Interprofessional Fall Risk Prevention Training using STEADI for Home Health Megan Warfield- Kimball, OTD, MSHS, OTR/L
Objective STEADI Interprofessionalism
• Center for Disease Control’s Injury Center • Fall Prevention • American and British Geriatrics’ Societies • Designed for Health Care Providers
Falls In Older Adults 1/5 falls causes serious injury (Broken bones, head injury) 3 million older adults are treated in emergency room yearly
Fall in Older Adults Continued 800,000 patients are hospitalized 300,000 are hospitalized for hip fractures 95% of hip fractures are caused by falls
Importance of Fall risk Prevention for the Future: • Safety for Older Adults • Cost Savings • Improved ability to Age in Place
STEADI
Screening Options • Three Key Questions • Stay Independent: 12 Question Tool
Three Question Screen • Do you feel unsteady when standing or walking? • Do you worry about falling? • Have you fallen in the past year?
Screen
Is there a Risk for Falling?
Fall Risk Factors
Heart concerns Cognitive Impairment Incontinence Fall Risk Factors Depression Vision Foot Problems Medications Gait, Strength, & Balance Postural Hypotension Environment
Gait Mobility Device Gait, Strength, & Balance Transfers Evaluation Balance Strength
Environment Lack of handrails on Obstacles stairs Lack of bathroom Dim lighting grab bars
Medications • Screen • Assess • Formulate • Educate
Opioids Sedatives Benzodiazepines Medications Antidepressants Anticonvulsants Antipsychotics Anticholinergics Antihistamines Muscle relaxants Medications affecting blood pressure
Incontinence
Cognition
Depression
Pilot Program: Interprofessional Fall Risk Prevention Training
Interdisciplinary vs. Multidisciplinary
Physical Therapy Interprofessional Team Occupational Therapy Nursing
Phase 1: Online Phase 2: Face to Face Training Training 3- 20 minute 1 hour narrated interdisciplinary PowerPoints training Rating of 6 Survey: 4 open statements using ended questions the Likert scale
What was the takeaway? F2F Training Communication Falls are an important concern Collaboration/Interprofessionalism
STEADI – Stopping Elderly Accidents, Deaths, & Injuries (CDC) Takeaway Interprofessionalism
https://www.cdc.gov/steadi/index.html
Contact Info: Megan.Warfield-Kimball@state.mn.us
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