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Balance Problems in the Elderly

Balance Problems in the Elderly. Team A Jackie Cochran Jane John-Nwankwo Sarah Tackett. Introduction of Aggregate. Elderly – age 60 and older 12% United States Population is over 65 years of age Reside in Assisted Living Facility Risk for balance problems.

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Balance Problems in the Elderly

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  1. Balance Problems in the Elderly Team A Jackie Cochran Jane John-Nwankwo Sarah Tackett

  2. Introduction of Aggregate Elderly – age 60 and older 12% United States Population is over 65 years of age Reside in Assisted Living Facility Risk for balance problems

  3. Epidemiology TriadElderly with Balance Problems • Host: • Elderly 60 years and older • Male and Female • Agent: • Physical: • Aging affects strength and balance • Chemical: • Side effects of medications • Exposed to Communicable Disease • Community Acquired Pneumonia – cause weakness, poor nutrition • Environment: • Poor lighting, throw rugs • Clutter • Small Rooms at Assisted Living Facility

  4. Balance: Needs Assessment • Diming of senses • Five senses decrease • Musculo-Skeletal • Muscle and bone atrophy • Medications • Sensory and cognitive deficits

  5. Validation of fall risk assessment for seniors • Disability and rehabilitation • Fall risks increase after age 60 • The risks increase as the age increase • Risks 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

  6. Gaps in Data Data explored showed no change in information.

  7. World Health Organization Agenda • Six point Agenda to improve public health • Promote Development • Foster Health Security • Strengthen Health Systems • Harness Research, Information & Evidence • Enhance Partnerships • Improve performance

  8. WHO Agenda: Population Ageing • Term for Elderly 60 and up • Increase in population internationally • Encourage Physical Activity • Improve functional status • Improve quality of life • Improve Mental Health • Reduces risk of Falls • Balance exercises are key for those who are risk for falls • WHO Falls Prevention for Active Ageing Model

  9. WHO Falls Prevention for Active Ageing Model • WHO Falls Prevention for Active Ageing Model • Action plan to Reduce Occurrence of Falls • Build Awareness • Improve Assessments • Implement Culturally Appropriate interventions

  10. ConclusionEvery 18 seconds an older adult is treated in an emergency department for a fall, and every 35 minutes someone in this population dies as a result of their injuries.

  11. References American 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 (2nded) pp 8-25. New York: Oxford university.

  12. 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

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