Seeking Wellness at the Intersection of Frailty & Falls by Tammy Gallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g Health Promotion Project: NURS 610 en-us 2020-07-13 20:31:17 UTC 2024-07-21 04:57:41 UTC hello@padlet.com STEP ONE: tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/653594574 INTRODUCTION & FOCUS

(click arrow for audio)]]> 2020-07-13 20:39:43 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/653594574 Target Group tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/653596082
  • Age 65 and over
  • Living independently
  • Injured due to a fall
  • Hospitalized due to injury
  • Located at Mercy Hospital
  • Admitted to the Trauma Service

    • ]]>     2020-07-13 20:42:31 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/653596082     Objectives tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/653597439
  • Promote health, wellness and the quality of life while delaying frailty
  • Prevent hospital re-admissions
  • Decrease mortality rates
    • ]]>     2020-07-13 20:44:59 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/653597439     STEP SIX: tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655584894 EVALUATION

    (click arrow for audio)]]>     2020-07-16 01:00:15 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655584894     Program Components tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655588440 Preparation
    • Funding considerations
    • Approval process

    Program during Hospitalization
    • Baseline screenings
    • Program information
    • Patient/Family education
    • Discharge instructions

    Program Post-Hospitalization
    • Phone Follow-up 
    ]]>     2020-07-16 01:06:05 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655588440     Interventions tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655588602 Within 24 hrs of admission
    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)
    ]]>     2020-07-16 01:06:22 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655588602     Background & Assessment tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655592517
  • 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).

    • ]]>     2020-07-16 01:11:58 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655592517     Health Belief Model (HBM): Core Assumptions tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655595350 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)


    ]]>     2020-07-16 01:15:55 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655595350     Healthy People 2020 tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655604412 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)
    ]]>     2020-07-16 01:28:46 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655604412     Goals tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655609591 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.
    ]]>     2020-07-16 01:36:20 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655609591     Outcomes tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655609743 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. 
    ]]>     2020-07-16 01:36:33 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655609743     Methods of Evaluation tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655615087
  • 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.

    • ]]>     2020-07-16 01:43:27 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655615087     STEP TWO: tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655631272  ANALYSIS

    (click arrow for audio)]]>     2020-07-16 02:06:54 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655631272     STEP THREE: tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655631725 MODEL/THEORY

    (click arrow for audio)]]>     2020-07-16 02:07:38 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655631725     STEP FOUR: tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655631854 GOALS & OUTCOMES

    (click arrow for audio)]]>     2020-07-16 02:07:51 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655631854     STEP FIVE: tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655633342 PROGRAM COMPONENTS & INTERVENTIONS

    (click arrow for audio)]]>     2020-07-16 02:10:10 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/655633342     Issue Analysis tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/656464692
  • 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)
    ]]>     2020-07-17 00:14:54 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/656464692     Health Belief Model (HBM) tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/656486228                                                                                       (Esparaza-Del Villar et al., 2017)]]> 2020-07-17 00:48:16 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/656486228 Why evaluate? tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/657607962
  • 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)
    ]]>     2020-07-19 02:18:17 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/657607962     What is FRAILTY? tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/657845119 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)]]> 2020-07-19 19:15:41 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/657845119 Application Example: tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/657927790
  • 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.
    • ]]>     2020-07-19 23:40:00 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/657927790     References tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/662419231 2020-07-25 17:19:23 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/662419231 Annotated Bibliography tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/662434157 2020-07-25 18:17:29 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/662434157 Outline tammyjgallagher https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/662461698 2020-07-25 20:07:22 UTC https://padlet.com/tammyjgallagher/257rn7ndvz70907g/wish/662461698