractures as a result of osteoporosis
• Osteoporosis is on the increase with our
ageing population. Osteoporosis is treatable
and preventable

3. The Irish LongitunDinal study on Ageing
• 30% of over 75 year olds fell last year
• 1 in 5 reported a fall
• 1 in 10 reported an injurious fall
• Prevalence increases with age
• Significant impact on services and economy
www.tilda.ie

4. Impact of
falls
Physical
• Bruises
• Head injury
• Fractures
Psychological
•Loss of confidence
•Depression
•Increased
dependency
•Fear of falling
Functional
•Immobility
•Deconditioning
•Decreased righting
reflex
Social
•Social withdraw
•Institutionalisation

5. Impact on Older Adult
• Where we work - Care
of the Older Adult – all
settings
• Impact of these figures
on our client group
– Loss of independence
– Suffering
– Severe disability
– Depression
– Need for home support

6. IOF: Incidence of Hip Fractures
http://www.iofbonehealth.org/facts-and-statistics/hip-fracture-incidence-map

7. Hip Fractures in Context

8. Proactive Approach To Falls Prevention And
Management
Education
• Bone health – lifelong process need to educate all ages
• Increase falls awareness – potential for falls
• Falls prevention and reduction across all care settings
• Goal is to reach as many as we can in the most cost effective way

9. Healthy Ageing Clinic - Bone Density Results
0
100
200
300
400
500
600
700
2010
Osteoporosis 561
Osteopenia 465
Normal 621

10. Bone Health in the Park
www.bonehealth.co

11. Bone Health Education
For All Ages
•Children
•Teenagers
•Young Adults
•People with Physical
Disability
•People with an Intellectual
Disability
•Adults
•Older Adults living in
residential care
www.bonehealth.co

12. Bone Health

13. Review Of Falls Data 2011
• 564 falls
• 75% of falls occur at the bedside
• 98% of falls are un witnessed
• 59% of falls occur between 8am
and 4pm
• 82% of falls result in no physical
injury
• 82% of persons who fall are over
80 yrs
• 24% of falls are recurrent ( 3 or
more per person)

15. FOREVER AUTUMN
Implementation of a falls awareness
programme for all staff – clinical and
non clinical, illustrating the potential for
falls amongst the older adults in our
care.
Elements included:
• Revision of St Mary’s Falls Prevention
and Management Policy
• New Falls Risk Assessment Tool
• New Falls Risk Symbols
• New Falls Reduction Measures

16. Forever Autumn Falls Risk Symbols

17. Review of Falls Data from January - June
2013
New Data Measurement
Interventions to prevent potential falls
Evidence to staff of benefits of Forever
Autumn Programme in action
*Compared to falls data pre Forever Autumn in 2011
Phoenix Park Community
Nursing Unit
33% Reduction*
St Mary’s Hospital 15% Reduction*

18. • Forever Autumn has generated a lot of interest from
multidisciplinary team members from hospitals and
residential units locally and nationally
• Forever Autumn has been implemented by other care
facilities
• Forever Autumn is an example of a successful
collaborative approach to innovative practice
development
• Over 15,500 visits to the web site in 12 months

19. Development of an online COP to offer
support, guidance and continued education in
falls prevention and management across the
care spectrum for older adults:-
• Acute Hospital Care
• Community Care
• Intellectual Disabilities Care
• Palliative Care
• Residential Care
We are seeking a proactive collaborative
approach to falls prevention by providing a
platform for continuing engagement
Forever Autumn
Community of Practice
www.foreverautumn.co

20. www.happybones.ie

21. Happy Bones
Paula’s Story (& Una!) Chrissie’s Story –
Best Foot Forward
www.happybones.ie

22. St Mary’s Community Falls Service
The Falls Service at St Mary’s Hospital is a
consultant Geriatrician led multidisciplinary
service offering the following:
– Clinical assessment by Nursing and Medical staff
– Investigations
– Physiotherapy assessment
– Occupational therapy assessment
– Social worker services
– Education & support

23. Ageing Population
Facts, Figures & Related Health Concerns

24. Future Development
– Giants of Geriatric Medicine
Immobility Instability
Incontinence
Intellectual
Impairment
Iatrogenic

25. Other Developments from St Mary’s Campus

26. Animoto – Online Video Creation
Box Cloud File Storage Software
QR Codes & Augmented Reality
SlideshareArticulate
E Authoring
iBooks
• Pragmatic Approach to Design & Delivery
Using Differing Online Educational Tools
• Accessibility & Equitability are key
• Open Access – staff, families, carers and the
public
• Available on Mobile Devices / Differing
Platforms
• Bite Size Nuggets of Learning
• Limited budget
Design & Delivery
Wix –
Web Pages

27. Visitor Map
Bone Health
Forever Autumn
COP
Happy Bones
Last 6 months

28. Forever Autumn COP 1,911 visits
Happy Bones 1,680 visits
Bone Health in the Park 6,800 visits
Web Site Statistics in 2015-2016
Combined video views 1,750
SlideShare views over 4,000

29. www.bonehealth.co
www.happybones.ie
www.foreverautumn.co
www.ishca.net
Web Sites
www.nursinginthepark.com

30. daragh.rodger@hse.ie
aspencer@petal.ie