Fall Prevention

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Comprehensive Fall Management : 

Comprehensive Fall Management

Falls: Relevant Statistics : 

Falls: Relevant Statistics Falls are not a normal part of aging Balance related falls are the leading cause of deaths in elderly Annual fall rates: 30% of those > 65 50% of those > 80 25% of patients > 50 who fx a hip die within 12 months, and 40% within 24 months

Etiology of Falls : 

Etiology of Falls Dizziness is the #1 reason for falls Loss of protective sensation is #2 50% of falls in elderly can be attributed to vestibular dysfunction

Dizziness : 

Dizziness Lightheadedness: feeling faint Vertigo: Perception of movement, either self or surroundings Oscillopsia: Experience of objects that are known to stationary appear to be moving Disequilibrium: Unsteadiness, imbalance

Etiology of Dizziness : 

Etiology of Dizziness Otologic: 50% (vestibular) CNS: 22% (TBI, CVA, Migraine, etc) Psychogenic: 15% anxiety, panic, depression) Medication: 5% Other

Systems Controlling Balance : 

Systems Controlling Balance Vestibular Somatosensory Visual Musculo-Skeletal Cognitive 70% of our balance is vestibular when our head and body are in motion

Traditional Therapy Programs : 

Traditional Therapy Programs Historically reactive vs. proactive Research shows traditional therapy programs have little to no effect on fall risk Strengthening and increasing functional endurance does not impact balance systems

Comprehensive Fall Management : 

Comprehensive Fall Management

Center Flow Chart : 

Center Flow Chart Patient from: Home Care Ambulatory Office Extended Care Facility No history of dizziness/falls No further referral History of dizziness/falls Referral obtained from primary physician to Diagnostic Center Negative Findings Findings sent back to primary Positive Findings Findings and recommendation sent back to primary for home care therapy For patients who are part B Candidates, Outpatient Therapy is initiated with Fall Track eval at beginning and at Discharge to objectively show attainment of goals After treatment is completed and goals attained, the patient will be re-assessed q 12-18 months or sooner with symptoms For patients who are part A candidates, Home Care Therapy initiated with Fall Track eval at beginning and at Discharge to objectively show attainment of goals

For More Information : 

For More Information E-mail questions or comments to: jbenanti@vinebranchconsulting.com

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