Director, thank you for the opportunity to provide recommendations for the facility’s new Resistance Training Program. This is sure to be a great addition to our current walking program and will be an opportunity for the residence to progress even further. There is compelling evidence of these type programs being used and their effectiveness with the population of our residence. (Haggis 2013) Adding this aspect to our current offerings may appeal to other residence who may not be participating in the walking program and keep them from being further inactive. Adding these programs, will assist preventing many of the conditions that further threaten their self-sufficiency and chronic conditions. (Batt 2013) While the fitness program will not be the sole determining factor in their lives (Haggis 2013) it will serve as an effective prevention strategy (Rose 2011) and have a sustainable impact on their lives. (Haggis 2013)
The main focus of the group program needs to be on their daily functionality as well as fall prevention. There are currently numerous bodies of research and evidence regarding targeted balance and mobility, however there are few that truly concentrate and approach the group-based exercise programs for these issues. (Rose 2011) Yet, I truly believe we will be fully capable of accomplishing the objective here with our current inventory dumbbells and elastic bands. However, I believe we it will be necessary to take some preliminary steps with the program. We may begin with the current walking programs participants and determine who may want to also training in the new class. We may also have them speak with fellow residence to help encourage others to participate in this new class as well. Additionally, we will ...
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...n, E., & Stanghelle, J. (2012). Balance in relation to walking deterioration in adults with spastic bilateral cerebral palsy. Physical Therapy, 92(2), 279-288. doi:10.2522/ptj.20100432
9. Rose, D. (2011). Reducing the risk of falls among older adults: the Fallproof Balance and Mobility Program. Current Sports Medicine Reports, 10(3), 151-156. doi:10.1249/JSR.0b013e31821b1984
10. Verghese, J., Kuslansky, G., Holtzer, R., Katz, M., Xue, X., Buschke, H., & Pahor, M. (2007). Walking while talking: effect of task prioritization in the elderly. Archives Of Physical Medicine And Rehabilitation, 88(1), 50-53.
11. Wong, C., Chen, C., & Welsh, J. (2013). Preliminary assessment of balance with the Berg Balance Scale in adults who have a leg amputation and dwell in the community: Rasch rating scale analysis. Physical Therapy, 93(11), 1520-1529. doi:10.2522/ptj.20130009
The key objective of the project is to produce a report on fall among the geriatric population, which will help to improve an awareness and knowledge of the importance of lessens falls in elderly and encourage action to lower falls and related
As people age, they face difficulties with seeing and also with mobility, declines in their physiological systems impact balance, range and speed. These physiological problems can result in falls, which tend to be really problematic for the elderly living alone at home. The Hendrich II Fall Risk Model (HFRM) was used on Mr. T.C to assess his fall risk; this tool is used in acute care facilities to estimate the risk for falls in adults (Hendrich, 2013). The client scored a 6, any score exceeding a 5 is considered a high risk for fall. Being a male is one of the predetermined risk points that make one susceptible of falling as well their symptomatic depression, both which the client falls under. The Get-Up-and-Go Test is also a predetermined risk factor of HFRM; it determines the client’s ability to rise from a seated position. It took the client 3 attempts to fully stand up from a seated position.
Jr, K. R., & Barber, C. E. (2011, August 29). Preventing falls in the elderly. Retrieved from http://www.ext.colostate.edu/pubs/consumer/10242.html
Fatigue, decreased mobility and impaired balance from the rheumatoid and osteoarthritis pain also increases the risk of falls (Stanmore et al., 2013). Age related changes such as sarcopenia causes muscle tone and strength to decrease, especially in the lower limbs and as a result, balance and gait become impaired (Culross, 2008). These factors significantly influence the risk of falls and also affect the ability to carry out daily activities therefore, with a physiotherapists assistance, the nurse could introduce a personalised exercise regime to enhance muscle tone and strength (Culross, 2008). According to Neuberger et al (1997), exercise lessens fatigue and improves muscle tone and balance in older people. Recommending an exercise programme for Mrs Jones that incorporates strength training exercises and aerobics, could potentially improve muscle tone and strength and as a result improve mobility, balance and lessen the risk of falls (Bird, Pittaway, Cuisick, Rattray & Ahuja, 2013). The nurse could also suggest safety precautions such as advising Mrs Jones to use a mobility aid (Gooberman-Hill & Ebrahim,
Registered Nurses’ Association of Ontario (RNAO). (2005). Prevention of falls and fall injuries in the older adult. Retrieved from http://rnao.ca/sites/rnao-ca/files/Prevention_of_Falls_and_Fall_Injuries_in_the_Older_Adult.pdf
Investigate the contemporary body of knowledge that underpins the current recommendations for exercise programming in the pursuit of improved health.
A fall is an “untoward event which results in the patient coming to rest unintentionally on the ground” (Morris & Isaacs, 1980). When it comes to patient safety in health care, there isn’t any subject that takes precedence. Patient falls are a major cause for concern in the health industry, particularly in an acute-care setting such as a hospital where a patient’s mental and physical well being may already be compromised. Not only do patient falls increase the length of hospital stays, but it has a major impact on the economics of health care with adjusted medical costs related to falls averaging in the range of 30 billion dollars per year (Center for Disease Control [CDC], 2013). Patient falls are a common phenomenon seen most often in the elderly population. One out of three adults, aged 65 or older, fall each year (CDC, 2013). Complications of falls are quite critical in nature and are the leading cause of both fatal and nonfatal injuries including traumatic brain injuries and fractures. A huge solution to this problem focuses on prevention and education to those at risk. ...
There are many psychological and physical changes after an amputation. Body and mind have suffered changes and must adapt to the unexpected challenges. Some of the psychological effects that can be observed on an amputee are denial of the situation, anger, depression, factors like this can affect anyone without a prosthetic, nonetheless an amputee. Furthermore, this patient was active prior to the first failed surgery of TKA, which leaded to the amputation. The physical condition of the patient might have been compromised after two surgeries. Additionally, it can be assumed the patient is deconditioned and lacks endurance. The patient might know of his physical limitations and this creates a safe point of self awareness when ambulating and
This publication was printed with the generous support of the National Institute on Disability and Rehabilitation Research
Hemiparesis that affects the peroneal nerve preventing dorsiflexors muscles from lifting the toes up when walking causes the toes to drag, impairing gait. Hemiparesis can also affect the knee flexor and extensor muscles which are important for “shock absorption, assisting with foot clearance and balance control” (Sadeghi, H. et al., 2002, p. 51). Physical therapists know that poor gait can affect the pelvis, lower back, spine and neck as the body tries to compensate for unilateral weakness of the lower limbs. The sooner a patient can achieve normal gait the less likely they are to suffer permanent damage and the quicker they can return to their normal lives and activity levels.
When taking steps to analyze and apply intervention strategies for falls, we must examine the factors that cause these occurrences. There are numerous reasons that falls occur, such as intrinsic and or extrinsic risk factors. Intrinsic risk factors for falls may be due to changes that are part of the normal aging process and acute or chronic conditions. According to Zheng, Pan and Hua et al. (2013), about 35-45 percent of individuals who are usually older than 65 years and other 50 percent of the elderly individuals report cases of fall every year. Extrinsic factors are those related to physical environment such as lack of grab bars, poor condition of floor surfaces, inadequate or improper use of assistive devices (Currie). Patient falls is not an easy thing to eliminate. With many clinical challenges, there’s no easy answer to the challenges posed by patient falls; howe...
"Spine & Sports Rehabilitation." - Rehabilitation Institute of Chicago. Ric.org, 2014. Web. 08 May 2014.
Traumatic brain injuries, broken hips, loss of independence and death are some of falls' most serious outcomes (Williams, Szekendi, & Thomas, 2014). Therefore, we need fall prevention strategies and tools to define and measure falls. Ultimately that wills assist health care teams to identify risks and target prevention strategies. The purpose of this stud...
Hoeger, W.W.K., & Hoeger, S.A. (2014, 2012). Principles and labs for fitness and wellness. Belmont, CA: Wadsworth Cengage Learning. 376-379, 386-387. Print.
"Physical Activity and Public Health." Scholar Commons of South Carolina. American Heart Association, 2007. Web. 03 Apr. 2014.