SlideShare a Scribd company logo
Implementation of a
Falls Prevention
Programme in Older
Adult Residential Care
Melissa Currid,
Director of Nursing and
A/Falls Prevention Coordinator
Older Peoples Service, Donegal PCCC.
Older Peoples Service
Donegal
“ Up here we’re different”
Statistics
 Donegal has 21,471 Older people
census (2011) – 13.3% of the population
compared with 11.7% nationally.
 Higher proportions of the oldest old – 5.8%,
nationally = 5%
 Difficulty accessing services / large rural
areas.
 Poor infrastructure, roads, transport.
 11 Community Hospitals
 162 long stay beds
 226 Short stay beds
 10 Day Hospitals
 24 Day Centres
 10 Directors of Nursing
 508.9 WTE staff of all grades.
 Each CH recording slips, trips and
falls on monthly basis.
 Each CH doing something different.
 Need Identified by DONS for a
structured falls prevention programme
 2013 M C nominated by SMOPs as
OPS representative on Donegal
PCCC falls committee.
 While focus at meetings was primary
care, need for residential/ inpatient
programme was identified due to large
number of Community Hospitals in the
county.
 Added as Service Plan priority for
OPS, 2015
 M C made contact with ANP Daragh
Rodger in St Mary’s early October
2014.
 Went to St Mary’s, spent a day
gathering information and observing
Forever Autumn in practice.
 Brought back to Donegal and
presented findings to SMOPS and
DONS
 Permission given by ANP Daragh
Rodgers to use Forever Autumn
programme.
 Approval granted by SMOPS Donegal
to proceed and purchase alert symbols,
colour coded grips etc.
Why Forever Autumn?
 Evidence from St Mary’s that it works!
 Simple concept - alert symbols, dignified
and non labelling, colour coded leaves,
grips
 Documentation user friendly and effective,
comfort checks, post fall review.
 Permission to use educational video
 Cost effective!
Progress to date in Donegal
 Falls link/champion training took place in
Nov 2014, 2 staff from each unit were
trained.
 Forever Autumn symbols, grips etc sourced.
 Education sessions commenced in January
2015 in each unit aimed at all grades of
staff using the St Mary’s video.
 All of the 11 Community Hospitals using the
Forever Autumn leaf symbols and amended
Falls Risk Assessment Tool (FRASE)
Falls Prevention Link Staff training
Nov 2014, CNME, Letterkenny, Co
Donegal.
 A Falls Prevention Policy was developed for
OPS, Donegal incorporating Forever
Autumn and has now been implemented in
each Community Hospital
 The role of each grade of staff is clearly
defined in the policy.
 New documentation was introduced
- Amended FRASE.
- Comfort check.
- Post Fall review.
 Falls pathway /algorithm poster for all units
 Meetings are being held with all Falls Link
staff at the end of each quarter to gain
feedback and monitor progress.
 Aim for all staff to be educated and
Forever Autumn to be fully implemented in
all 11 Community Hospitals by 31st
December 2015.
 Aim for 30% reduction in falls across all
Community Hospitals by 31st
December
2015
Challenges
 Introduction of additional
documentation always met with some
challenges – time!
 FRASE – accuracy/validity
questionable, ? Over predict risk.
 Sourcing of colour coded grips!
Results so far….a quick
glance
 302 Staff of all grades educated
locally by falls link staff and falls
prevention lead who has been visiting
each location since June ‘15 providing
support to all staff and falls links as
well as delivering onsite education.
0
50
100
150
200
250
1 2 3 4 5 6 7 8 9 10 11
Community Hospital
No.ofFalls
2014
2015 YTD
Bottom line……....
 2015 YTD( Jan – Jul ) evidence
of 27.5% reduction in falls
across all 11 Community
Hospitals in Donegal!!
Going Forward…
 Continue data collection
 Continue education of all grades of staff with a view to
granting same mandatory status.
 Standardised falls prevention equipment across all
sites.
 Review policy in 2016 with view to introducing FRAT
instead of FRASE.
 Gather data on interventions.
 Day hospitals / Day centres – falls prevention
awareness education and establish falls assessment
clinics.
 Share learning with other services PCCC, DL.
Thank you

More Related Content

What's hot

Reducing the risk of injurious falls in an ageing population in ireland
Reducing the risk of injurious falls in an ageing population in irelandReducing the risk of injurious falls in an ageing population in ireland
Reducing the risk of injurious falls in an ageing population in ireland
anne spencer
 
Happy Bones are Healthy Bones
Happy Bones are Healthy BonesHappy Bones are Healthy Bones
Happy Bones are Healthy Bones
anne spencer
 
Forever Autumn - Community of Practice Update
Forever Autumn - Community of Practice UpdateForever Autumn - Community of Practice Update
Forever Autumn - Community of Practice Update
anne spencer
 
Smile 4 Life
Smile 4 LifeSmile 4 Life
Forever Autumn - A Falls Prevention Project - Initial Project Overview
Forever Autumn - A Falls Prevention Project - Initial Project OverviewForever Autumn - A Falls Prevention Project - Initial Project Overview
Forever Autumn - A Falls Prevention Project - Initial Project Overview
anne spencer
 
Using Public Private Partnerships To Launch New Technologies And Products (4)
Using Public Private Partnerships To Launch New Technologies And Products (4)Using Public Private Partnerships To Launch New Technologies And Products (4)
Using Public Private Partnerships To Launch New Technologies And Products (4)
Ivan_Busulwa
 
Irish Practice Nurses Association - North Dublin Branch Bone Health & Falls P...
Irish Practice Nurses Association - North Dublin Branch Bone Health & Falls P...Irish Practice Nurses Association - North Dublin Branch Bone Health & Falls P...
Irish Practice Nurses Association - North Dublin Branch Bone Health & Falls P...
anne spencer
 
Nmmu living lab
Nmmu living labNmmu living lab
Delivering system change and place based care
Delivering system change and place based careDelivering system change and place based care
Delivering system change and place based care
Health and Care Innovation Expo
 
Sustainable project ideas for aof maternal and child health
Sustainable project ideas for aof maternal and child healthSustainable project ideas for aof maternal and child health
Sustainable project ideas for aof maternal and child health
Rotary International
 
Welcome to the launch of Leading Change, Adding Value
Welcome to the launch of Leading Change, Adding ValueWelcome to the launch of Leading Change, Adding Value
Welcome to the launch of Leading Change, Adding Value
NHS England
 
Circuit healthcare vertical
Circuit healthcare verticalCircuit healthcare vertical
Circuit healthcare vertical
Darin Walker
 
Martin Bardsley: The challenge of assessing quality
Martin Bardsley: The challenge of assessing qualityMartin Bardsley: The challenge of assessing quality
Martin Bardsley: The challenge of assessing quality
Nuffield Trust
 
Susan Aitkenhead - Head of Nursing, NHS England
Susan Aitkenhead - Head of Nursing, NHS EnglandSusan Aitkenhead - Head of Nursing, NHS England
Susan Aitkenhead - Head of Nursing, NHS England
HIMSS UK
 
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Nuffield Trust
 
Developing Effective Remote Consultations in Outpatients webinar
Developing Effective Remote Consultations in Outpatients webinarDeveloping Effective Remote Consultations in Outpatients webinar
Developing Effective Remote Consultations in Outpatients webinar
Innovation Agency
 
Driving progress in healthcare through NHS research
Driving progress in healthcare through NHS researchDriving progress in healthcare through NHS research
Driving progress in healthcare through NHS research
Health and Care Innovation Expo
 
Improving Access to Healthcare for Impoverished Communities
Improving Access to Healthcare for Impoverished Communities Improving Access to Healthcare for Impoverished Communities
Improving Access to Healthcare for Impoverished Communities
Rotary International
 
Hard-won Partnerships: Best Practices From the Field (Kerr)
Hard-won Partnerships: Best Practices From the Field (Kerr)Hard-won Partnerships: Best Practices From the Field (Kerr)
Hard-won Partnerships: Best Practices From the Field (Kerr)
Rotary International
 
Accelerating care: new-models.digital
Accelerating care: new-models.digital Accelerating care: new-models.digital
Accelerating care: new-models.digital
Health and Care Innovation Expo
 

What's hot (20)

Reducing the risk of injurious falls in an ageing population in ireland
Reducing the risk of injurious falls in an ageing population in irelandReducing the risk of injurious falls in an ageing population in ireland
Reducing the risk of injurious falls in an ageing population in ireland
 
Happy Bones are Healthy Bones
Happy Bones are Healthy BonesHappy Bones are Healthy Bones
Happy Bones are Healthy Bones
 
Forever Autumn - Community of Practice Update
Forever Autumn - Community of Practice UpdateForever Autumn - Community of Practice Update
Forever Autumn - Community of Practice Update
 
Smile 4 Life
Smile 4 LifeSmile 4 Life
Smile 4 Life
 
Forever Autumn - A Falls Prevention Project - Initial Project Overview
Forever Autumn - A Falls Prevention Project - Initial Project OverviewForever Autumn - A Falls Prevention Project - Initial Project Overview
Forever Autumn - A Falls Prevention Project - Initial Project Overview
 
Using Public Private Partnerships To Launch New Technologies And Products (4)
Using Public Private Partnerships To Launch New Technologies And Products (4)Using Public Private Partnerships To Launch New Technologies And Products (4)
Using Public Private Partnerships To Launch New Technologies And Products (4)
 
Irish Practice Nurses Association - North Dublin Branch Bone Health & Falls P...
Irish Practice Nurses Association - North Dublin Branch Bone Health & Falls P...Irish Practice Nurses Association - North Dublin Branch Bone Health & Falls P...
Irish Practice Nurses Association - North Dublin Branch Bone Health & Falls P...
 
Nmmu living lab
Nmmu living labNmmu living lab
Nmmu living lab
 
Delivering system change and place based care
Delivering system change and place based careDelivering system change and place based care
Delivering system change and place based care
 
Sustainable project ideas for aof maternal and child health
Sustainable project ideas for aof maternal and child healthSustainable project ideas for aof maternal and child health
Sustainable project ideas for aof maternal and child health
 
Welcome to the launch of Leading Change, Adding Value
Welcome to the launch of Leading Change, Adding ValueWelcome to the launch of Leading Change, Adding Value
Welcome to the launch of Leading Change, Adding Value
 
Circuit healthcare vertical
Circuit healthcare verticalCircuit healthcare vertical
Circuit healthcare vertical
 
Martin Bardsley: The challenge of assessing quality
Martin Bardsley: The challenge of assessing qualityMartin Bardsley: The challenge of assessing quality
Martin Bardsley: The challenge of assessing quality
 
Susan Aitkenhead - Head of Nursing, NHS England
Susan Aitkenhead - Head of Nursing, NHS EnglandSusan Aitkenhead - Head of Nursing, NHS England
Susan Aitkenhead - Head of Nursing, NHS England
 
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
 
Developing Effective Remote Consultations in Outpatients webinar
Developing Effective Remote Consultations in Outpatients webinarDeveloping Effective Remote Consultations in Outpatients webinar
Developing Effective Remote Consultations in Outpatients webinar
 
Driving progress in healthcare through NHS research
Driving progress in healthcare through NHS researchDriving progress in healthcare through NHS research
Driving progress in healthcare through NHS research
 
Improving Access to Healthcare for Impoverished Communities
Improving Access to Healthcare for Impoverished Communities Improving Access to Healthcare for Impoverished Communities
Improving Access to Healthcare for Impoverished Communities
 
Hard-won Partnerships: Best Practices From the Field (Kerr)
Hard-won Partnerships: Best Practices From the Field (Kerr)Hard-won Partnerships: Best Practices From the Field (Kerr)
Hard-won Partnerships: Best Practices From the Field (Kerr)
 
Accelerating care: new-models.digital
Accelerating care: new-models.digital Accelerating care: new-models.digital
Accelerating care: new-models.digital
 

Viewers also liked

Bone Health Through the Ages
Bone Health Through the AgesBone Health Through the Ages
Bone Health Through the Ages
anne spencer
 
FA Presentation 11 Melanie Fox
FA Presentation 11 Melanie FoxFA Presentation 11 Melanie Fox
FA Presentation 11 Melanie Fox
anne spencer
 
Using Education Technology as a Proactive Approach to Healthy Ageing
Using Education Technology as  a Proactive Approach to Healthy AgeingUsing Education Technology as  a Proactive Approach to Healthy Ageing
Using Education Technology as a Proactive Approach to Healthy Ageing
anne spencer
 
Forever Autumn Community of Practice - Promoting Healthy Ageing
Forever Autumn Community of Practice - Promoting Healthy AgeingForever Autumn Community of Practice - Promoting Healthy Ageing
Forever Autumn Community of Practice - Promoting Healthy Ageing
anne spencer
 
FA Presentation 5 Prof O'Brien
FA Presentation 5 Prof O'BrienFA Presentation 5 Prof O'Brien
FA Presentation 5 Prof O'Brien
anne spencer
 
FA Presentation 7 Louise Brent
FA Presentation 7 Louise BrentFA Presentation 7 Louise Brent
FA Presentation 7 Louise Brent
anne spencer
 
Update Falls Prevention - Irish Osteoporosis Conference 2016
Update Falls Prevention - Irish Osteoporosis Conference 2016Update Falls Prevention - Irish Osteoporosis Conference 2016
Update Falls Prevention - Irish Osteoporosis Conference 2016
anne spencer
 
FA Presentation 4 Geraldine Delorey
FA Presentation 4 Geraldine DeloreyFA Presentation 4 Geraldine Delorey
FA Presentation 4 Geraldine Delorey
anne spencer
 
Use of FRAX without BMD to Assess Risk of Fracture in Out-Patient Population
Use of FRAX without BMD to Assess Risk of Fracture in Out-Patient PopulationUse of FRAX without BMD to Assess Risk of Fracture in Out-Patient Population
Use of FRAX without BMD to Assess Risk of Fracture in Out-Patient Population
anne spencer
 
Knowledge & Attitudes and Practices of Interns in the Post Fall Management of...
Knowledge & Attitudes and Practices of Interns in the Post Fall Management of...Knowledge & Attitudes and Practices of Interns in the Post Fall Management of...
Knowledge & Attitudes and Practices of Interns in the Post Fall Management of...
anne spencer
 
FA Presentation 12 Mimi Fan
FA Presentation 12 Mimi FanFA Presentation 12 Mimi Fan
FA Presentation 12 Mimi Fan
anne spencer
 
Fear of Falling In Older Adults with Intellectual Disability
Fear of Falling In Older Adults with Intellectual DisabilityFear of Falling In Older Adults with Intellectual Disability
Fear of Falling In Older Adults with Intellectual Disability
anne spencer
 
Health promotion in elderly
Health promotion in elderlyHealth promotion in elderly
Health promotion in elderly
Doha Rasheedy
 
Fall Prevention (1)
Fall Prevention (1)Fall Prevention (1)
Fall Prevention (1)
Amanda Bozzelli
 

Viewers also liked (14)

Bone Health Through the Ages
Bone Health Through the AgesBone Health Through the Ages
Bone Health Through the Ages
 
FA Presentation 11 Melanie Fox
FA Presentation 11 Melanie FoxFA Presentation 11 Melanie Fox
FA Presentation 11 Melanie Fox
 
Using Education Technology as a Proactive Approach to Healthy Ageing
Using Education Technology as  a Proactive Approach to Healthy AgeingUsing Education Technology as  a Proactive Approach to Healthy Ageing
Using Education Technology as a Proactive Approach to Healthy Ageing
 
Forever Autumn Community of Practice - Promoting Healthy Ageing
Forever Autumn Community of Practice - Promoting Healthy AgeingForever Autumn Community of Practice - Promoting Healthy Ageing
Forever Autumn Community of Practice - Promoting Healthy Ageing
 
FA Presentation 5 Prof O'Brien
FA Presentation 5 Prof O'BrienFA Presentation 5 Prof O'Brien
FA Presentation 5 Prof O'Brien
 
FA Presentation 7 Louise Brent
FA Presentation 7 Louise BrentFA Presentation 7 Louise Brent
FA Presentation 7 Louise Brent
 
Update Falls Prevention - Irish Osteoporosis Conference 2016
Update Falls Prevention - Irish Osteoporosis Conference 2016Update Falls Prevention - Irish Osteoporosis Conference 2016
Update Falls Prevention - Irish Osteoporosis Conference 2016
 
FA Presentation 4 Geraldine Delorey
FA Presentation 4 Geraldine DeloreyFA Presentation 4 Geraldine Delorey
FA Presentation 4 Geraldine Delorey
 
Use of FRAX without BMD to Assess Risk of Fracture in Out-Patient Population
Use of FRAX without BMD to Assess Risk of Fracture in Out-Patient PopulationUse of FRAX without BMD to Assess Risk of Fracture in Out-Patient Population
Use of FRAX without BMD to Assess Risk of Fracture in Out-Patient Population
 
Knowledge & Attitudes and Practices of Interns in the Post Fall Management of...
Knowledge & Attitudes and Practices of Interns in the Post Fall Management of...Knowledge & Attitudes and Practices of Interns in the Post Fall Management of...
Knowledge & Attitudes and Practices of Interns in the Post Fall Management of...
 
FA Presentation 12 Mimi Fan
FA Presentation 12 Mimi FanFA Presentation 12 Mimi Fan
FA Presentation 12 Mimi Fan
 
Fear of Falling In Older Adults with Intellectual Disability
Fear of Falling In Older Adults with Intellectual DisabilityFear of Falling In Older Adults with Intellectual Disability
Fear of Falling In Older Adults with Intellectual Disability
 
Health promotion in elderly
Health promotion in elderlyHealth promotion in elderly
Health promotion in elderly
 
Fall Prevention (1)
Fall Prevention (1)Fall Prevention (1)
Fall Prevention (1)
 

Similar to FA Presentation 8 Melissa Currid

The Development of the Falls Prevention Service 2014-17 Older Persons Service...
The Development of the Falls Prevention Service 2014-17 Older Persons Service...The Development of the Falls Prevention Service 2014-17 Older Persons Service...
The Development of the Falls Prevention Service 2014-17 Older Persons Service...
anne spencer
 
Impact assessment report 2014 (Eng)
Impact assessment report 2014 (Eng)Impact assessment report 2014 (Eng)
Impact assessment report 2014 (Eng)
Solin Chan
 
Are Nutrition and Feeding Programs Ready to Be Inclusive of All Children? She...
Are Nutrition and Feeding Programs Ready to Be Inclusive of All Children? She...Are Nutrition and Feeding Programs Ready to Be Inclusive of All Children? She...
Are Nutrition and Feeding Programs Ready to Be Inclusive of All Children? She...
CORE Group
 
Operation TransFALLmation - Falls Management Group, University Hospital, Wate...
Operation TransFALLmation - Falls Management Group, University Hospital, Wate...Operation TransFALLmation - Falls Management Group, University Hospital, Wate...
Operation TransFALLmation - Falls Management Group, University Hospital, Wate...
anne spencer
 
Models for Strengthening the Community-based Management of Acute Malnutrition...
Models for Strengthening the Community-based Management of Acute Malnutrition...Models for Strengthening the Community-based Management of Acute Malnutrition...
Models for Strengthening the Community-based Management of Acute Malnutrition...
CORE Group
 
Nancy Warren Mini-U Presentation March 2014
Nancy Warren Mini-U Presentation March 2014Nancy Warren Mini-U Presentation March 2014
Nancy Warren Mini-U Presentation March 2014
Curamericas
 
Forever autumn update nursing showcase 191113
Forever autumn update nursing showcase 191113Forever autumn update nursing showcase 191113
Forever autumn update nursing showcase 191113
anne spencer
 
Norman CV with Refference
Norman CV with RefferenceNorman CV with Refference
Norman CV with Refference
Norman Jumbe
 
In Country Advocacy_Ashley Latimer_10.17.13
In Country Advocacy_Ashley Latimer_10.17.13In Country Advocacy_Ashley Latimer_10.17.13
In Country Advocacy_Ashley Latimer_10.17.13
CORE Group
 
CV-Francisco Eng Version
CV-Francisco Eng VersionCV-Francisco Eng Version
CV-Francisco Eng Version
Elves Francisco
 
Medical Assistance Direct Review 2010
Medical Assistance Direct Review 2010Medical Assistance Direct Review 2010
Medical Assistance Direct Review 2010
Chris Alford
 
HANNAH JERONYMO
HANNAH JERONYMOHANNAH JERONYMO
HANNAH JERONYMO
Hannah Jeronymo
 
INTEGRATING CSI INTO OVC PROGRAM M&E SYSTEM
INTEGRATING CSI INTO OVC PROGRAM  M&E SYSTEMINTEGRATING CSI INTO OVC PROGRAM  M&E SYSTEM
INTEGRATING CSI INTO OVC PROGRAM M&E SYSTEM
MEASURE Evaluation
 
Elevator-National-Educational-Needs-Analysis-Report-Print-Version
Elevator-National-Educational-Needs-Analysis-Report-Print-VersionElevator-National-Educational-Needs-Analysis-Report-Print-Version
Elevator-National-Educational-Needs-Analysis-Report-Print-Version
Sophia Kilcullen
 
Final NP Resume Updated 10.6
Final NP Resume Updated 10.6Final NP Resume Updated 10.6
Final NP Resume Updated 10.6
Alexandra Hobson, DNP (c), MPH, RN
 
2014/15 Innovation, Excellence and Strategic Development Awards
2014/15 Innovation, Excellence and Strategic Development Awards2014/15 Innovation, Excellence and Strategic Development Awards
2014/15 Innovation, Excellence and Strategic Development Awards
Department of Health Voluntary Sector Grants Hub
 
Parkridge Centre Oral Health Update
Parkridge Centre Oral Health UpdateParkridge Centre Oral Health Update
Parkridge Centre Oral Health Update
saskohc
 
Portfolio Graphic Designer Marcel Claxton - 2016
Portfolio Graphic Designer Marcel Claxton - 2016Portfolio Graphic Designer Marcel Claxton - 2016
Portfolio Graphic Designer Marcel Claxton - 2016
ClaxCraft
 
Interventions in Southern Region
Interventions in Southern RegionInterventions in Southern Region
Interventions in Southern Region
polioafghanistan
 
Julie-Ann Santall updatedprofessional
Julie-Ann Santall updatedprofessionalJulie-Ann Santall updatedprofessional
Julie-Ann Santall updatedprofessional
julie santall
 

Similar to FA Presentation 8 Melissa Currid (20)

The Development of the Falls Prevention Service 2014-17 Older Persons Service...
The Development of the Falls Prevention Service 2014-17 Older Persons Service...The Development of the Falls Prevention Service 2014-17 Older Persons Service...
The Development of the Falls Prevention Service 2014-17 Older Persons Service...
 
Impact assessment report 2014 (Eng)
Impact assessment report 2014 (Eng)Impact assessment report 2014 (Eng)
Impact assessment report 2014 (Eng)
 
Are Nutrition and Feeding Programs Ready to Be Inclusive of All Children? She...
Are Nutrition and Feeding Programs Ready to Be Inclusive of All Children? She...Are Nutrition and Feeding Programs Ready to Be Inclusive of All Children? She...
Are Nutrition and Feeding Programs Ready to Be Inclusive of All Children? She...
 
Operation TransFALLmation - Falls Management Group, University Hospital, Wate...
Operation TransFALLmation - Falls Management Group, University Hospital, Wate...Operation TransFALLmation - Falls Management Group, University Hospital, Wate...
Operation TransFALLmation - Falls Management Group, University Hospital, Wate...
 
Models for Strengthening the Community-based Management of Acute Malnutrition...
Models for Strengthening the Community-based Management of Acute Malnutrition...Models for Strengthening the Community-based Management of Acute Malnutrition...
Models for Strengthening the Community-based Management of Acute Malnutrition...
 
Nancy Warren Mini-U Presentation March 2014
Nancy Warren Mini-U Presentation March 2014Nancy Warren Mini-U Presentation March 2014
Nancy Warren Mini-U Presentation March 2014
 
Forever autumn update nursing showcase 191113
Forever autumn update nursing showcase 191113Forever autumn update nursing showcase 191113
Forever autumn update nursing showcase 191113
 
Norman CV with Refference
Norman CV with RefferenceNorman CV with Refference
Norman CV with Refference
 
In Country Advocacy_Ashley Latimer_10.17.13
In Country Advocacy_Ashley Latimer_10.17.13In Country Advocacy_Ashley Latimer_10.17.13
In Country Advocacy_Ashley Latimer_10.17.13
 
CV-Francisco Eng Version
CV-Francisco Eng VersionCV-Francisco Eng Version
CV-Francisco Eng Version
 
Medical Assistance Direct Review 2010
Medical Assistance Direct Review 2010Medical Assistance Direct Review 2010
Medical Assistance Direct Review 2010
 
HANNAH JERONYMO
HANNAH JERONYMOHANNAH JERONYMO
HANNAH JERONYMO
 
INTEGRATING CSI INTO OVC PROGRAM M&E SYSTEM
INTEGRATING CSI INTO OVC PROGRAM  M&E SYSTEMINTEGRATING CSI INTO OVC PROGRAM  M&E SYSTEM
INTEGRATING CSI INTO OVC PROGRAM M&E SYSTEM
 
Elevator-National-Educational-Needs-Analysis-Report-Print-Version
Elevator-National-Educational-Needs-Analysis-Report-Print-VersionElevator-National-Educational-Needs-Analysis-Report-Print-Version
Elevator-National-Educational-Needs-Analysis-Report-Print-Version
 
Final NP Resume Updated 10.6
Final NP Resume Updated 10.6Final NP Resume Updated 10.6
Final NP Resume Updated 10.6
 
2014/15 Innovation, Excellence and Strategic Development Awards
2014/15 Innovation, Excellence and Strategic Development Awards2014/15 Innovation, Excellence and Strategic Development Awards
2014/15 Innovation, Excellence and Strategic Development Awards
 
Parkridge Centre Oral Health Update
Parkridge Centre Oral Health UpdateParkridge Centre Oral Health Update
Parkridge Centre Oral Health Update
 
Portfolio Graphic Designer Marcel Claxton - 2016
Portfolio Graphic Designer Marcel Claxton - 2016Portfolio Graphic Designer Marcel Claxton - 2016
Portfolio Graphic Designer Marcel Claxton - 2016
 
Interventions in Southern Region
Interventions in Southern RegionInterventions in Southern Region
Interventions in Southern Region
 
Julie-Ann Santall updatedprofessional
Julie-Ann Santall updatedprofessionalJulie-Ann Santall updatedprofessional
Julie-Ann Santall updatedprofessional
 

More from anne spencer

AIGNA 10th Birthday Celebrations - A Reflection of 10 years
AIGNA 10th Birthday Celebrations - A Reflection of 10 yearsAIGNA 10th Birthday Celebrations - A Reflection of 10 years
AIGNA 10th Birthday Celebrations - A Reflection of 10 years
anne spencer
 
Role of Advanced Nurse Practitioner in Gerontological Nursing
Role of Advanced Nurse Practitioner in Gerontological Nursing Role of Advanced Nurse Practitioner in Gerontological Nursing
Role of Advanced Nurse Practitioner in Gerontological Nursing
anne spencer
 
Advancing Gerontological Nursing - Prof A Coffey
Advancing Gerontological Nursing - Prof A CoffeyAdvancing Gerontological Nursing - Prof A Coffey
Advancing Gerontological Nursing - Prof A Coffey
anne spencer
 
Advances in gerontological nursing prof b mc cormack
Advances in gerontological nursing prof b mc cormackAdvances in gerontological nursing prof b mc cormack
Advances in gerontological nursing prof b mc cormack
anne spencer
 
VERA - Dementia Communication Skills Prof Corina Naughton
VERA - Dementia Communication Skills  Prof Corina NaughtonVERA - Dementia Communication Skills  Prof Corina Naughton
VERA - Dementia Communication Skills Prof Corina Naughton
anne spencer
 
The Absent Voice - the Reality - Dr E Beck
The Absent Voice - the Reality -  Dr E BeckThe Absent Voice - the Reality -  Dr E Beck
The Absent Voice - the Reality - Dr E Beck
anne spencer
 
Person Centred Moving and Handling Dr Margaret Smith
Person Centred Moving and Handling Dr Margaret SmithPerson Centred Moving and Handling Dr Margaret Smith
Person Centred Moving and Handling Dr Margaret Smith
anne spencer
 
Person Centred Moments Donegal - Maura Gillen
Person Centred Moments Donegal -  Maura GillenPerson Centred Moments Donegal -  Maura Gillen
Person Centred Moments Donegal - Maura Gillen
anne spencer
 
National Suite of Older Persons - Mary Nolan
National Suite of Older Persons - Mary NolanNational Suite of Older Persons - Mary Nolan
National Suite of Older Persons - Mary Nolan
anne spencer
 
National Dementia Strategy Mary Manning
National Dementia Strategy Mary ManningNational Dementia Strategy Mary Manning
National Dementia Strategy Mary Manning
anne spencer
 
Namaste Project presentation Maria Magee
Namaste Project  presentation Maria MageeNamaste Project  presentation Maria Magee
Namaste Project presentation Maria Magee
anne spencer
 
Deliriium in Acute Care F Sharkey and A McCloskey
Deliriium in Acute Care F Sharkey and A McCloskeyDeliriium in Acute Care F Sharkey and A McCloskey
Deliriium in Acute Care F Sharkey and A McCloskey
anne spencer
 
Connectedness and meaningful living on the older adult dr e weathers
Connectedness and meaningful living on the older adult dr e weathersConnectedness and meaningful living on the older adult dr e weathers
Connectedness and meaningful living on the older adult dr e weathers
anne spencer
 
Gerontological Nursing Research in a Time of Change
Gerontological Nursing Research in a Time of ChangeGerontological Nursing Research in a Time of Change
Gerontological Nursing Research in a Time of Change
anne spencer
 
National Clinical Programme for Older People - Current Developments & Future ...
National Clinical Programme for Older People - Current Developments & Future ...National Clinical Programme for Older People - Current Developments & Future ...
National Clinical Programme for Older People - Current Developments & Future ...
anne spencer
 
Quality Improvement Through Effective Staff Handover
Quality Improvement Through Effective Staff Handover Quality Improvement Through Effective Staff Handover
Quality Improvement Through Effective Staff Handover
anne spencer
 
Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review
Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review
Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review
anne spencer
 
The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...
The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...
The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...
anne spencer
 
Falls Prevention & Management In Residential Care Setting  
Falls Prevention & Management In Residential Care Setting  Falls Prevention & Management In Residential Care Setting  
Falls Prevention & Management In Residential Care Setting  
anne spencer
 
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...
anne spencer
 

More from anne spencer (20)

AIGNA 10th Birthday Celebrations - A Reflection of 10 years
AIGNA 10th Birthday Celebrations - A Reflection of 10 yearsAIGNA 10th Birthday Celebrations - A Reflection of 10 years
AIGNA 10th Birthday Celebrations - A Reflection of 10 years
 
Role of Advanced Nurse Practitioner in Gerontological Nursing
Role of Advanced Nurse Practitioner in Gerontological Nursing Role of Advanced Nurse Practitioner in Gerontological Nursing
Role of Advanced Nurse Practitioner in Gerontological Nursing
 
Advancing Gerontological Nursing - Prof A Coffey
Advancing Gerontological Nursing - Prof A CoffeyAdvancing Gerontological Nursing - Prof A Coffey
Advancing Gerontological Nursing - Prof A Coffey
 
Advances in gerontological nursing prof b mc cormack
Advances in gerontological nursing prof b mc cormackAdvances in gerontological nursing prof b mc cormack
Advances in gerontological nursing prof b mc cormack
 
VERA - Dementia Communication Skills Prof Corina Naughton
VERA - Dementia Communication Skills  Prof Corina NaughtonVERA - Dementia Communication Skills  Prof Corina Naughton
VERA - Dementia Communication Skills Prof Corina Naughton
 
The Absent Voice - the Reality - Dr E Beck
The Absent Voice - the Reality -  Dr E BeckThe Absent Voice - the Reality -  Dr E Beck
The Absent Voice - the Reality - Dr E Beck
 
Person Centred Moving and Handling Dr Margaret Smith
Person Centred Moving and Handling Dr Margaret SmithPerson Centred Moving and Handling Dr Margaret Smith
Person Centred Moving and Handling Dr Margaret Smith
 
Person Centred Moments Donegal - Maura Gillen
Person Centred Moments Donegal -  Maura GillenPerson Centred Moments Donegal -  Maura Gillen
Person Centred Moments Donegal - Maura Gillen
 
National Suite of Older Persons - Mary Nolan
National Suite of Older Persons - Mary NolanNational Suite of Older Persons - Mary Nolan
National Suite of Older Persons - Mary Nolan
 
National Dementia Strategy Mary Manning
National Dementia Strategy Mary ManningNational Dementia Strategy Mary Manning
National Dementia Strategy Mary Manning
 
Namaste Project presentation Maria Magee
Namaste Project  presentation Maria MageeNamaste Project  presentation Maria Magee
Namaste Project presentation Maria Magee
 
Deliriium in Acute Care F Sharkey and A McCloskey
Deliriium in Acute Care F Sharkey and A McCloskeyDeliriium in Acute Care F Sharkey and A McCloskey
Deliriium in Acute Care F Sharkey and A McCloskey
 
Connectedness and meaningful living on the older adult dr e weathers
Connectedness and meaningful living on the older adult dr e weathersConnectedness and meaningful living on the older adult dr e weathers
Connectedness and meaningful living on the older adult dr e weathers
 
Gerontological Nursing Research in a Time of Change
Gerontological Nursing Research in a Time of ChangeGerontological Nursing Research in a Time of Change
Gerontological Nursing Research in a Time of Change
 
National Clinical Programme for Older People - Current Developments & Future ...
National Clinical Programme for Older People - Current Developments & Future ...National Clinical Programme for Older People - Current Developments & Future ...
National Clinical Programme for Older People - Current Developments & Future ...
 
Quality Improvement Through Effective Staff Handover
Quality Improvement Through Effective Staff Handover Quality Improvement Through Effective Staff Handover
Quality Improvement Through Effective Staff Handover
 
Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review
Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review
Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review
 
The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...
The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...
The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...
 
Falls Prevention & Management In Residential Care Setting  
Falls Prevention & Management In Residential Care Setting  Falls Prevention & Management In Residential Care Setting  
Falls Prevention & Management In Residential Care Setting  
 
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...
 

Recently uploaded

Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa AjmanSatisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Malayali Kerala Spa Ajman
 
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
Friendly Massage in Ajman - Malayali Kerala Spa AjmanFriendly Massage in Ajman - Malayali Kerala Spa Ajman
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
Malayali Kerala Spa Ajman
 
The Importance of Black Women Understanding the Chemicals in Their Personal C...
The Importance of Black Women Understanding the Chemicals in Their Personal C...The Importance of Black Women Understanding the Chemicals in Their Personal C...
The Importance of Black Women Understanding the Chemicals in Their Personal C...
bkling
 
Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...
rightmanforbloodline
 
ASSESSMENT OF THE EYE (1)-Health Assessment.ppt
ASSESSMENT OF THE EYE (1)-Health Assessment.pptASSESSMENT OF THE EYE (1)-Health Assessment.ppt
ASSESSMENT OF THE EYE (1)-Health Assessment.ppt
Rommel Luis III Israel
 
nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdfnurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
Carolyn Harker
 
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
5sj7jxf7
 
Electrocardiogram_20240614_173859_0000.pdf
Electrocardiogram_20240614_173859_0000.pdfElectrocardiogram_20240614_173859_0000.pdf
Electrocardiogram_20240614_173859_0000.pdf
Elackkiya Balamurugan
 
PPT on Embryological and fetal development
PPT on Embryological and fetal developmentPPT on Embryological and fetal development
PPT on Embryological and fetal development
smileysharma63
 
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 BathindaBathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
varun0kumar00
 
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
xkute
 
Top 5 Benefits of Cancer Registry Services
Top 5 Benefits of Cancer Registry ServicesTop 5 Benefits of Cancer Registry Services
Top 5 Benefits of Cancer Registry Services
Cardiac Registry Support
 
HEALTH ASSESSMENT IN NURSING USING THE NURSING PROCESSpptx
HEALTH ASSESSMENT IN NURSING USING THE NURSING PROCESSpptxHEALTH ASSESSMENT IN NURSING USING THE NURSING PROCESSpptx
HEALTH ASSESSMENT IN NURSING USING THE NURSING PROCESSpptx
Rommel Luis III Israel
 
Health Tech Market Intelligence Prelim Questions -
Health Tech Market Intelligence Prelim Questions -Health Tech Market Intelligence Prelim Questions -
Health Tech Market Intelligence Prelim Questions -
Gokul Rangarajan
 
Hyderabad Call Girls 7023059433 High Profile Escorts Service Hyderabad
Hyderabad Call Girls 7023059433 High Profile Escorts Service HyderabadHyderabad Call Girls 7023059433 High Profile Escorts Service Hyderabad
Hyderabad Call Girls 7023059433 High Profile Escorts Service Hyderabad
garge6804
 
Luxury Massage Experience at Affordable Rate - Malayali Kerala Spa Ajman
Luxury Massage Experience at Affordable Rate - Malayali Kerala Spa AjmanLuxury Massage Experience at Affordable Rate - Malayali Kerala Spa Ajman
Luxury Massage Experience at Affordable Rate - Malayali Kerala Spa Ajman
Malayali Kerala Spa Ajman
 
𝔹hopal Call Girls 7023059433 High Profile Independent Escorts 𝔹hopal
𝔹hopal Call Girls 7023059433 High Profile Independent Escorts 𝔹hopal𝔹hopal Call Girls 7023059433 High Profile Independent Escorts 𝔹hopal
𝔹hopal Call Girls 7023059433 High Profile Independent Escorts 𝔹hopal
garge6804
 
The Ultimate Guide in Setting Up Market Research System in Health-Tech
The Ultimate Guide in Setting Up Market Research System in Health-TechThe Ultimate Guide in Setting Up Market Research System in Health-Tech
The Ultimate Guide in Setting Up Market Research System in Health-Tech
Gokul Rangarajan
 
Mohali Call Girls 7742996321 Call Girls Mohali
Mohali Call Girls  7742996321 Call Girls  MohaliMohali Call Girls  7742996321 Call Girls  Mohali
Mohali Call Girls 7742996321 Call Girls Mohali
Digital Marketing
 
Dr. Sherman Lai, MD — Guelph's Dedicated Medical Professional
Dr. Sherman Lai, MD — Guelph's Dedicated Medical ProfessionalDr. Sherman Lai, MD — Guelph's Dedicated Medical Professional
Dr. Sherman Lai, MD — Guelph's Dedicated Medical Professional
Sherman Lai Guelph
 

Recently uploaded (20)

Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa AjmanSatisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
 
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
Friendly Massage in Ajman - Malayali Kerala Spa AjmanFriendly Massage in Ajman - Malayali Kerala Spa Ajman
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
 
The Importance of Black Women Understanding the Chemicals in Their Personal C...
The Importance of Black Women Understanding the Chemicals in Their Personal C...The Importance of Black Women Understanding the Chemicals in Their Personal C...
The Importance of Black Women Understanding the Chemicals in Their Personal C...
 
Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...
 
ASSESSMENT OF THE EYE (1)-Health Assessment.ppt
ASSESSMENT OF THE EYE (1)-Health Assessment.pptASSESSMENT OF THE EYE (1)-Health Assessment.ppt
ASSESSMENT OF THE EYE (1)-Health Assessment.ppt
 
nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdfnurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
 
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
 
Electrocardiogram_20240614_173859_0000.pdf
Electrocardiogram_20240614_173859_0000.pdfElectrocardiogram_20240614_173859_0000.pdf
Electrocardiogram_20240614_173859_0000.pdf
 
PPT on Embryological and fetal development
PPT on Embryological and fetal developmentPPT on Embryological and fetal development
PPT on Embryological and fetal development
 
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 BathindaBathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
 
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
 
Top 5 Benefits of Cancer Registry Services
Top 5 Benefits of Cancer Registry ServicesTop 5 Benefits of Cancer Registry Services
Top 5 Benefits of Cancer Registry Services
 
HEALTH ASSESSMENT IN NURSING USING THE NURSING PROCESSpptx
HEALTH ASSESSMENT IN NURSING USING THE NURSING PROCESSpptxHEALTH ASSESSMENT IN NURSING USING THE NURSING PROCESSpptx
HEALTH ASSESSMENT IN NURSING USING THE NURSING PROCESSpptx
 
Health Tech Market Intelligence Prelim Questions -
Health Tech Market Intelligence Prelim Questions -Health Tech Market Intelligence Prelim Questions -
Health Tech Market Intelligence Prelim Questions -
 
Hyderabad Call Girls 7023059433 High Profile Escorts Service Hyderabad
Hyderabad Call Girls 7023059433 High Profile Escorts Service HyderabadHyderabad Call Girls 7023059433 High Profile Escorts Service Hyderabad
Hyderabad Call Girls 7023059433 High Profile Escorts Service Hyderabad
 
Luxury Massage Experience at Affordable Rate - Malayali Kerala Spa Ajman
Luxury Massage Experience at Affordable Rate - Malayali Kerala Spa AjmanLuxury Massage Experience at Affordable Rate - Malayali Kerala Spa Ajman
Luxury Massage Experience at Affordable Rate - Malayali Kerala Spa Ajman
 
𝔹hopal Call Girls 7023059433 High Profile Independent Escorts 𝔹hopal
𝔹hopal Call Girls 7023059433 High Profile Independent Escorts 𝔹hopal𝔹hopal Call Girls 7023059433 High Profile Independent Escorts 𝔹hopal
𝔹hopal Call Girls 7023059433 High Profile Independent Escorts 𝔹hopal
 
The Ultimate Guide in Setting Up Market Research System in Health-Tech
The Ultimate Guide in Setting Up Market Research System in Health-TechThe Ultimate Guide in Setting Up Market Research System in Health-Tech
The Ultimate Guide in Setting Up Market Research System in Health-Tech
 
Mohali Call Girls 7742996321 Call Girls Mohali
Mohali Call Girls  7742996321 Call Girls  MohaliMohali Call Girls  7742996321 Call Girls  Mohali
Mohali Call Girls 7742996321 Call Girls Mohali
 
Dr. Sherman Lai, MD — Guelph's Dedicated Medical Professional
Dr. Sherman Lai, MD — Guelph's Dedicated Medical ProfessionalDr. Sherman Lai, MD — Guelph's Dedicated Medical Professional
Dr. Sherman Lai, MD — Guelph's Dedicated Medical Professional
 

FA Presentation 8 Melissa Currid

  • 1. Implementation of a Falls Prevention Programme in Older Adult Residential Care Melissa Currid, Director of Nursing and A/Falls Prevention Coordinator Older Peoples Service, Donegal PCCC.
  • 2. Older Peoples Service Donegal “ Up here we’re different”
  • 3. Statistics  Donegal has 21,471 Older people census (2011) – 13.3% of the population compared with 11.7% nationally.  Higher proportions of the oldest old – 5.8%, nationally = 5%  Difficulty accessing services / large rural areas.  Poor infrastructure, roads, transport.
  • 4.
  • 5.  11 Community Hospitals  162 long stay beds  226 Short stay beds  10 Day Hospitals  24 Day Centres  10 Directors of Nursing  508.9 WTE staff of all grades.
  • 6.
  • 7.  Each CH recording slips, trips and falls on monthly basis.  Each CH doing something different.  Need Identified by DONS for a structured falls prevention programme  2013 M C nominated by SMOPs as OPS representative on Donegal PCCC falls committee.
  • 8.  While focus at meetings was primary care, need for residential/ inpatient programme was identified due to large number of Community Hospitals in the county.  Added as Service Plan priority for OPS, 2015
  • 9.  M C made contact with ANP Daragh Rodger in St Mary’s early October 2014.  Went to St Mary’s, spent a day gathering information and observing Forever Autumn in practice.  Brought back to Donegal and presented findings to SMOPS and DONS
  • 10.  Permission given by ANP Daragh Rodgers to use Forever Autumn programme.  Approval granted by SMOPS Donegal to proceed and purchase alert symbols, colour coded grips etc.
  • 11. Why Forever Autumn?  Evidence from St Mary’s that it works!  Simple concept - alert symbols, dignified and non labelling, colour coded leaves, grips  Documentation user friendly and effective, comfort checks, post fall review.  Permission to use educational video  Cost effective!
  • 12. Progress to date in Donegal  Falls link/champion training took place in Nov 2014, 2 staff from each unit were trained.  Forever Autumn symbols, grips etc sourced.  Education sessions commenced in January 2015 in each unit aimed at all grades of staff using the St Mary’s video.  All of the 11 Community Hospitals using the Forever Autumn leaf symbols and amended Falls Risk Assessment Tool (FRASE)
  • 13. Falls Prevention Link Staff training Nov 2014, CNME, Letterkenny, Co Donegal.
  • 14.  A Falls Prevention Policy was developed for OPS, Donegal incorporating Forever Autumn and has now been implemented in each Community Hospital  The role of each grade of staff is clearly defined in the policy.  New documentation was introduced - Amended FRASE. - Comfort check. - Post Fall review.  Falls pathway /algorithm poster for all units
  • 15.
  • 16.  Meetings are being held with all Falls Link staff at the end of each quarter to gain feedback and monitor progress.  Aim for all staff to be educated and Forever Autumn to be fully implemented in all 11 Community Hospitals by 31st December 2015.  Aim for 30% reduction in falls across all Community Hospitals by 31st December 2015
  • 17. Challenges  Introduction of additional documentation always met with some challenges – time!  FRASE – accuracy/validity questionable, ? Over predict risk.  Sourcing of colour coded grips!
  • 18. Results so far….a quick glance  302 Staff of all grades educated locally by falls link staff and falls prevention lead who has been visiting each location since June ‘15 providing support to all staff and falls links as well as delivering onsite education.
  • 19. 0 50 100 150 200 250 1 2 3 4 5 6 7 8 9 10 11 Community Hospital No.ofFalls 2014 2015 YTD
  • 20. Bottom line……....  2015 YTD( Jan – Jul ) evidence of 27.5% reduction in falls across all 11 Community Hospitals in Donegal!!
  • 21. Going Forward…  Continue data collection  Continue education of all grades of staff with a view to granting same mandatory status.  Standardised falls prevention equipment across all sites.  Review policy in 2016 with view to introducing FRAT instead of FRASE.  Gather data on interventions.  Day hospitals / Day centres – falls prevention awareness education and establish falls assessment clinics.  Share learning with other services PCCC, DL.

Editor's Notes

  1. Older Persons Service Donegal