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Michel Janet (Shelly) Denes – Fall Prevention
Description:
Falls and subsequent injuries are an ongoing issue in healthcare and we as clinicians need to know how to intervene to not only treat falls, but also to prevent them before they happen.
During this course you will get the most up-to-date, clinically-relevant evaluation and treatment techniques for improving balance in geriatric and neurologically impaired individuals. A key focus is on learning to select and use the most appropriate tools for assessing balance/risk of falls and evaluating function. You will examine the relationship between cognition, the sensory system and all the musculo-skeletal aspects that impact on balance and fall risk. This will improve your clinical skills in assessment of high-risk fall patients. Providing appropriate pre-(minimizing the risks) and post-fall interventions is very critical to FALL PREVENTION.
OUTLINE
Assessment of Multiple Dimensions of Balance, Mobility and Fall Risk
Three Classifications of Falls
Accidental
Unanticipated physiological falls
Anticipated physiological falls
Balance Dysfunction and Falls: Contributing Factors
The vestibular system
Vision
Somatosensory system
Muscular strength and joint flexibility
Endurance, fatigue and fitness level
Cognition
Posture
Risk Factors
Intrinsic risk factors
Extrinsic risk factors
Methods for reducing risk factors
Practical suggestions
Home safety checklist
Health and safety checklist
Fall predictors
Balance, Mobility and Fall Risk Assessment Tools: Individualized Options
Functional Reach Test
Tinetti Balance Assessment Tool
Berg Balance Scale
Functional Gait Assessment
The Timed Up and Go Test
Three and Six Minute Walk Tests
Full Evaluation of ROM, Flexibility, Muscle Strength and Tone
Effective Interventions to Improve Balance & Mobility and Reduce Fall Risk
Consequences of a Fall
Physical consequences
Social consequences
Psychological consequences
Nutrition
Strategies to Maintain and Restore Balance
Stability
Mobility
The Normal Gait Cycle
Gait Training When it Has Gone Awry
Considerations for assistive devices and orthotics
Therapeutic Exercise
Benefits & specifics for balance, ROM, strength and gait
Equipment for clinics and home use
Program design
Safety reminders
Home exercise program
Environmental Modification/Home Evaluation
Post-Fall Assessment and Problem Solving Prevention
Fall risk identification
Problem Solving After a Fall Occurs
Investigation process
Plan of action
Corrective and preventative measures
Community-Based Care
Develop community-based fall prevention programs for older adults
Overcoming Barriers to Effective Strategy Implementation
Cognitive barriers
Family barriers
Facility staff/Caregiver barriers
Medicare and Documentation Considerations
Interactive Lab Time: Assessment Tools and Intervention Strategies in Practice
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OBJECTIVES
Identify the most challenging fall predictors to be able to put in place a fall prevention plan.
Explore current evidence-based therapeutics and research in movement strategies for geriatric and neurologically impaired individuals.
Determine the most effective evaluation techniques for the highest risk populations you see in practice.
Choose the best strategies for fall prevention based on individualized assessment.
Incorporate the most appropriate functional balance testing tools for specific settings.
Differentiate between various types of therapeutic interventions, including: gait training, exercise, assistive devices and orthotics as appropriate.
Develop a comprehensive balance training and fall risk reduction program for individuals with balance dysfunction.
