Grandpa Joe threw a baseball across a sunny field to his grandson who’s also holding a pineapple popsicle that’s started dripping down his arm. He wakes up from his dream in bed. He’s in the hospital with a broken hip. How did this happen?
Here is how I implemented STEADI (Stopping Elderly Accidents, Death and Injury Protocol). Joe fell and fractured his hip, and had subsequent total hip arthroplasty surgery. Using motivational interviewing, empathy and engaging him in being “Sherlock Holmes” with me, we started the process. He was sitting in his recliner and had a sudden urge to urinate. He got up and rushed to the bathroom choosing not to use his walker, and was wearing slipper socks while walking on hardwood floors! UH! OH! Lots of red flags! He was willing to problem solve the above issues, taking into consideration the Occupational Therapy recommendations. He agreed to use a “spill proof ” urinal – keeping it next to his recliner. He now knew to wear good motion control shoes with custom elastic laces and use his walker! He was persuaded to implement the above because he wanted to stay in his home with his wife, enjoying grandkids and previous leisure activities.
Below is an excellent article how Portland OHSU, Oregon Health Science University, implemented STEADI and saw a decrease in falls! The evidenced-based research supporting STEADI is phenomenal. To get started, you don’t have to use their software, just a good excel worksheet. This all fits with value-based health care and decreasing hospital re-admissions! The triple aim and quadruple aim continue to be the standards!
Take my fall prevention class for medical professionals. It works and I have proven tips on motivating a senior to make fall prevention lifestyle changes.
STEADI coordinates well with the goals of value-based health care, better rehab outcomes, and decrease medical costs. Therefore, the quadruple aim is achieved. It has a multitude of evidenced based research. I’ve used STEADI successfully for 15 years. It is fun and easy to use!
EXCITING TIMES! October 2019 U.S. Senate Committee on Aging report: https://www.aging.senate.gov/imo/media/doc/SCA_Falls_Report_2019.pdf
- How is your state doing, see page 10?
- Upper State New York did a STEADI- based program and reduced hospitalizations due to falls by 40%! See pages 20-21
- Examine how Epic EHR integrated STEADI. See how innovative programs in different states decreased senior falls with home environment safety changes, effective community balance programs, and medication recommendations
I provide Fall Prevention Classes to MDs, Medical Professionals, Insurance Companies and Senior Communities. Let’s decrease re‑hospitalizations! www.geriatricrehab.biz