TEAM STEADI! Working together to achieve a winning goal, to prevent seniors having a fall.

A 2012 Cochrane Systematic Review reported that clinical assessment by a health care provider combined with individualized treatment of identified risk factors, referral if needed, and follow-up reduced the rate of falls by 24%!

Below are the key findings and recommendations in this research article. At the bottom, you can see a link for the full article. Read More

TEAM STEADI (Stopping Elderly Accidents, Death & Injuries)

What do 4 medical experts say on senior fall prevention?  As an introduction, they give us some statistics. In 2016, the rate of death from falls for people 75 and older was 111 per 100,000 people. In 2000, that rate was 52 per 100,000 people. STEADI provides the  fall prevention tools to look at medications, evidenced based exercise programs, eyesight, footwear, walkers or canes, environmental hazards, hydration and fall risk behaviors. Please review this impactful  article that speaks of how to get better outcomes for our seniors!

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TEAM STEADI—Less Senior Falls at Portland OHSU

Falls are the leading cause of fatal and nonfatal injuries among older adults aged 65 years and older. But falls aren’t an inevitable part of aging — and that’s the premise behind the STEADI (Stopping Elderly Accidents, Deaths, and Injuries) Initiative from the Centers for Disease Control and Prevention (CDC). . . . Read More!

Ortho MD & PCPs Role for Senior Fall Prevention

Each year, approximately 30% to 40% of people aged 65 years and older who live in the community fall.

Primary care providers (PCPs) have a crucial role in helping patients understand the important factors causing falls. This also. . . . Read More!

Sunset years

Using STEADI, Sam the PT, was asking Len about his fall which caused his hip fracture. It was daytime and he was hurrying to the bathroom because of prostate issues. He was wearing socks and not using his walker. Sam did the TUG, Timed up and Go balance test multiple ways. This included socks vs supportive shoes, walker and no walker. Lo and behold- Len was less of a fall risk wearing shoes and using his walker! 
 
Len agreed with Occupational therapist Sarah’s recommendation to use the ”spill proof” urinal from his recliner. He could then transport it to the bathroom in the bag attached to his walker. 
   
See link for CDC STEADI along with effective senior fall prevention handouts. http://bit.ly/2Y5cqt6
 

STEADI coordinates well with the goals of value-based. . . . Read More!

L-ACL

87-year-old Ellen was discharging home and was alone for short periods of time.  Mary, the OT, was concerned if she was going to be safe using the stove top. A cognitive screening called the Allen Cognitive Level Scale was starting to be used by the Occupational Therapy staff.  She had just been trained to do the L-ACL. It was 3 different leather. . . . Read More!

Fall Prevention—Which footwear is best?

I hope you chose the black shoes with custom elastic laces! Many times seniors have edema in their feet and with the different length laces, occupational therapy makes it an easy slip-on shoe using a long shoe horn. A shoe repair shop permanently sews the “tongue” in a proximal “top” corner! I have used the below 2-page shoe test handout successfully for 15 years. . . . . Read More!

Senior Fall Prevention — Tai Chi and Otago!

Here is a summary of the Son et al research study.

Methods: A randomized trial in which subjects were assigned to 1 of 2 groups:  the Tai Chi (TC) group (n =21; age, 72.8) which participated in a modified Sun-style TC exercise program; Otago group (n =24; age, 71.5) which participated in the Otago exercise program. . . . Read More!

Suzy Begay

Suzy Begay was worried. She had 2 falls this past week getting off the toilet and walking back to her room. What was she going to do?

Thankfully, the OT shared previous successes using the above safety sign. “I know I need to do better but I’m tired of waiting for help walking”. Motivational interviewing and stories of medical “bone fractures” increased her safety awareness. Suzy knew she was impulsive. She got excited when she got to pick out the colors for her wall sign. Being Native American, those colors had cultural significance to her Navajo tribe. She also wanted to highlight in yellow. . . . Read More!