interprofessional fall risk prevention training using steadi ......training 3- 20 minute narrated...

Interprofessional Fall Risk Prevention Training using STEADI for Home Health

Megan Warfield- Kimball, OTD, MSHS, OTR/L

Objective

STEADI Interprofessionalism

• Center for Disease Control’s Injury Center

• Fall Prevention

• American and British Geriatrics’ Societies

• Designed for Health Care Providers

Falls In Older Adults

1/5 falls causes serious injury (Broken bones, head

injury)

3 million older adults are treated in emergency room

yearly

Fall in Older Adults Continued

800,000 patients are hospitalized

300,000 are hospitalized for hip fractures

95% of hip fractures are caused by falls

Importance of Fall risk Prevention for the Future:

• Safety for Older Adults

• Cost Savings

• Improved ability to Age in Place

STEADI

Screening Options

• Three Key Questions

• Stay Independent: 12 Question Tool

Three Question Screen

• Do you feel unsteady when standing or walking?

• Do you worry about falling?

• Have you fallen in the past year?

Screen

Is there a Risk for Falling?

Fall Risk Factors

Fall Risk Factors

Heart concerns

Cognitive Impairment

Incontinence

Depression

Vision

Foot Problems

Medications

Gait, Strength, & Balance

Postural Hypotension

Environment

Gait, Strength, & Balance Evaluation

Gait

Mobility Device

Transfers

Balance

Strength

Environment

ObstaclesLack of handrails on

stairs

Dim lightingLack of bathroom

grab bars

Medications

• Screen

• Assess

• Formulate

• Educate

Medications

Opioids

Sedatives

Benzodiazepines

Antidepressants

Anticonvulsants

Antipsychotics

Anticholinergics

Antihistamines

Muscle relaxants

Medications affecting blood pressure

Incontinence

Cognition

Depression

Pilot Program: Interprofessional Fall Risk Prevention Training

Interdisciplinary

vs.

Multidisciplinary

Interprofessional Team

Physical Therapy

Occupational Therapy

Nursing

Phase 1: Online Training

3- 20 minute narrated

PowerPoints

Survey: 4 open ended questions

Phase 2: Face to Face Training

1 hour interdisciplinary

training

Rating of 6 statements using the Likert scale

What was the takeaway?

F2F Training

Communication

Falls are an important concern

Collaboration/Interprofessionalism

Takeaway

STEADI – Stopping Elderly Accidents, Deaths, & Injuries (CDC)

Interprofessionalism

https://www.cdc.gov/steadi/index.html

Contact Info:

Megan.Warfield-Kimball@state.mn.us