At Risk Elderly Residents of Traverse City. Melissa Benderman , Megan Clinard , Marissa Herrera, Shannon Mienk , Sally Murphy, Joshua Schad , Erica Zache Ferris State University. Abstract.
Melissa Benderman, Megan Clinard, Marissa Herrera, Shannon Mienk, Sally Murphy, Joshua Schad, Erica Zache
Ferris State University
difficulties, cognitive impairment or ambulation problems that hinder their self care (Administration on Aging, 2010).
To further facilitate a study of the data of the demographic with the greatest growth and search for a problem that can be remedied, the data for ambulatory care sensitive hospitalizations was reviewed.
The Michigan Department of Community Health (MDCH) defines an ambulatory care sensitive condition (ACSC) as “hospitalizations for conditions where timely and effective ambulatory care can decrease hospitalizations by preventing the onset of an illness or condition, controlling an acute episode of an illness or managing a chronic disease of condition” (MDCH, 2009).
GTC’s increase in ACSC was 2.4% more than the state benchmarks. It could be inferred that the factors relating to the increase can be attributed to the increase in the population of GTC that are 65 and older, as well as, the group of persons age 65 and older are most affected by this problem.
According to the data from the Census Bureau between 2000 and the study performed from 2006 to 2008 Grand Traverse County population of those 65 years and older experienced a 21.36 percent increase or about 12.82 percent more increase than the National Benchmarks (MDCH, 2009).
Review of the an ambulatory care sensitive condition data for the age group of 65 and older shows Grand Traverse County increased by 33.1% while the state benchmark increased by 30.7% (MDCH, 2009).
It is estimated that by the year 2020 one-third of Grand Traverse County residents will be senior citizens (Grand Traverse County).
“The condition (FTT) affects 5 to 35 percent of community-dwelling older adults, 25 to 40 percent of nursing home residents, and 50 to 60 percent of hospitalized veterans” (Robertson & Montagnini, 2004).
Fall injuries accounted for 38.5 percent of the unintentional injuries for those ages 65 and older for Grand Traverse County in 2007 (Michigan Department of Community Health, 2009).
We will have seniors at
the community center
sign up for an in home
will be provided which
looks for factors that
put elderly at risk for
Falls that could be
Traverse City Senior Center
We will have seniors at the community center sign up for an in home evaluation and education which looks for factors that put elderly at risk for falls that could be remedied:
Outside lighting and nightlights near bed, hallways, stairs, and bathroom
Throw rugs removed
Safety when using new medications
Keep telephone wires out of the way, have phone on bed stand and end table to prevent running for the phone.
Wear rubber-soled shoes so you don't slip
Put salt or kitty litter on icy sidewalks.
Wear low-heeled shoes
Do not walk in socks, stockings, or slippers
Be sure stairs are well lit and have rails on both sides
Put grab bars on bathroom walls near tub, shower, and toilet
Use a nonskid bath mat in the shower or tub
Keep a flashlight next to your bed
Perform an Elderly Mobility Scale to pre-determine safety
Have clients watch video at local senior center on safety of rugs
Have clients watch video at local senior center regarding fall prevention
Have clients take the Fall Prevention Checklist (http://www.mnsafetycouncil.org/seniorsafe/falls/index.cfm)
Provide walkers, canes, and other assistive devices to those in need.
Equipment, such as wheelchairs,
walkers, commodes, and
are loaned to senior citizens
in Grand Traverse County
The elderly population will be able to:
continue at their highest level of functioning
identify hazardous items in the home that contribute to falls
name items that can help them to maneuver more safely
identify medication that can contribute to falls.
verbalize knowledge of postural hypotension and to get up slowly
demonstrate the correct use of their walker or cane.
They will also take pre test, watch fall prevention video, and take post test to evaluate their knowledge
Trends should show less hospitalization for
Please take 5 minutes to view this video on fall prevention
Administration on Aging, 010) A profile of older Americans, 2009. Retrieved March 6, 2010 from http://www.aoa.gov/AoARoot/Aging_Statistics/Profile/2009/16.aspx
CDC. (2008). In Nation Center for Injury Prevention & Control (Eds.), Fall Prevention (Falls 2008, pp. 1-100). Retrieved April 1, 2010, from CDC Web site: http://www.cdc.gov/HomeandRecreationalSafety/images/CDC_Guidea.pdf
Grand Traverse County. Retrieved March 07, 2010, Retrieved March 07, 2010 from http://www.co.grand-traverse.mi.us/Page1492.aspx?PageMode=View&ContainerPageDefID=1531&PageletZone=1Munson Medical Center Senior Services.
MDCH. (April 3, 2009). Ambulatory Care Sensitive Conditions (ACSC 1991 & 2002-2007). Retrieved March 4, 2010, from Michigan Department of Community Health Web site: http://www.mdch.state.mi.us/pha/osr/chi/hosp/frame.html
Minnesota Safety Council. (2009). Fall Prevention Checklist. Retrieved March 28, 2010, from http://www.mnsafetycouncil.org/seniorsafe/falls/index.cfm
Murphy, D., and Cleveland, M. (2006, April 1). Falls: A preventable geriatric syndrome. Aging Matters
Michigan Department of Community Health. (2009, June 22). Unintentional Fatal Injuries, 2002 -2007. Retrieved from MDCH Web site: http://www.mdch.state.mi.us/pha/osr/chi/fatal/frame/html
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). (2009, May). Fast Facts: What are ways to prevent falls and related fractures. Retrieved March 28, 2010, from http://www.niams.nih.gov/HealthInfo/Bone/Osteoporosis/Fracture/preventfalls_ff.asp#
National Safety Council. (n.d.). Protecting Ourselves from Slips, Trips and Falls. Retrieved April 2, 2010, from National Safety Council Web site: http://www.ncs.org/safety_home/Resources/Pages/Falls.aspx
Ness,K., and Gurneu, J. (2001). Screening for risk of falls in the elderly in a community health fair setting: A feasible study. Issues on Aging, 24 (2).
Robertson, R., & Montagnini, M. (2004, July 15). Geriatric failure to thrive. American Family Physician, 70(2), 248, 257. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15291092?dopt=Abstract
Zeischegg P. (2010, February 03). Fall prevention balance and your brain. The Union. Retrieved April 4, 2010 from http://www.theunion.com