Transcript Overview of the NI HAP Strategy and SHSCT Falls Prevention

Overview of the:
Northern Ireland Home Accident Prevention
Strategy 2015-2025
and
SHSCT Online Falls Directory
www.southerntrust.hscni.net/falls.htm
Nina Daly, Accident Prevention Officer
Promoting Wellbeing Team
June 2015
Presentation Outline
1. Home Accident Prevention Strategy
2. SHSCT Falls Prevention Directory
3. Patient/Client Interventions
(medication, falls prevention, preventing frailty, health and
wellbeing)
Northern Ireland Home Accident
Prevention Strategy (Feb 2015-’25)
• 2 people die every week as a result of a home accident.
• 17,000 admissions to hospital
• Focus on those most at risk - over 65s & <5s
• Social, economic and health disadvantage
www.dhsspsni.gov.uk/show-publications?txtid=76517
Northern Ireland Home Accident
Prevention Strategy
• More likely to have accident and suffer long-term effects
• Majority accidental injuries & deaths in the home are falls.
• Falls - 71% of all fatal accidents to those aged 65+
• Falls - 480 deaths (288 male; 192 female) between 2001-11
This equates to just under half (47%) of all unintentional injury &
deaths at home.
Evidence from Northern Ireland
Home Safety Checks
• 25% had a home accident in the previous12 months.
n=1,512
How many falls go unreported
each year? Early intervention,
• 94% of these were falls.
Prevention and Wellness
n=1,421
• 35% visited their GP.
n=2,116
• 45% visited hospital.
n=2,721
Based mainly on 6,048 checks carried out by Home Safety
Officers between April 2012 and March 2014.
Continued…
• 65% took more than 4 types of medication per day. n=3,931
• 33% experienced dizziness or light heads. n=1,995
• 7% had difficulty reading labels on their medication. n=423
• 9% had difficulty collecting or handling their medication.
n=544
• 10% of older people had difficulty remembering when to
take their medication. n=604
• 13% did not dispose of out-of-date medication or
medication not prescribed for them. n=786
Continued…
• 40% had difficulty getting into or out of the bath or shower.
• 28% had difficulty getting on or off the toilet.
• 61% had difficulty reaching, bending or putting on shoes.
• 17% could not manage the steps outside their home.
• 18% had difficulty using the clothes line.
Activities of Daily Living
stairs, the
Incidence
•
•
•
•
•
1 in 3 women over 65 fall each year
1 in 5 men over 65 fall each year
Over 85 years old - 1 in 2 people will fall each year
70% of falls cause injury
10% of all falls result in fracture and 1% of these is a hip
fracture - often poor outcome
• In care homes 60% of residents fall once a year
• 30% of all hospital admissions for hip fracture are from
nursing homes
Hip Fractures: Looking ahead
Hip fracture is a major public health issue due to an
ever increasing ageing population.
About 70,000 to 75,000 hip fractures occur each
year.
The annual cost (including medical and social care)
for all UK hip fracture cases is about £2 billion.
Demographic projections indicate that the incidences
will rise to 91,500 by 2015 and 101,000 in 2020
(British Orthopaedic Association, 2007).
Source: Hip Fracture Costing report: June 2011, Implementing NICE Guidance.
Summary
• Falls – high death rate in Northern Ireland
• Falls risk increases with age
• Growing population =
• increase in falls
• increase in hip fractures
• greater reliance on health and social care services
(acute, community, residential & nursing care)
• increase in number of deaths
• increase in resources and costs
Southern Trust Falls Prevention
Directory
• www.southerntrust.hscni.net/falls
• Launched October 2013
• Primary Target : Older people
• Secondary Target Groups : Health professionals, staff and
volunteers (all sectors), concerned relatives or friends
Growing use of technology to
deliver health
There is growing number of national, regional and local
projects/providers aimed at getting more older people online.
Examples include:
 Digital Age Project (NI)
 Telecommunity Fund
 AgeUK’s Itea & Biscuits week (Sept 2013)
 U3A
 Community groups
 Southern Regional College
 Mens Sheds projects
Aim of the Falls Directory
To raise awareness of and reduce accidental
falls in the home among older people living in
the Southern Trust area.
Supporting strength, confidence &
independence as you get older.
health improvement, early intervention and prevention
Putting up to date, accurate information at people’s fingertips
Objectives of the Falls Directory
To:
 Prevent frailty, promote bone health & reduce
accidents;
 Encourage physical activity & healthy lifestyle;
 Reduce unnecessary environmental hazards
 Encourage people to report falls & seek help early on.
 Increase awareness of Trust & other services which
can help individuals who have had a fall or are at risk
of falling.
Content of the Falls Directory

Understanding why falls occur

Conditions linked to falling

Bone health and osteoporosis

Hydration, having enough fluids

Lifestyle factors

Medication
Continued…

Making your home safe

Good lighting in the home

Keeping warm and avoiding falls

Aids and equipment that might help

If you have had a fall

Trust staff and services

Other information and services
Content around Hydration







How good hydration can assist in preventing treating
# ailments.
Age & poor hydration
What can cause dehydration
How to spot the signs of dehydration
The hydration glass – tips for drinking more water
Link to the hydration toolkit for hospitals and
healthcare
Links to information on UTIs
Content on Aids and Equipment






Trust staff who can assess aids for you
Transforming Community Equipment Scheme
List of participating retailers
Specialist equipment
Personal alarms – links to who provides them
(AgeNI, Fold Telecare), how they work
Other sources of equipment/aids
Overview – Falls Service
Falls team
 Consultant
 Physiotherapist
 Occupational Therapist
 Nurse



Falls clinics
 Armagh
 Dungannon
 Lurgan
 Newry
Clinics are held on a weekly basis
Assessment in the home if appropriate
Comprehensive assessment for over 65’s to determine cause
of falls
Weekly Clinics
Newry – Daisy Hill Hospital
Lurgan – Day Hospital
Armagh – Mullinure Day Hospital (Alternate week to
STH)
South Tyrone – Day Hospital (Alternate week to
Armagh)
Access to Rapid Access Clinics for Urgent Referrals
Falls Clinic Assessment
Outcome of assessment can include:
• Falls education and exercise 8 week class
• Offer of community based strength and balance classes
• Provision of mobility aids
• Provision of aids to assist with day-to-day activities
• Changes to medication
• Management of hearing, eyesight, bladder or bowel problems
• Further investigation regarding osteoporosis
• Onward referral for other tests e.g. X-ray, blood tests
• Follow up of any needs identified by consultants or health
professionals
Weekly Strength and Balance
Classes with Education on Falls
Prevention




Newry – Bramble Wood, Drumalane
Lurgan – Day Hospital
Mullinure – Day Hospital
STH – Day Hospital
Strength and Balance Classes
in Local Leisure Centres




Newry – Newry Sports Centre – Monday 11am-12
Noon
Portadown – Cascades Leisure Centre – Friday 12
Noon – 1pm
Armagh – Orchard Leisure Centre – Friday 10am
– 11am
Dungannon – Dungannon Lesiure Centre Thursday 11.15am -12.15pm
Falls Co-ordinator

Improve falls assessment and referral pathways within A&E, Community
and Primary Care settings

Develop new assessment and referral pathways with Northern Ireland
Ambulance Service

Co-ordinate referrals to physical activity and health programmes across
community settings that are aimed at increasing and/or maintaining
mobility, strength and balance for those aged 55+

Deliver training to staff and support staff in delivery of strength and
balance classes in day centres, statutory residential settings,
independent care homes and community settings
Falls Clinic Referral

[email protected]

[email protected]

[email protected]
Rachel Rountree
Falls Co-ordinator
Mullinure Health and Wellbeing Centre
Tel: 028 37 412 326
[email protected]
Accessing the Falls Directory
www.southerntrust.hscni.net
Go to: Healthy Living Section
Falls Prevention
Accessing the Falls Directory
Using Right Hand Menu Go to:
Welcome to the Southern Trust’s Falls Directory
Add To Your Favourites!
Features of the Falls Directory

Easy to Navigate
Menu
Menu
Features of the Falls Directory


Links at the Top
Links at Bottom of each section to take you to the next page
Top Links
Bottom Links
Features of the Falls Directory

Alter font size to make words BIGGER and easier to read
Font Size
Features of the Falls Directory


Current and up to date information
Numerous internal and external links
(underlined, pink text)
Features of the Falls Directory
Word, powerpoint files, pdf docs taking you to:
Leaflets, Booklets, Reports, dvd clips on falls
Patient/Client Interventions to reduce falls
Medication
• Improve their awareness of:
• Poly-pharmacy & falls risk
• Medications linked to falling
• How to access information on side-effects of medications
• Medication management apps
• Information/advice available to help with medication
management and safety
• Medication & alcohol risks, alcohol &mental health support
• Swallowing difficulties & how to address this problem
• Promote uptake of Medical Use Reviews
• Distribute medication safety aids from PWT
• Encourage return of old/out of date/ medication
• Encourage good hydration
Older people in contact with healthcare
professionals should be asked routinely
whether they have fallen in the past year
and asked about the frequency, context
and characteristics of the fall/s
NICE CG161 2013: Falls: assessment and
prevention of falls in older people
Patient/Client Interventions to reduce falls
Falls Prevention
• Improve their awareness of:
• Need to report all falls and getting help early on.
• Falls Prevention Directory
• Health
• Lifestyle
• Home safety
• Aids and equipment
• Bone health and frailty
• Falls Services in SHSCT: Falls clinics, SB Classes,
FLS
• Other services to help support older people maintain
their independence and safety at home.
Patient/Client Interventions to reduce falls
Accident Prevention
Alcohol and Drugs
Breast Care
Cancer
Neighbourhood Renewal Area
Falls Prevention
Financial Wellbeing
Healthy Eating
Hearty Lives Craigavon
Men's Health
Mental Health
Physical Activity
Recovery
Safe and Healthy Travel
Sexual Health
Stop Smoking Services
Stroke Prevention
Workplace
www.southerntrust.hscni.net/124.htm
Thank you
For further information:
Tel: 028 3831 1524
[email protected]