Multiple Factors are Involved in Understanding and Preventing Fall–Related Injuries
This webinar is a comprehensive look at the interrelated factors that lead to falls and injuries at home. The course attendee will gain insight to primary causes of falls, such as poor or impaired vision, vestibular problems, adverse drug interactions and polymedication issues, declining balance and functional ambulation, and cognitive decline. The attendee will understand the many obstacles that lead to falls and injuries and be able to make sensible abatement recommendations to mitigate them, and thus, enhance home safety. The attendee will also recognize the emerging practice trends in telehealth and telemedicine and see how these disciplines are forging ahead to improve medical surveillance among our complex patient populations.
Course Content
A. Leading Causes of Falls
1. Decreased visual acuity
2. Decreased balance
3. Gait disturbances
4. Decreased strength
5. Decreased cardiac capacity
6. Decreased bone density & OA/DJD
7. Decreased cognition
8. Complication from co-morbidities
9. Adverse drug interactions
10. Fear of falling
11. Environmental barriers/obstacles
B. Managing Adverse Drug Reactions
1. Questions to ask
2. Medication “Do’s” and “Don’ts”
C. Assessment of Barriers and Obstacles
1. Home safety and the A-B-C’s
2. Standardized assessments—what to look for
D. Retrofits, Modifications, and Improvements (RMFs)
1. Functional abatement recommendations for the home
2. Office-space ergonomics
3. Telecommuting
E. Telehealth, Telemedicine, and Medical Surveillance
1. Computer and seniors
2. Medical surveillance
3. Benefits and challenges of teleconsultation
F. Abatement Consideration—Think Function
1. Prevention of falls is a multidisciplinary effort
2. Home ergonomics and safety resources
G. Functional Mobility In and Around the Home
1. Kitchen mobility
2. Bathroom mobility
3. Bedroom mobility
4. Gaining entry and exit to the home
5. Pools, patios, and pastures (P3)
6. Home management tasks
7. Leisure pursuits and hobby tasks
H. Ramp Abatements
1. ADA guidelines
2. What causes falls in and around the home?
I. Exercises that Improve Balance
J. Impaired Mobility Advisories
1. Falls at home: What subject matter experts (SMEs) know
2. Functional mobility: The occupational therapist’s role
3. Functional mobility: The physical therapist’s role
K. Notional Case Study: Mr. “C”
1. Biographical sketch
2. Hip fracture, decreased functional mobility, diminishing visual acuity
3. Depression, confusion
4. Made possibly suicidal comment
5. Questions
a. How many diagnoses?
b. Does he need close medical surveillance?
c. Your concerns as his home therapist?
d. Tips you could offer regarding polymedication and adverse drug reactions?
e. Your concerns about the possibly suicidal comment?
L. Equipment Index
This educational offering qualifies for 2 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.
This program has been approved by the Arkansas State Board Of Physical Therapy for 2.0 contact hour(s) for Physical Therapists.
This meets the IN-PT approval under 844 IAC 6-8-5 Approved Organizations #9, please contact IN Board or Association if you have questions.
For Kentcuky licensees, according to 201 KAR 22:045, this class may be applied toward Category 2 continued competency requirements. Please review the regulation to determine eligibility.
This program has been submitted to the Minnesota Board of Physical Therapy for 2 continuing education hour(s) for category 1.
This program has been submitted for 2.0 CEU(s) to the Ohio Physical Therapy Association for Physical Therapists and Physical Therapy Assistants.
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| Presentation (5.3 MB) | Available after Purchase |
JOSE R. RAFOLS, OTD, MHSA, OTR/L, is a licensed occupational therapist with more than 28 years of experience in clinical orthopedics and 18 years of experience in upper extremity rehabilitation, hand–injuries, diabetic foot and wound care, neurological injuries, traumatic brain injury (TBI), geriatrics, and adult rehabilitation. He is president and owner of Therapeutic Home–Bound Services Corporation (THS–Corp), which provides tailored and personalized private occupational therapy services for South Florida.
Dr. Rafols retired from the U.S. Army Specialty Corps in February 2012 after serving more than 27 years of combined active and reserve duty in the U.S. Navy, U.S. Marine Corps, and U.S. Army. Dr. Rafols has held the positions of Executive Officer 7217th MSU, Company Commander 324th VSH, and Chief and Assistant Chief of the Occupational Therapy Department at Eisenhower Army Medical Center, Fort Gordon, GA. In 2011, Dr. Rafols returned from a 12–month combat deployment with the 101st Airborne Division's 3rd & 4th Brigade Combat Teams (BCTs) to Paktika Providence in Eastern Afghanistan. There he worked to set up and provide clinical rehabilitation for soldiers with post–blast injuries, ranging from mild–traumatic brain injury (TBI) to polytrauma.
Dr. Rafols is a seasoned instructor, having presented master's level instruction in the occupational therapy program at Florida International University in Miami, Barry University, and the Medical College of Georgia in Augusta, as well as numerous international, national, and regional conferences. In addition, he is a member of the American Occupational Therapy Association, Florida Occupational Therapy Association, Association of Caribbean Occupational Therapists, Reserve Officers Association, and American Military Surgeons of the United States (AMSUS); and writes for publications such as NEWS–Line for Occupational Therapists and COTAs and OT Practice. Dr. Rafols assumed a new position in July 2012 at South University, West Palm Beach, Florida, as the program director of a blinded Occupational Therapy Doctorate. His interests include growing tropical fruit in a small farm located in southwest Miami–Dade County and partnering with NGOs to empower underserved countries with clinical education and hands–on intervention.
Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapy Assistants
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