Foundation Foundation Learning Learning Resource PackResource Pack

Falls and Bone Health Learning Falls and Bone Health Learning ResourceResource

Background Background Strategy 2008 American and British Geriatric Guidelines NICE Goal 1 : Increase awareness about the problem of

falls and fractures in high risk groups, their families and communities, health personnel and policy makers

Implementation ad hoc Hubs throughout the country; excellent work happening

BackgroundBackground AFFINITY established 2013 ( Activiting Falls and Fracture

prevention in Ireland Together)

Education and Learning group established Education and Learning group established

ReResource source Pack Pack developed to provide staff at the frontline with developed to provide staff at the frontline with knowledge and knowledge and information information on effective falls prevention and on effective falls prevention and bone health programmes, based on best practice nationally and bone health programmes, based on best practice nationally and internationally.internationally.

To To provide guidance for staff on how to have a co-ordinated provide guidance for staff on how to have a co-ordinated approach to the prevention and management of falls within approach to the prevention and management of falls within their setting. their setting.

BackgroundBackground

Knowledge and InformationKnowledge and Information Aim: To improve the knowldege of staff in relation to falls Aim: To improve the knowldege of staff in relation to falls

prevention and Bone health prevention and Bone health

Staff education foundation to build falls prevention programmes Staff education foundation to build falls prevention programmes

Staff need to recognise the magnitude of the problems Staff need to recognise the magnitude of the problems

The consequences of fallsThe consequences of falls

Risk factors that can lead to falls Risk factors that can lead to falls

Interventions to address risk factorsInterventions to address risk factors

Knowledge and InformationKnowledge and Information Education should be provided to all staffEducation should be provided to all staff It everybodys business.It everybodys business. Everybody has a roleEverybody has a role

The information needs to be consistentThe information needs to be consistent and and convey the same convey the same message message

Most important message that participants come away with is Most important message that participants come away with is that they can help reduce the number of falls and fall related that they can help reduce the number of falls and fall related injuries in their setting “injuries in their setting “Often less is moreOften less is more “ “

Magnitude of the ProblemMagnitude of the Problem Falls a common and serious health problem with devastating Falls a common and serious health problem with devastating

consequences (Al-Aama, 2011) and are a main cause of morbidity consequences (Al-Aama, 2011) and are a main cause of morbidity and disability in older adults.and disability in older adults. A An unnecessary cause of ill health n unnecessary cause of ill health and death. and death.

Falls and fall related complications are the 5th leading cause of Falls and fall related complications are the 5th leading cause of death in the developed world (cited in Woolcott et al., 2009)death in the developed world (cited in Woolcott et al., 2009)

Evidence suggests that between 30% (Gillespie et al., 2009) and Evidence suggests that between 30% (Gillespie et al., 2009) and “more than one third of persons 65 years of age or older”“more than one third of persons 65 years of age or older” fall each fall each year, and in half of such cases the falls are recurrent (Tinetti & year, and in half of such cases the falls are recurrent (Tinetti & Kumar, 2011).Kumar, 2011).

Magnitude of the ProblemMagnitude of the Problem A 15-30% reduction in falls could potentially realise a A 15-30% reduction in falls could potentially realise a

reduction nationally of up to 10,200 admissions per annum reduction nationally of up to 10,200 admissions per annum which equates to 17.7million ( Primary care Team HSE Board which equates to 17.7million ( Primary care Team HSE Board report 2011)report 2011)

Ireland has an aging population Today 11% are aged over 65 Ireland has an aging population Today 11% are aged over 65 years (468,000). By 2031 that proportion will increase by 18% years (468,000). By 2031 that proportion will increase by 18% to over one million people. The biggest will be among those to over one million people. The biggest will be among those who are 80 years of age or more who are 80 years of age or more

Education Resource PackEducation Resource Pack Falls Foundation programme for link staffFalls Foundation programme for link staff to to give them the give them the

information information knowledge needed to deliver learning sessions to knowledge needed to deliver learning sessions to all health and social care workers all health and social care workers

Catergory of Health and social Care workers Catergory 1 –Health and social care workers who provide Catergory 1 –Health and social care workers who provide

support services e.g catering ,housekeeping ,administartive support services e.g catering ,housekeeping ,administartive personnel , portering etc personnel , portering etc

Catergory 2 Health and Social care workers who provide Catergory 2 Health and Social care workers who provide direct clinical care to sercive users e.g nurses ,doctors all other direct clinical care to sercive users e.g nurses ,doctors all other allied healthcare progesional and health care assistants allied healthcare progesional and health care assistants

Foundation Education Resource Foundation Education Resource PackPack

Designed to deliver information to froDesigned to deliver information to fronnt line staff in all t line staff in all settings that is usable and can be applied to their own work settings that is usable and can be applied to their own work setting setting

Foundation Education Resource Foundation Education Resource PackPack

6 Chapters/ sections List of Resources Appendices and Power Point Presentation

All staff should attend a learning session on chapter 1& 2 and All staff should attend a learning session on chapter 1& 2 and then a session on the setting they work inthen a session on the setting they work in

Chapter 1 Introduction to Falls Prevention and Management

Definition of fallDefinition of fall Prevalance Prevalance Cost consequencesCost consequences

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Fear of falling one in four older Irish People report a fear of Fear of falling one in four older Irish People report a fear of falling ( Tilda 2011)17% aged 50-64, 40% over 75yrs (Take falling ( Tilda 2011)17% aged 50-64, 40% over 75yrs (Take out later )out later )

Reluctance to report fallsReluctance to report falls

AAdvice for people who fall in their home dvice for people who fall in their home

Introduction to screening and assessment Introduction to screening and assessment

Falls risk Alerts Falls risk Alerts

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Reporting falls Reporting falls

Establishing a working group or part of another workingEstablishing a working group or part of another working work work

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Chapter 2Chapter 2 Osteoporosis /Bone HealthOsteoporosis /Bone Health

What is Osteoporosis What is Osteoporosis

Risk factors ,prevention diagnoising treatmentRisk factors ,prevention diagnoising treatment Diet Exercise Medication Diet Exercise Medication

Falls and Bone Health have to be considered Falls and Bone Health have to be considered together together

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Chapter 3,4 & 5Chapter 3,4 & 5 Primary care , Acute Setting (Discharge) and Residential Primary care , Acute Setting (Discharge) and Residential

Chapter 6Chapter 6 Planning a learning session Planning a learning session

Each ChapterEach Chapter At the end of each chapter their is a list of resources both At the end of each chapter their is a list of resources both

national and international that can supplement/ add to the national and international that can supplement/ add to the knowledge obtained in this resource knowledge obtained in this resource

Appendices Sample of policies , Screening assessment tools Appendices Sample of policies , Screening assessment tools Falls Safety Cross Algorthym etc Falls Safety Cross Algorthym etc

Planning deliveryPlanning delivery Link staff in each setting who will be responsible for delivery Link staff in each setting who will be responsible for delivery

of the education sessions of the education sessions Key to planning a sessionKey to planning a session Identify target audience and choose what information is most Identify target audience and choose what information is most

relevant relevant Tailor the session to the needs of the audiences Tailor the session to the needs of the audiences Consider the language it is a mixed multidisciplinary or Consider the language it is a mixed multidisciplinary or

specific discipspecific discipiilne lne Decide on session lenght and what will be covered Decide on session lenght and what will be covered Can this fit in with in service training Can this fit in with in service training

Methods of DeliveryMethods of Delivery Slides /Handouts Slides /Handouts Photo of flip chart Photo of flip chart

Case studies that are familiar to the participants / Group Case studies that are familiar to the participants / Group discussion discussion

Record of attendance Record of attendance

Review follow up on information being put into practice Review follow up on information being put into practice

Independent and fall free