Team AJackie Cochran

Jane John-NwankwoSarah Tackett

Elderly – age 60 and older

12% United States Population is over 65 years of age

Reside in Assisted Living Facility

Risk for balance problems

Epidemiology TriadElderly with Balance Problems Host:

Elderly 60 years and olderMale and Female

Agent:Physical:

Aging affects strength and balanceChemical:

Side effects of medicationsExposed to Communicable Disease

Community Acquired Pneumonia – cause weakness, poor nutrition

Environment:Poor lighting, throw rugsClutterSmall Rooms at Assisted Living Facility

Balance: Needs AssessmentDiming of senses

Five senses decrease

Musculo-SkeletalMuscle and bone atrophy

MedicationsSensory and cognitive deficits

Validation of fall risk assessment for seniorsDisability and rehabilitation

Fall risks increase after age 60The risks increase as the age increaseRisks were associated with other medical

problems associated with aging

Balance test used:The Tinetti Performance-Oriented Mobility

Assessment (POMA)The Timed "Up & Go" Test (TUGT)Berg Balance scale

Gaps in Data

Data explored showed no change in information.

World Health Organization AgendaSix point Agenda to improve public health

Promote DevelopmentFoster Health SecurityStrengthen Health SystemsHarness Research, Information & EvidenceEnhance PartnershipsImprove performance

WHO Agenda: Population AgeingTerm for Elderly 60 and up

Increase in population internationallyEncourage Physical Activity

Improve functional statusImprove quality of lifeImprove Mental HealthReduces risk of Falls

Balance exercises are key for those who are risk for falls

WHO Falls Prevention for Active Ageing Model

WHO Falls Prevention for Active Ageing ModelWHO Falls Prevention for Active Ageing

ModelAction plan to Reduce Occurrence of Falls

Build Awareness Improve Assessments Implement Culturally Appropriate interventions

ReferencesAmerican Family Physician (2000). What causes falls in elderly.

Retrieved Sept 18, 2009 from http://www.aafp.org/afp/20000401/2173ph.html

Center for Disease Control (2009). Falls among older adults: an overview. Retrieved on September 6, 2009 from http://www.cdc.gov/HomeandRecreationalSafety/falls/adultfalls.html

Clark, M. (2008). Community health nursing: Advocacy for population health (5th ed.). Upper Saddle River, NJ: Prentice Hall.

Cwikel, et al (1998)Disability and rehabilitation. Validation of a fall risk screening test (EFST), for community dwelling elderly retrieved from http://www.ncbi.nlm.nih.gov/pubmed/962226

Dicker, R. (2002). A brief review of the basic principles of epidemiology. In M.B. Gregg (Ed.) Field epidemiology (2nd ed) pp 8-25. New York: Oxford university.

References (cont)Lyons. S. S. (2004). Fall prevention for older adults . Iowa City (IA): University of Iowa

Gerontological Nursing Interventions Research Center, Research Dissemination Core. National Guideline Clearinghouse. Retrieved September 20, 2009, from http://www.guideline.gov/summary/summary.aspx?doc_id=4833&nbr=003480&string=elderly

Kaiser Family (2007). Demographics and the economy. Retrieved September 4, 2009,from http://www.statehealthfacts.kff.org/comparemaptable.jsp?ind=2&cat=1&sub=1&yr=85&typ=2&sort=3&o=a

Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. (Research Report) retrived from

http://www.thefreelibrary.com/Use+of+clinical+and+impairment-based+tests+to+predict+falls+by...-a099848607

Raiche, et al (2000) retrived from http://www.capsil.org/capsilwiki/index.php/Performance_Oriented_Balance_and_Mobility_Assessment_(POMA)

Vergados, D. (2008). Service personalization for assisted living of elderly people at home. CS Digital Library. Retrieved September 4, 2009, from http://www2.computer.org/portal/web/csdl/doi/10.1109/SMAP.2008.38

World Health Organization (2009). Definition of an older elderly person. Retrieved September 4, 2009, from http://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html