Preventing falls while encouraging mobility for older adults: Research at Toronto Rehab November 21, 2014

Speakers: Karen Ray, Saint Elizabeth Health Care Tilak Dutta, Toronto Rehab Institute – UHN Facilitators: Susan McNeill, Registered Nurses’ Association of Ontario Maryanne D’Arpino, Canadian Patient Safety Institute Hélène Riverin, French Language Support, Canadian Patient Safety Institute

Yes No

Objective

To give older adults and their caregivers the tools they need to independently live in their own homes.

Objective

To give older adults and their caregivers the tools they need to independently live in their own homes. We do this by developing new:

•Products •Policies •Therapies

• A community-based, not-for-profit, health care

organization

• Nursing, personal and home support and rehabilitation services

• Over 7000 nurses, rehab therapists, personal support workers and crisis intervention staff

• Full range of services from maternal-newborn to end of life

• Service Delivery Centres (SDCs) across Ontario with over 6 million visits annually

Saint Elizabeth

Saint Elizabeth Expertise

• A focus on ageing in place; we can keep people at home vs institutionalized through support and resources

• Over hundred years of experience working in the community and community resources

• Access to the voice of the client, their families and professional providers

• Many of the issues that make living at home difficult; design of stairs and bathrooms; getting out of the bed or tub

•Preventing falls/encourage mobility

•Preventing injuries in caregivers

•Preventing spread of infection

3 focus areas for the TRI Tech Team:

•Preventing falls/encourage mobility

•Preventing injuries in caregivers

•Preventing spread of infection

3 focus areas for the TRI Tech Team:

Fall Injuries in Canada, 65+ 2010/2011

• 78,330 fall-related hospitalizations

• 85% of all injury- related hospitalizations for older adults

• 50% of fall-related hospitalization occurs in the home

• 34% of all fall-related hospitalizations are hip #

• Length of hospital stay is 10 days longer for people who have sustained falls

Prevent falls but encourage mobility

• Footwear • Poor balance control • Intersections

Prevent falls but encourage mobility

o Outdoors • Footwear • Poor balance control • Intersections

o At home • Stairs • Bathrooms

Prevent falls but encourage mobility

o Outdoors • Footwear • Poor balance control • Intersections

o At home • Stairs • Bathrooms

WinterLab

WinterLab

Prevent falls but encourage mobility

o Outdoors • Footwear • Poor balance control • Intersections

o At home • Stairs • Bathrooms

www.balancepro.ca

Prevent falls but encourage mobility

o Outdoors • Footwear • Poor balance control • Intersections

o At home • Stairs • Bathrooms

Prevent falls but encourage mobility

o Outdoors • Footwear • Poor balance control • Intersections

o At home • Stairs • Bathrooms

HomeLab

Mobility Kit

How to you convince someone they need a device?

Prevent falls but encourage mobility

o Outdoors • Footwear • Poor balance control • Intersections

o At home • Stairs • Bathrooms

Relative risk of run length

9.0 8.0 10.0

Run length in inches

8.5 9.5

Relative risk of run length

9.0 8.0 10.0

Run length in inches

8.5 9.5

StairLab WinterLab StreetLab

Prevent falls but encourage mobility

o Outdoors • Footwear • Poor balance control • Intersections

o At home • Stairs • Bathrooms

• Grab bars

• Repositioning the toilet

• Slip resistance of the tub

Toilocator

Toilevator

Toilocator

TriTechTeam.org karenray@saintelizabeth.com tilak.dutta@uhn.ca