Bone Health in the Park A collaborative approach to bone

health and falls prevention

Daragh Rodger ANP Care of the Older Adult Community, St Mary’s Hospital

Anne Spencer RN, BA (Hons), MSc Educational Technologist, PETAL

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Why was BHIP developed?

Results of audit of Healthy Ageing Clinic demonstrated:- • 2/3 of attendees had reduced bone density • Little or no awareness of bone health among population • Bone health is a lifelong process - No education programme

across the ages • Direct link between poor bone health and falls Recognised need for Education programme on bone health, falls

awareness and falls prevention and management Two phases • Phase 1: I am not falling for you! • Phase 2: Forever Autumn

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Web site and educational resources designed for both health care professionals and members of the public

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FOREVER AUTUMN

2012 Development and implementation of a falls awareness programme for all staff – clinical and non clinical, illustrating the potential for falls amongst the older adults in our care. Elements included: • Revision of St Mary’s Falls Prevention and Management Policy • New Falls Risk Assessment Tool • New Falls Risk Symbols • New Falls Reduction Measures

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Report of the

National Steering Group on the

Prevention of Falls in Older People and

the Prevention and Management of Osteoporosis

throughout Life Falls strategy 2008

Project teams comprise of staff from all disciplines both clinical and non clinical

Bone Health in the Park - Project Team

I am not falling for you! 6

How was the programme developed?

• Project team met monthly • Identified key objectives of the

programme • Formulated content of the

programme • Design and delivery and

accessibility of resources was high priority

• Linked with falls committee to validate content – multidisciplinary committee

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What were the challenges

How to meet large audience in most efficient and cost effective way

Ensure information was ‘pitched’ at a level to reach all staff groups, patients, residents, relatives and families of all ages

Education Technology

Phase 1 – sponsored by an education grant from AMGEN Phase 2 - sponsored by education grant from NMPDU Dublin North East

Funding – no pre-determined budget

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Role of Education Technology

• Pragmatic Approach to Design & Delivery Using Differing Web 2.0 Tools

• Accessibility is key • Open Access – staff, families,

carers and the public • Available on Mobile Devices /

Differing Platforms • Bite Size Nuggets of Learning • Limited budget

Tumblr Blogging Tool

Box Cloud File Storage Software

QR Codes & Augmented Reality

Slideshare Articulate E Authoring Video Hosting Blogger 9

Review of Falls Data from January - June 2013

New Data Measurement Interventions to prevent potential falls Evidence to staff of benefits of Forever Autumn Programme in action

*Compared to falls data pre Forever Autumn in 2011

Phoenix Park Community Nursing Unit

33% Reduction*

St Mary’s Hospital 15% Reduction*

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Forever Autumn

• Forever Autumn has generated a lot of interest from multidisciplinary team members from hospitals and residential units locally and nationally

• Forever Autumn has been implemented by other care facilities

• Forever Autumn is an example of a successful collaborative approach to innovative practice development

• Over 15,500 visits to the web site in 12 months

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Development of an online COP to offer support, guidance and continued education in falls prevention and management across the care spectrum for older adults:- • Acute Hospital Care • Community Care • Intellectual Disabilities Care • Palliative Care • Residential Care We are seeking a proactive collaborative approach to falls prevention by providing a platform for continuing engagement

www.foreverautumn.co

Forever Autumn Community of Practice

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To promote bone health, falls reduction, falls prevention and effective falls management

To provide a platform to share the repository of

information to the wider community to enhance quality care through presentations, articles of interest, develop special interest groups etc.

www.foreverautumn.co

Forever Autumn Community of Practice

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Reactive V Proactive • System failure – too late to react at point of hip fracture • Screening - fracture liaison services currently very poor nationally • 50% of those who suffered a hip fracture in one site had history of previous fracture with no bone health interventions (O Connor et al 2013) • Is falls prevention on the agenda???

• Currently national group working towards the implementation of the 2008 strategy

Education • Bone health – lifelong process need to educate all ages

• Increase falls awareness – potential for falls

• Falls prevention and reduction across all care settings

• Goal is to reach as many as we can in the most cost effective way

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