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Nova Scotia Falls Prevention Update

Nova Scotia Falls Prevention Update. Preventing Falls Together Conference October 29, 2009 Suzanne Baker. The leading causes of falls are preventable with a coordinated prevention effort . Seniors’ Falls Facts. 33% of community dwelling seniors fall yearly

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Nova Scotia Falls Prevention Update

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  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. 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

  4. More Seniors’ Falls Facts Falls cause > 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

  5. Fall Injuries: the Surface Below Deaths Hospitalizations Emergency Dept visits Treated in a physician’s office Treated at home or never treated 6

  6. What causes a fall?

  7. 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

  8. 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)

  9. 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)

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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.

  15. Provincial Falls Prevention Network

  16. New Required Organizational Practices for 2008 • New Goal—Reduce the risk of injuries resulting from client falls • New ROP—implement 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

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

  18. 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.

  19. 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.

  20. 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.

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

  22. Strategy #4 Developing guidelines for evaluating existing and future tools, interventions, and policies.

  23. 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

  24. Suzanne Baker Falls Prevention Coordinator Department of Health Promotion and Protection/South Shore Health Phone: (902) 634-8807 x3193 Email:sbaker@ssdha.nshealth.ca Contact Information

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