Balance Problems in the Elderly

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

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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

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Gaps in Data

• Data explored showed no change in information.

7
(No Transcript)
8
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

9
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

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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

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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.
12
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/Homean
  dRecreationalSafety/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 (2nd ed) pp 8-25. New York
  Oxford university.

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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/summar
  y.aspx?doc_id4833nbr003480stringelderly
• Kaiser Family (2007). Demographics and the
  economy. Retrieved September 4, 2009,from
  http//www.statehealthfacts.kff.org/comparemaptabl
  e.jsp?ind2cat1sub1yr85typ2sort3oa
• Use of clinical and impairment-based tests to
  predict falls by community-dwelling older adults.
  (Research Report) retrived from
• http//www.thefreelibrary.com/Useofclin
  icalandimpairment-basedteststopredictfallsb
  y...-a099848607
• Raiche, et al (2000) retrived from
  http//www.capsil.org/capsilwiki/index.php/Perform
  ance_Oriented_Balance_and_Mobility_Assessment_(POM
  A)
• 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/ag
  eingdefnolder/en/index.html