scholarly journals Statewide Prevalence of Stepping on, Tai Chi, and a Matter of Balance Community Fall Prevention Programs at Maryland Senior Centers in 2017 and 2020

2021 ◽  
Vol 7 (2) ◽  
pp. 1-5
Author(s):  
Levan Atanelov ◽  

Study background: Older adults suffer from fall-related injuries and deaths at disproportionate rates. One recommendation by the Center for Disease Control and Prevention to help prevent falls is that patients utilize Community Fall Prevention Programs (CFPPs). Little is known about the offering of these programs at Senior Centers (SCs).

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S291-S291
Author(s):  
Renae L Smith-Ray ◽  
Tanya Singh ◽  
Michael W Suwalski ◽  
Michael Taitel

Abstract Despite recognition as a serious public health problem, older adults falls increased 30% between 2007-2016. Numerous evidence-based fall prevention programs exist, but may have inadequate reach. Pharmacists are highly trained and accessible clinicians who have potential to counsel on fall prevention. This study describes the reach of a fall prevention outreach conducted by a large national pharmacy chain in partnership with local area agencies on aging (AAAs). On August 7, 2018, the pharmacy chain held an outreach during which older patients were incentivized to speak with pharmacists about their fall risk and prevention strategies. In Ohio, AAAs provided pharmacists additional support and availability of AAA fall prevention programs. A random sample of pharmacists was sent a follow-up survey to assess the program’s reach, except in Ohio where all pharmacists received the survey. Response rates were 41% (N=111) and 59% (N=160) in Ohio and non-Ohio states, respectively. We estimate that pharmacists discussed fall prevention with an additional 57,642 on 8/7/2018. The difference in older patients counseled on fall prevention on 8/7/2018 vs. a typical day was significantly greater (p=0.03) for Ohio pharmacists (µ=9.28) compared to non-Ohio pharmacists (µ=5.94). The majority of pharmacists in Ohio and non-Ohio states were moderately or extremely confident in their ability to discuss fall prevention with older patients (69.82% vs. 72.72%) and play an important role in fall prevention (59.75% vs. 54.54%). This study demonstrates the feasibility of utilizing community pharmacists, in partnership with AAAs, to reach large numbers of older adults to counsel on fall prevention.


2018 ◽  
Vol 52 (9) ◽  
pp. 936-941 ◽  
Author(s):  
John A. Dougherty ◽  
Elias B. Chahine

Immunization is the best strategy to protect individuals from influenza; however, older adults tend to respond less favorably to vaccines because of immunosenescence. The Centers for Disease Control and Prevention states that any licensed, recommended, and age-appropriate influenza vaccine may be used in older adults despite reasonable evidence suggesting that the high-dose and, to a lesser extent, the adjuvanted and recombinant influenza vaccines provide better protection than the standard-dose vaccines in this vulnerable population. In this era of precision medicine, clinicians can preferentially recommend these contemporary vaccines to equip their older patients with the best possible protection against influenza.


2015 ◽  
Vol 2 (1) ◽  
Author(s):  
Jonathan Howland ◽  
Nicole J Treadway ◽  
Alyssa A Taylor ◽  
Elizabeth W Peterson

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv34-iv39
Author(s):  
Matthew Lee Smith ◽  
Edgar Vieira ◽  
Angelica Herrera-Venson ◽  
Kathleen Cameron

Abstract In the United States, falls incidence rates remain steady among older adults (those age 65 years and older), which highlights the need for effective interventions to prevent falls and manage fall-related risks. Falls are the leading cause of unintentional injury and injury-related disability and deaths among older adults (29,668 deaths, 61.6/100,000, in the US in 2016), and the rate of fall-related deaths among older adults increased 31% from 2007 to 2016. In the United States, an older adult goes to an emergency room due to a fall every 11 seconds (3 million visits per year), and an older adult dies from a fall-related injury every 19 minutes. In response to this issue, the Administration for Community Living (ACL) and other governmental agencies have dedicated large sums of funding to initiate and support fall prevention and management efforts in clinical and community settings. As part of the solution, ACL supported 40 grantees to deliver eight evidence-based fall prevention programs (e.g., A Matter of Balance, Stepping On, Tai Chi, Otago Exercise Program) from 2010-2016. During that time, this ongoing initiative has reached 45,812 participants in 22 states by delivering 3,755 workshops. The majority of workshops were delivered in senior centers (26%), residential facilities (20%), healthcare organizations (13%), and faith-based organizations (9%). This presentation will use geographic information system (GIS) mapping to geospatially depict the dissemination of these programs as well as highlights their impact on fall-related outcomes. Additionally, models of clinical and community collaboration for fall prevention will be described, which shows the importance of leveraged resources, seamless referral systems, and timely feedback channels. Further, policy initiatives and a national network of state-based fall prevention coalitions will be described to coordinate and integrate efforts across clinical, community, corporate, and academic settings. Lastly, strategies will be shared to diversify the delivery infrastructure for fall prevention programs and incorporate technological options for isolated populations and those without access to preventive services.


2003 ◽  
Vol 11 (1) ◽  
pp. 123-141 ◽  
Author(s):  
Trisha S. Gavin ◽  
Anita M. Myers

The article profiles older adults who join Tai Chi and line-dancing beginner classes. Enrollment, attendance, and dropout patterns of 41 classes from 8 recreation and senior centers and 4 Taoist Tai Chi societies were tracked over a full calendar year. Enrollment was highest in the fall. Average attendance over the 8- to 12-week sessions was 72% for Tai Chi and 68% for line dancing; average dropout rates were 23% and 10%, respectively. Entry surveys and exit interviews were completed by 221 and 107 participants, respectively. Older adults who join these community classes tend to be predominantly women, Caucasian, in their mid-60s, relatively healthy, and physically active. Most in Tai Chi joined for fitness and health, whereas many line dancers joined for social reasons. Although the classes were designated as beginner classes, participants varied in level of experience. Continued participation was related to expectations, past experience, and perceived ease of learning the movements.


2016 ◽  
Vol 28 (12) ◽  
pp. 1931-1934 ◽  
Author(s):  
Matthew E. Peters

Approximately 39 million older adults (age >65) were evaluated for traumatic brain injury (TBI) in United States emergency departments during the 2-year period from 2009 to 2010, representing a 61% increase in estimates from prior years (Albrecht et al., 2015a). Across the lifespan, an estimated 5.3 million Americans are living with a TBI-related disability (Centers for Disease Control and Prevention (CDC), 2003). With improved recognition and management, more individuals experiencing TBI are surviving to die of other causes later in life (Flanagan et al., 2005). Taken together, these statistics highlight two important populations: those who are “aging with a TBI” and “incident TBI in the aged.”


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