-Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls...

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“If you don’t stand for something, you’ll fall for anything” -Malcolm X

Transcript of -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls...

Page 1: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

“If you don’t stand for something,  you’ll fall for anything”

-Malcolm X

Page 2: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths
Page 3: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Fall Statistics

2800 workers in Manitoba are hurt every year due to falls

69% of all workplace falls in Manitoba happen on level ground

At least 2 deaths reported per year due to falling

-WCB Statistics

Presenter
Presentation Notes
2800 are just the ones that are reported, most likely many more occurring or Near Misses In the US, falls are the number one cause of occupational injuries. more likely to suffer a serious or life-threatening injury at work from a slip/trip or fall
Page 4: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Patient Falls

Modified Schmid Tool

Hendrich Protocols

Staying on Your Feet

Older Adults

Children/Adolescents

Page 5: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Modified Schmid

Mobility

Mentation

Elimination

Prior Fall History

Medications

Environmental Factors

Page 6: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Hendrich II

Mental/Emotional Status

Dizziness/Vertigo

Medications

Presenter
Presentation Notes
Acute care setting only
Page 7: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Staying on Your Feet ‐

IMPACT

www.preventfalls.ca

Older Adults

Home Safety Checklist

Personal Prevention

Home Balance/Strength Exercises

Children

Injuries at Home

Playground Safety

Sports Injuries

Presenter
Presentation Notes
Environmental (home, sports, playground) Medications Where’s the gap?
Page 8: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Patient Falls vs. Employee Falls

We can’t help our patients if we can’t help ourselves

PREVENTION!

Presenter
Presentation Notes
There is much debate surrounding how to deal with a patient that is falling. We need to look at the root causes in the first place. Prevention is the best way to deal with falling – reduce the chance of the falling at all.
Page 9: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths
Page 10: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Staff Injuries

Pride

Fractures

Dislocations

Sprains/Strains

Concussions

Cuts/Scrapes

Bruises

Page 11: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Staff Fall Consequences

Staff shortages

Lost workdays

Decreased productivity

WCB costs

Page 12: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Fall Prevention in the Workplace

1. Hazards

2. Behaviours

Page 13: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Fall Hazards

Spills

Obstructions

Uneven Surfaces/Flooring

Poor Lighting

Improper Use/Installation of Floor Mats

Weather Conditions

Page 14: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Spills

Use of fluids = risk of spills

Can be difficult to spot

Small amount of fluid = BIG fall risk

Page 15: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Spills Prevention

Clean up yourself

Report spill

Warn others

Signage

Presenter
Presentation Notes
Do not leave the site of the spill, as others may also be at risk of falling
Page 16: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Code Brown

Do not clean up spill yourself when:

Unknown substance

Unaware of safe cleaning method

Special training required to contain spill

Page 17: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Obstructions

Obvious Oblivious

Page 18: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Obstruction Prevention

Awareness is key

Clean and tidy storage areas

Remove cords from walkways

Close doors/drawers when not in use

Page 19: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Poor Lighting

Should be common sense, but is it?

Page 20: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Poor Lighting Prevention

Flashlights

Emergency lighting checked regularly

Report/replace burned out bulbs

Move slowly/carefully in dim lighting

Page 21: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Uneven Surfaces

Indoors

Uneven flooring

Door jambs

Broken stair edges

Outdoors Cracks in sidewalks

Parking lots

Holes/divots in ground paths

Page 22: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Floor Mats

Entrance/Hallway

Fall Mats

Anti-Fatigue Mats

Presenter
Presentation Notes
3/8 inch = 9.5 mm is enough to cause a trip Floor mats can bunch up/fold over, become wet in winter/rain
Page 23: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Prevention

Beveled edges

Lie Flat

No-skid backing

Page 24: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths
Presenter
Presentation Notes
Winter slip/trip stats? Particularly bad winter – never ending!
Page 25: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Weather Conditions

Ice is a fact of life in Manitoba

Parking lots/sidewalks

Don’t forget about indoors!

Page 26: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Winter Fall Prevention

Cleaning pathways as soon as possible

Sand/salt/de-icer

Vigilance/awareness

Proper footwear!

Page 27: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Indoor Winter Fall Prevention

Floor maintenance

Clean/replace mats as needed

Presenter
Presentation Notes
Housekeeping departments will clean front entrances more
Page 28: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Floor Cleaning Products

Housekeeping

Community –

client homes

Presenter
Presentation Notes
Clean floors may equal slippery floors. Do not assume that every product is safe, particularly in client’s homes.
Page 29: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Fall Risk Behaviours

Obstructed Vision

Poor Housekeeping

Shortcuts

Rushing

Complacency

Improper Footwear

Page 30: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Obstructed Vision

Large boxes/loads

Tall carts

Stairs

Visual Defects

Page 31: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Obstructed Vision Prevention Break up the load

Contrast

Prescription

Presenter
Presentation Notes
When using stairs, ensure that you have one hand available for the railing at all times!
Page 32: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Poor Housekeeping Debris

Storage Rooms

Small items on floor etc.

Presenter
Presentation Notes
Clean up after yourself for the sake of you and others
Page 33: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Shortcuts

Quicker is not always better

Dark

Slippery

Unknown Hazards

Page 34: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Rushing

More likely to slip while running

Hazards not seen in time

Momentum increases injury risk

Presenter
Presentation Notes
Momentum – outside eg.
Page 35: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Prevent Rushing Injuries

Ensure pathways clear

Move slowly and deliberately

Page 36: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Complacency

• Tired/preoccupied

• Unaware

• Ignoring Hazards

Page 37: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Improper Footwear

Grip/Traction

Function over Fashion

Page 38: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Footwear Safety Considerations

Temperature

Electrical Shock

Static Electricity

Chemical Exposure

Fluids

Indoor vs. Outdoor

Presenter
Presentation Notes
Winter footwear does not mean runners! Proper winter footwear should have: Good traction in snow/slip resistance to ice – deep tread pattern for snow, slush and dirt Upper part of boot flexible but firm – foot should not slide around in boot Allow for warm socks Sole made of a material that won’t harden when cold – eg. Natural rubber Flat sole, low heel
Page 39: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Self Help Solutions

Page 40: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Self Preparedness

Core Strength

Balance

Page 41: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Core

Almost every movement is initiated or transferred through the core.

Provides spinal stability & balance for entire body to resist forces applied to it

Presenter
Presentation Notes
Essential for the maintenance of upright posture
Page 42: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Not A Six Pack!

Presenter
Presentation Notes
Beach muscles are not necessarily important muscles! Abdominals (TA), Back/Spinal Extensors (Multifidus), Hip/Gluteals, Pelvic Floor, Shoulder girdle Global muscles vs stabilizing muscles Corset of muscle providing stability They are known to contract prior to any limb (arm or leg) movement and so they function in keeping the centre, or core of the body rigid during all movement. Thus retraining these muscles to contract at the right time is the fundamental theory of core stability.
Page 43: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Core

Presenter
Presentation Notes
GROUP of trunk muscles that surround the spine working together to achieve strength and stability – muscles contracting together to provide support to the spine & pelvis during movement
Page 44: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Core Stability

Strength is not enough!

Proximal Stability for distal mobility

Need CONTROL of position & movement of trunk

Coordination & balance

Presenter
Presentation Notes
Using the right muscles at the right time in the right order – recruit trunk muscles and learn to control position of lumbar spine during dynamic movements The ability of the core muscles to work in an efficient and coordinated fashion to maintain correct alignment of the spine and pelvis while the limbs are moving. How well the core muscles can hold the spine/trunk still and relatively stable while the extremities are moving (strength?). Without core stability the lower back is not supported and can be injured causing strain Lunge - Accomplishing this maneuver without deviation requires the deep trunk muscles to control the spine, pelvis and hips, while lifting the body’s weight. Clean & Jerk
Page 45: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Functional Core Strength

Page 46: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths
Page 47: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Proprioception

Page 48: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Proprioception

Exercises

Presenter
Presentation Notes
Stork stand, eyes closed. Rock on toes and heels, perturbation (ping pong), 747 Advanced: BOSU ball
Page 49: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths
Page 50: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths
Page 51: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths
Page 52: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Footwear

Presenter
Presentation Notes
Shape of shoe bottom Relates to the type of arch you have Straight last – best for “fallen arch” – flat foot Semi-curved last – “normal” foot Curved last – best for high arch – rigid What does your arch look like? – Look at footprint after getting out of the shower/tub/pool etc. Which picture does it resemble?
Page 53: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Wear Pattern

Presenter
Presentation Notes
Pronation – flat arch/fallen arch Supination – high arch
Page 54: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths
Page 55: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Shoe Buying Tips

Go shopping at the end of the day

Move around in the shoes

Don’t wait to break them in

Page 56: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Back to Basics

Fix what you can

Report what you can’t fix

Warn others of hazards

Presenter
Presentation Notes
Fix: environment, equipment etc. Safety is everyone’s responsibility
Page 57: -Malcolm X · -Malcolm X. Fall Statistics 2800 workers in Manitoba are hurt every year due to falls 69% of all workplace falls in Manitoba happen on level ground At least 2 deaths

Thank You


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