32
Interprofessional Fall Risk Prevention Training using STEADI for Home Health Megan Warfield- Kimball, OTD, MSHS, OTR/L
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
