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1. Promote health, wellness and the quality of life while delaying frailty

2. Prevent hospital re-admissions

3. Decrease mortality rates

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Age 65 and over

Living independently

Injured due to a fall

Hospitalized due to injury

Located at Mercy Hospital

Admitted to the Trauma Service

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Our aging population is increasing more than any other (United Nations, n.d.).

Falls are the most frequent cause of injury in the elderly (CDC, 2017).

Falls often precede devastating consequences for the elderly.  They have a higher rate of death, complications and hospital re-admissions (Galet et al., 2018).

There are multiple intrinsic and extrinsic risk factors that contribute to falling (Dionyssiotis, 2012).

The chance of falling doubles after an initial fall occurs (Al-Aama, 2011).

Frailty is a common cause of falling (Gustafsson et al., 2009).

Certain interventions can interrupt  the frailty process (Maxwell, 2019).

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Elderly are at risk of becoming frail.

Frailty leads to falls.

Elderly are at a higher risk of falls.

It is possible to delay frailty.

Incorporating preventative/recommended actions improve chances of delaying frailty.

Preventative/recommended actions will prevent frailty, and as a result, falls.

Education and support enable success.

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Health Belief Model (HBM):  Core Assumptions

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Health Belief Model (HBM):  Core Assumptions

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1) An individual believes that the issue is important.
2) An individual believes that they are vulnerable and at risk due to the issue.
3) An individual believes that the results of the addressing the issue produce greater benefit than the personal cost inflicted.
(Esparaza-Del Villar et al., 2017)

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Within 24 hrs of admission

Geriatric Trauma Admission Supplemental Order Set - including SW, PT/OT/SLP and Frailty scoring

Well-Being Assessment  (National Council on Aging [NCOA], n.d.)

Provide "Stages of Aging" booklet and complete the Aging Plan Assessment on page 32  (Maxwell, 2019)

During Hospitalization

Incorporation of SW assessment and referrals, PT/OT/SLP evaluations and recommendations

Meeting with trauma staff for discussion/education (in addition to current status and plan of care, review "Stages of Aging" (Maxwell, 2019)

After discharge

Discharge instructions include appropriate referrals

3 separate follow-up phone calls:  ~ 1 week, ~ 1 month, ~ 6 months (post-discharge)

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Outcomes should be meaningful, inclusive, comparable and precise in exhibiting a program's effect and results (Murdaugh et al., 2019).

Reduce the proportion of older adults who have moderate to severe functional limitations (ODPHP, 2020).

Increase the health and perception of well-being in the elderly population,

Decrease the number and significance of falls.

Decrease mortality due to falls in the elderly population.

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(Esparaza-Del Villar et al., 2017)

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Aging and frailty are unavoidable.

Knowledge/understanding results in better decisions.

Implementation of targeted, specific, and evidence-based practices result in improved efficacy and an increased perception of legitimacy.

Using multi-factorial and multi-disciplinary approaches results in more successful outcomes.

Validation of one's self-realization, authenticity, and autonomy empowers an individual, thus leading to positive outcomes more often

(Dionyssiotis, 2012)

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Frailty is the aging body’s slow and gradual loss of the ability to make energy causing diminished vigor and vitality that results in fatigue, weakness, sluggishness, and unsteadiness.  (Maxwell, 2019)

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GOAL:  Improve the health, function, and quality of life for older adults.

OBJECTIVES:

OA5: Reduce the proportion of older adults who have moderate to severe functional limitations

OA6: Increase the proportion of older adults with reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-time physical activities

(Office of Disease Prevention and Health Promotion [ODPHP], 2020)

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Page not found - Healthy People 2030 | odphp.health.gov

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Per a court order, HHS is required to restore this website to its version as of 12:00 AM on January 29, 2025. Information on this page may be modified and/or removed in the future subject to the terms of the court’s order and implemented consistent with applicable law. Any information on this page promoting gender ideology is extremely inaccurate and disconnected from truth. The Trump Administration rejects gender ideology due to the harms and divisiveness it causes. This page does not reflect reality and therefore the Administration and this Department reject it.

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STEP SIX:                                              

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STEP SIX:                                              

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EVALUATION

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Preparation

Funding considerations

Approval process

Program during Hospitalization

Baseline screenings

Program information

Patient/Family education

Discharge instructions

Program Post-Hospitalization

Phone Follow-up

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INTRODUCTION & FOCUS

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Goals are a means with which one can actualize the intention of a behavior change (Glanz et al., 2015).

By 2025, the 65+ cohort of previously fall-injured patients will have a 20% increase/improvement in Well-Being Assessment scores and Aging Plan Assessment scores.

By 2025, the 65+ cohort of previously fall-injured patients will have a 10% decrease in 30 day hospital re-admission rates.

By 2025, the 65+ cohort of previously fall-injured patients will have a 10% decrease in 1-year mortality rates.

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Effectiveness Evaluation:

Obtaining the Adult Well Being Assessment screening and Plan for Aging survey on separate occasions

This allows for the determination of whether the referrals and resources provided were able to provide a positive impact on the individuals overall state of well-being via comparison of the tools.

Quantitative Evaluation:

Acquiring hospital re-admission rates and mortality rates can be easily done through Mercy's trauma registry database.

This is objective data and provides distinct evidence of re-admission and mortality.

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STEP TWO:                                              

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STEP TWO:                                              

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ANALYSIS

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STEP THREE:                                              

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STEP THREE:                                              

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MODEL/THEORY

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STEP FOUR:                                              

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STEP FOUR:                                              

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GOALS & OUTCOMES

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STEP FIVE:                                              

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STEP FIVE:                                              

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PROGRAM COMPONENTS & INTERVENTIONS

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Were the objectives met?

What were the strengths? weaknesses?

Where can further assistance be obtained?

....and to contribute to the greater good of science!
(Murdaugh, 2019)