Professional Documents
Culture Documents
ASSESSMENT
Falls are a significant public health issue as demonstrated by their impact on society in terms of individual health outcomes and systemic costs. From 1997-2007 falls were the leading cause of injuries.
Annual Rate* of Injury Episodes for Leading Causes of Injury, by Sex National Health Interview Survey, United States, 2004--2007
PLANNING
The No False Steps falls prevention program will decrease incidence of falls among Kinship Caregiver population by providing risk assessments and education on behavioral, medication and environmental risk factors, as well as providing referrals to community fall prevention resources such as exercise programs (i.e. Stay Active and Independent for Life).
Core Function: Assurance
Through needs assessment, research, resource development, and formation of community partnerships we are assuring that our clients will have knowledge and access to prevent falls.
IMPLEMENTATION
Research existing data pertaining to incidence and health implications of falls at national, state, and local level. (completed) Develop and implement survey to identify needs and preferences of our unique population regarding falls prevention. (completed) Gather evidence based data on effective tools for fall prevention and select those appropriate for our unique population through collaboration with Rosalyn Alber, Kay Coulter, and Kathy Moisio. (completed) Research and identify existing fall prevention resources in community such as Fall Prevention Coalition of Pierce County and SAILs exercise programs available in Pierce County. (completed) Develop fall prevention pamphlet template and provide to HopeSparks to facilitate distribution to client population. (completed) Suggest fall assessment tool and protocols for inclusion in the HopeSparks geriatric questionnaire to better assist student nurses in identifying clients at risk and providing appropriate interventions. (ongoing) Identify potential community partners and establish community action groups. (ongoing)
Pierce
INPUT
Primary Care Providers Washington State Department of Health Aging and Long Term Care Aging and Disability Resource Center Pierce County Coalition Tacoma Department of Health Center for Disease Control and Prevention Local Hospitals PLU Nursing Students Clients at risk for falls Institution of Higher Learning PT, OT, Home Health Nurse
HopeSparks
Clients in the Kinship Care Program
County
OUTPUT
Referrals to Specialist Third Party Payers Public Assistance Community Centers Stay Active & Independent for Life Community Improvements PT, OT, Home Health Care Nursing Student Home Safety Modifications Cost Savings Decrease Morbidity Behavior Modifications Community Partnership
THROUGHPUT
Falls Prevention Program Risk Assessment Health Assessment Education Environmental Assessment Community Outreach
(CDC, 2009)
More than 19.2 billion dollars was spent for treating fall related injuries in 2000. Washington States death rates due to falls significantly exceed the national average with 10.2 per 100,000 deaths due to falls in WA state in 2006.
FEEDBACK
EVALUATION
Short Term Goals 1. Met through development of client survey. Ongoing in terms of administration to clients. 2. Met through evidence based research. Intermediate Goal 1. Met through research, analysis and synthesizing data into consumer friendly format. Long Term Goals 1. Not Met. (pending program implementation) 2. Not Met. (pending program implementation)
Intermediate Goals
In 2005, falls resulted in 12,200 hospitalizations and nearly 500 deaths among older adults 65+. In Pierce County, for the years 2003-2007, had a non-fatal unintentional fall rate of 1771 per 100,000 residents ages 45-85+ compared to a state wide average rate for the same population and period of 1252 per 100,000.
1. Develop a consumer friendly educational and resource brochure on falls prevention. Objectives: (each to be completed by May 19, 2010) a) Determine appropriate content for brochure. b) Finalize master template for brochure.
The No False Steps fall prevention program will address these goals by addressing several associated focus areas, including
FA1: FA2: FA6: FA7: FA11: Access to Quality Health Services Arthritis, Osteoporosis, Chronic Back Conditions Disability and Secondary Conditions Educational Community Based Programs Health Communication
REFERENCES
Centers for Disease Control and Prevention. (2010). Injury prevention and control: home and recreational safety. Retrieved March 30, 2010 from www.cdc.gov Center for Healthy Aging.(2007). Fall prevention. Retrieved March 30,2010 from http://www.healthyagingprograms.org/content.asp?sectionid=69 Fall Prevention.(2009). Fall prevention. Retrieved March 30,2010 from http://www.fallprevention.org/index.htm Office of the Governor. (2008). Falls among older adults- a serious public health problem in Washington State. Retrieved March 30, 2010 from http://www.governor.wa.gov/ltctf/reports/071707/older_adults.pdf Healthy People 2010. (2010). Injury and violence prevention. Retrieved February 18, 2010, from www.healthypeople.gov Pierce County Human Services. (2010). Stay active and independent for life. Retrieved March 30, 2010 from http://www.piercecountywa.org/pc/abtus/ourorg/humsvcs/altc/adrc/SAILclasses.htm Stanhope, J., & Lancaster, J. (2008). Public health nursing (7th ed.). St. Louis, MO: Mosby Elsevier. Washington State Department of Health. (2009). Injury and violence prevention program. Retrieved March 21, 2010 from http://www.doh.wa.gov/hsqa/emstrauma/injury/rate_analyzer/
FA15: Injury and Violence Prevention FA22: Physical Activity and Fitness FA28: Vision and Hearing with specific attention to Healthy People Objectives:
Objective15- 27: Reduce death from falls. Objective 15-28: Reduce hip fractures among older adults.
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