Trent Brown – The Clinician’s Guide to Reducing Falls are evidence-Based Strategies that Work

This lab-Recording intensively, practice and learn the evidence-Tools I use that are based on the following: to help prevent falls. These proven strategies will help you feel confident and at ease. that You can immediately transfer this knowledge into your clinical setting.

Trent Brown – The Clinician’s Guide to Reducing Falls are evidence-Based Strategies that Work

Reducing Falls and Increasing:

• Participation and functional and occupational performance
• Visual processing and strategies during dynamic movements and ambulation
• Safety with gait, functional mobility and transfers.-Stand
• Patients can feel confident with their mobility at home and in the community.

As a clinician who has worked in skilled nursing, home health, acute, and transitional care, I’ve seen and treated too many patients who experience falls. My past focus on strengthening the low extremities or only on home modification resulted in minimal gains. What was my mistake? It had to Be a better way to This population should be treated. Finally, I found that By examining the myriad of causes to Falls – Psychological, physiological, visual and neuromuscular. I could effectively treat my patients by increasing functional and occupational performance, giving them mobility confidence in their homes, and giving them the ability to move around freely.

This lab-It is important to record intensively and then practice and learn from the evidence-Tools I use that are based on the following: to help prevent falls. These proven strategies will help you feel confident and at ease. that You can immediately transfer this knowledge into your clinical setting.

1. List the major contributors to Falls and the most common places where falls happen for adults and seniors
2. Define the role that What role do medications play in falls? to Lower the risk of getting prescribed medication-Similar falls
3. Reaffirm the role played by clinicians in fall prevention at various rehab facilities, home and community-wide levels
4. Identify the common principles of a fall reduction programme that Lead to The best results
5. Learn how to apply the learned exercises and assessment during labs. to ensure immediate carryover into clinical settings
6. Use documentation strategies and language that is based on information to document your actions to Justification for skilled clinical services and reimbursement to All payer sources

THE COST OF FALLS

• Frequency of Falls – A breakdown in the US
• Falls results
• Future and cost projections
• Environments in which falls are common

CAUSES OF FALLS – WAYS TO REDUCE THEM

• Some causes
  • Medication
  • Ageism
  • Diagnosis
  • Contracture
  • Weakness
  • Compensatory gait patterns
• Common associations lead to to falls
  • Fear of falling (stiffening strategy).
  • Genomic hypovitaminosis
  • Gender
  • UE weakness
• Visual space relation and fixation time
  • Visual Stance and Soleustretch demonstration
  • LAB
• Functional strengthening techniques of PNF (CR, HR, vs. CRAC).
  • GRAC Rowing (Modified D1,D2)
  • Gastroclock using CRAC technique
  • LAB
• Mechanism and medication
• Type I iliopsoas contraction and anterior pelvic tilt vs. later pelvic tilt
  • Male vs. Female
  • Lengthen and shorten demonstration
  • LAB

EDUCATIONAL AND CLINICAL ROLE IN FALL REDUCTION

• Education
  • Home environment, adaptive equipment and sleep
  • Fall reductions in the home
  • Otago and other “fall reduction” Programmes
• 4-Test Balance Scale (LAB).
• Chair Stand Test

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BEST PRACTICE: ACTIVITIES, ASSESSMENTS AND EXERCISES

• Evaluations of Fall Risk
  • Functional reach (FRT), Fall Algorithm (TUG), Functional reach
  • LAB
• Hip/frontal plane stabilizers
  • Reducing circumduction, shuffle, or Trendelenburg gait
  • Trochanter Tension
  • LAB
• Hip mobilizers
  • Techniques for standing and sitting mobilization
  • Dynamic PNF chops
  • Quad sit-up (LAB)
  • Log roll
• Determinants of gait
• Dosage and frequency of exercise/activity

DOCUMENTATION and CASE STUDY

• 5 platforms that have been successful in documenting
• Documentation examples
• Study of a case