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Nova Scotia Falls Prevention Update

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The leading causes of falls are preventable with a coordinated prevention effort. ... Increased funding for Preventing Falls Together ... – PowerPoint PPT presentation

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Title: Nova Scotia Falls Prevention Update


1
Nova Scotia Falls Prevention Update
  • Preventing Falls Together Conference
  • October 29, 2009
  • Suzanne Baker

2
  • The leading causes of falls are
    preventable with a coordinated prevention effort.

3
(No Transcript)
4
Seniors Falls Facts
  • 33 of community dwelling seniors fall yearly
  • 50 of falls result in minor injury
  • 5-25 result in serious injury
  • Seniors have 9X more falls injuries compared to
    those at younger ages
  • Falls the most common cause of injury for
    seniors

5
More Seniors Falls Facts
  • Falls cause gt 90 of hip fractures
  • 15-20 of those with hip fractures will die
  • 50 of all nursing home admissions
  • Falls leading cause of injury hospital
    admissions and ER visits

6
Fall Injuries the Surface
Below
Deaths
Hospitalizations
Emergency Dept visits
Treated in a physicians office
Treated at home or never treated

6
7
What causes a fall?
8
(No Transcript)
9
Leadership, Infrastructure Partnership
  • GOAL Appropriate and adequate leadership,
    infrastructure, and partnerships sustain all
    aspects of the Strategic Framework.
  • Activities
  • Providing ongoing leadership and support at
    provincial and DHA levels (i.e. planning support
    and advocacy with DHAs, etc)
  • Provincial Intersectoral Falls Prevention
    Committee
  • Funding for a part-time position to facilitate
    coordination among districts and provide expert
    advice to province and DHAs
  • Funding from HPP for a Tri-District team to
    participate in the National Collaborative on
    Falls in Long-Term Care
  • Increased funding for Preventing Falls Together
  • Canadian Falls Prevention Curriculum Delivery and
    Leadership

10
Home Support Exercise Program (HSEP)
  • Evidence-based physical activity intervention for
    frail elderly
  • Canadian Centre for Activity and Aging
    (University of Western Ontario)
  • Specifically designed for implementation by home
    support workers
  • Proposal (SSH and Continuing Care supported by
    Home Support Agencies)

11
Awareness and Understanding
  • GOAL Nova Scotians are aware of the issue of
    seniors falls and fall-related injuries and
    understand how to prevent them.
  • Activities
  • Provided social marketing workshops to Falls
    Prevention Coalitions and other partners
  • Support for annual falls prevention week
    (Provincial Proclamation)
  • Ongoing education and meetings with policy makers
    to raise issue of falls (DoH and HPP Senior
    Leadership)
  • Interprofessional education (Colleges and
    Universities)

12
Education
  • GOAL Seniors, care providers, organizations,
    and communities have the skills and knowledge to
    reduce the risk of falls and fall-related
    injuries.
  • Activities
  • Canadian Falls Prevention Curriculum delivery and
    leadership (by mid-June, more than 250 people
    will be certified in the CFPC)
  • Support for Tri-District project
  • Funding for Red Cross H.E.L.P. program to
    incorporate falls prevention within their
    initiative
  • Preventing Falls Together Toolkit

13
Canadian Falls Prevention Curriculum
  • The Department of Health Promotion and
    Protection, in collaboration with their seniors
    falls prevention partners adopted this curriculum
    and training began in February 2008.
  • During the course, participants will learn about
  • the nature and scope of seniors falls
  • the complex causes of falls, the modifiable risk
    factors, and how to identify seniors at increased
    risk of falling
  • evidence-based falls risk assessment tools
  • best practice falls prevention interventions
  • applying a practical program planning model to
    the design and implementation of falls prevention
    initiatives
  • evaluating the effectiveness of falls prevention
    programs

14
Supportive Environments Policy
  • GOAL Supportive environments are created and
    nurtured by healthy public policies that promote
    health and reduce the risk of falls and
    fall-related injuries.
  • Activities
  • Canadian Falls Prevention Curriculum delivery and
    leadership
  • Funding for part-time position to facilitate
    coordination among districts and provide expert
    advice to province and DHAs
  • Strategy for Positive Aging
  • Physical Activity and Older Adults

15
Knowledge Development Exchange
  • GOAL Community action and the decisions of
    policy makers are informed by timely collection,
    analysis, and dissemination of data and research
    on seniors falls.
  • Activities
  • Funding for Dalhousie University and South Shore
    Health falls research partnership
  • Nova Scotia involved in national initiative to
    improve collection and dissemination of seniors
    fall-related data (standardization of collection
    tools, definitions, and data reports)
  • Collaborator on CIHR Grant Proposal Canadian
    Longitudinal Study on Aging (CLSA)-Injury Team
    (IT) initiative
  • Continue to share and promote the Seniors Falls
    Data Report
  • Canadian Falls Prevention Curriculum Delivery and
    Leadership

16
Research Initiative
  • Partnership between South Shore Health and
    Dalhousie University, funded by Health Promotion
    and Protection
  • Addresses the effectiveness of processes used in
    a rural District Health Authority to develop and
    implement a complex health initiative, namely
    Seniors Falls Prevention.
  • Entering the second phase of research, where 3-5
    teams taking action on falls will be included in
    the study.

17
Provincial Falls Prevention Network
18
New Required Organizational Practices for 2008
  • New GoalReduce the risk of injuries resulting
    from client falls
  • New ROPimplement and evaluate a falls prevention
    strategy to minimize the impact of client falls
  • Falls prevention strategy
  • Population at risk for falls
  • Specific needs
  • Evaluation
  • Improvements

19
Potential Required Organizational Practices for
2011
  • Least Restraint Policy
  • Home Risk Assessments

20
Provincial Falls Prevention District Network
  • Purpose
  • To provide a forum for the DHA and IWK acute care
    facilities to collaborate on the development and
    implementation of falls prevention policies,
    tools, resources, data collection, and
    initiatives.
  • Scope
  • The focus of the network will be on the acute
    care/hospital setting.

21
Strategy 1
  • To establish a network of DHA leaders and staff
    to facilitate greater collaboration and sharing
    of falls prevention information, tools, policies
    and programs among the districts. The scope of
    the network includes the continuum of care.

22
Strategy 2
  • Developing a virtual (web-based) central forum
    for the exchange of best practices and evidence
    related to falls prevention as well as ongoing
    networking and problem-solving.

23
Strategy 3
  • Collaboratively develop and recommend
    standardized evidence based policies, data
    collection processes, risk assessment and
    intervention tools for the DHA.

24
Strategy 4
  • Developing guidelines for evaluating existing and
    future tools, interventions, and policies.

25
Challenges
  • Changing Behaviours
  • Educate
  • Change practice
  • Create an environment that balances risk and best
    practice for the high risk patient
  • Creating a Senior Friendly Environment

26
Contact Information
  • Suzanne Baker
  • Falls Prevention Coordinator
  • Department of Health
  • Promotion and Protection/South
  • Shore Health
  • Phone (902) 634-8807 x3193
  • Emailsbaker_at_ssdha.nshealth.ca
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