Proven Fall Prevention Strategies: Exercise, Meds Management, & Home Modification – Trent Brown – PESI

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Exploring the Essential Features of “Proven Fall Prevention Strategies: Exercise, Meds Management, & Home Modification – Trent Brown – PESI”

30% of people over age 65 fall each year.  This number increases to nearly 50% in in-patient settings and skilled nursing facilities.  Fall-related injuries causing death, hospitalization, and/or treatment was projected to be $111 billion in 2010.  In addition, nearly 25% of all adults (45-64) experience one fall in the community annually.

Can therapists provide treatment and education to clients to reduce the risk of falls in the home, community, and clinical settings?  What research supports the role of therapy in fall reduction and what is their role?  This recording will answer these questions and discuss the most basic preventive strategies including: exercise strategies, medication management, and home modification.

Speaker

Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Utah Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care. Mr. Brown also reviews clinical documentation for UDOH as an expert witness in reviewing cases. Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131, advancing OT practice in the state of Utah, and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule, he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.

Speaker Disclosures:

Financial: Trent Brown has employment relationships with the University of Utah, the Utah Department of Health, Well Being Services, Northern Utah Rehab Hospital, and Aspenridge Home Health. He receives compensation as an instructor. Trent Brown receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Trent Brown has no relevant non-financial relationships.

Target Audience

• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapy Assistants
• Nurses
• Nurse Practitioners
• Nursing Home Administrators

Objectives

1. Identify the major contributors to falls and the most common environments where falls occur for the adult and geriatric population.
2.  Assess the role clinicians have for fall prevention in facilities, the community, and the patient’s home.
3. Discuss programs, exercises, assessments, and educational resources used in treatment to reduce falls.

Outline

Identify Demographics of Falls

• Cost of falls
• Cause of falls (medication, aging, diagnosis, weakness, gait, etc.)
• Environment

Clinical Role of Reducing Falls

• Education (medication management, sleep, AE use, etc.)
• Fall reduction in the home
• Otago Exercise Program

Best Practice

• Fall risk assessment and evaluation (functional reach, chair-stand, etc.)
• Additional fall reduction exercises and activities (static/isometric, dynamic, etc.)
• Exercise dose -documentation

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