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Objectives: 1.Introduction to the current shift to aging at home and safety considerations for this setting 2.To describe why we need better tools to help older adults have more control in their lives 3.To discuss the root causes of falls and inactivity and how to address each of them: •Need for better assistive devices including footwear •Stairs and handrails •Getting around the home and using the bathroom •Sidewalks •Peripheral neuropathy •Other balance problems
Citation preview
Preventing falls while encouraging mobility for older adults: Research at Toronto Rehab November 21, 2014
Speakers: Karen Ray, Saint Elizabeth Health Care Tilak Dutta, Toronto Rehab Institute – UHN Facilitators: Susan McNeill, Registered Nurses’ Association of Ontario Maryanne D’Arpino, Canadian Patient Safety Institute Hélène Riverin, French Language Support, Canadian Patient Safety Institute
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Objective
To give older adults and their caregivers the tools they need to independently live in their own homes.
Objective
To give older adults and their caregivers the tools they need to independently live in their own homes. We do this by developing new:
•Products •Policies •Therapies
• A community-based, not-for-profit, health care
organization
• Nursing, personal and home support and rehabilitation services
• Over 7000 nurses, rehab therapists, personal support workers and crisis intervention staff
• Full range of services from maternal-newborn to end of life
• Service Delivery Centres (SDCs) across Ontario with over 6 million visits annually
Saint Elizabeth
Saint Elizabeth Expertise
• A focus on ageing in place; we can keep people at home vs institutionalized through support and resources
• Over hundred years of experience working in the community and community resources
• Access to the voice of the client, their families and professional providers
• Many of the issues that make living at home difficult; design of stairs and bathrooms; getting out of the bed or tub
•Preventing falls/encourage mobility
•Preventing injuries in caregivers
•Preventing spread of infection
3 focus areas for the TRI Tech Team:
•Preventing falls/encourage mobility
•Preventing injuries in caregivers
•Preventing spread of infection
3 focus areas for the TRI Tech Team:
Fall Injuries in Canada, 65+ 2010/2011
• 78,330 fall-related hospitalizations
• 85% of all injury- related hospitalizations for older adults
• 50% of fall-related hospitalization occurs in the home
• 34% of all fall-related hospitalizations are hip #
• Length of hospital stay is 10 days longer for people who have sustained falls
Prevent falls but encourage mobility
• Footwear • Poor balance control • Intersections
Prevent falls but encourage mobility
o Outdoors • Footwear • Poor balance control • Intersections
o At home • Stairs • Bathrooms
Prevent falls but encourage mobility
o Outdoors • Footwear • Poor balance control • Intersections
o At home • Stairs • Bathrooms
WinterLab
WinterLab
Prevent falls but encourage mobility
o Outdoors • Footwear • Poor balance control • Intersections
o At home • Stairs • Bathrooms
www.balancepro.ca
Prevent falls but encourage mobility
o Outdoors • Footwear • Poor balance control • Intersections
o At home • Stairs • Bathrooms
Prevent falls but encourage mobility
o Outdoors • Footwear • Poor balance control • Intersections
o At home • Stairs • Bathrooms
HomeLab
Mobility Kit
How to you convince someone they need a device?
Prevent falls but encourage mobility
o Outdoors • Footwear • Poor balance control • Intersections
o At home • Stairs • Bathrooms
Relative risk of run length
9.0 8.0 10.0
Run length in inches
8.5 9.5
Relative risk of run length
9.0 8.0 10.0
Run length in inches
8.5 9.5
StairLab WinterLab StreetLab
Prevent falls but encourage mobility
o Outdoors • Footwear • Poor balance control • Intersections
o At home • Stairs • Bathrooms
• Grab bars
• Repositioning the toilet
• Slip resistance of the tub
Toilocator
Toilevator
Toilocator
TriTechTeam.org [email protected] [email protected]
