Geriatric Falls Prevention Program in a Level III Trauma Center

Abstract

Session B presented Thursday, September 27, 11:30 am-12:30 pm Purpose: From 2010 to 2016 Marin County's ≥65 years old population increased by 3.9%. Our median age in trauma patients was 64 years old and our number one mechanism of injury was falls with a median injury severity score (ISS) of 9; moderate injury. This is an important national health issue that is associated with mortality, functional limitations, loss of independence, and reduced quality of life. Our Fall Prevention Program raises awareness about fall-related injuries, emphasizing practical strategies to help reduce the fear of falling, increasing activity levels in seniors, and decreasing the incidence of falls and subsequent injury. Design: A Matter of Balance (MOB) is an evidence based program with proven results in reducing the fear of falling in older adults. During eight two-hour sessions older adults who may have a fear of falling or want to be proactive and prevent a fall in their future, join in group discussions led by two trained lay leaders to problem solve and build skills to learn new ways to think about changing behaviors. The group shares practical solutions and learns the importance of assertiveness in preventing falls. Participants learn strength, endurance, and flexibility exercises which they practice during sessions three through eight. Setting: Marin General Hospital is a ACS verified Level III Trauma Center with comprehensive neurosurgery coverage. There are nearly 261,000 inhabitants residing in an area of 520 square miles. In 2016, the Trauma Program treated 768 patients. More than 50% of the patients treated were injured from falls. 48% were ≥65 years old. Participants/Subjects: We have 24 MOB coaches from within the community who have gone through the lay leader training. Our training consisted of one 8 hour session on how to facilitate classes These coaches were then added to our new hospital Volunteer Fall Prevention Branch. Our class participants included Marin County Residents, 7 females, 1 male. The average age was 75. Ethnicity; 6 Caucasian, 1 Asian, 1 Am. Indian. Residence; 5 live with a partner, 2 live alone and 1 lives in senior housing,. Methods: The participants filled out a first class self evaluation and final class self evaluation. We also perform two strength/balance assessments on session 2 and then again on session 8. Results/Outcomes: We trained 24 coaches, and completed our first participant class. 7 participants improved and 1 participant did not . The participant who did not, admitted that she did not follow through with her exercises and homework. Many of the participants stated that the course increased their commitment to preventing falls, improved home safety, are more aware of their surroundings and bought new shoes. Other comments included; "Excellent class, great leadership. Leaders made everyone feel comfortable. Very hospitable atmosphere!; Great class; Well organized, homework and exercises were very informative." Implications: A Matter of Balance has demonstrated the ability to help reduce falls in our community. Our small analysis showed a positive outcomes from the program, including enhanced fall prevention self-efficacy, increased knowledge, and positive participant feedback. These initial findings will provide important baseline data for continued funding and future classes.