PBL Week 16 by Angelina rose Harrington https://padlet.com/angelinarosex/pabocdac3uvdl48t Falls and old age en-us 2021-11-15 14:56:03 UTC 2024-11-28 03:31:31 UTC hello@padlet.com https://padlet.net/icons/png/1f475.png AH angelinarosex https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2170172128 PT, OT, SLT for older people falls lecture gives good overview]]> 2022-05-04 15:57:36 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2170172128 AH angelinarosex https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171197167 PT, OT, SLT, for older people falls lecture covered how different roles in MDT contributed to preventing falls in elderly e.g.

OT: promote function, qual of life, motivate
PT: movement and exercise, manual tehrapy, eductaion advice
SLT: speech, language, communication or swallowing difficulty
]]> 2022-05-05 10:17:31 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171197167 EC emmachambers36 https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171515463 Louise Straughan: Clinical Lecture

PT, OT and SLT for older people
]]> 2022-05-05 14:22:48 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171515463 EC emmachambers36 https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171516054 Louise Straughan: Clinical Lecture

PT, OT and SLT for older people
]]> 2022-05-05 14:23:11 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171516054 JL https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171910258 Reduced contrast sensitivity, reduced dark adaption

Polypharmacy

Comorbidities - COPD, dementia, DM, HTN, heart disease

Fewer neurons, fewer neurons, reduced reaction times

Reduced muscle mass and strength

Increased sway and stooped posture

Cataracts, bifocal lenses and maculopathy]]> 2022-05-05 18:32:59 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171910258 JL https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171914087 Deterioration, higher readmission rates, higher use of long term care, inability to do ADL, reduced mobility, reduced confidence.

These were all listed as the disadvantages of admitting the elderly to hospital - lecture didn't seem to cover the advantages.]]> 2022-05-05 18:36:03 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171914087 JL https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171914595 This slide of the lecture covered this entire LO.]]> 2022-05-05 18:36:26 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171914595 YG https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171915677 PT, OT and SLT lecture coved this L.O well.


]]> 2022-05-05 18:36:46 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171915677 YG https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171919850 Clinical Lecture: The knack of staying upright and what can go wrong as you get older

Older people generally have more health problems e.g. heart diseases, diabetes, neural problems

Eye problems 
Ear problems 
Neural problems
Drugs -> polypharmacy 
]]> 2022-05-05 18:40:02 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171919850 JL https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171920239 In video it is shown how the entire house must be considered from the garden, living room, stairs and bathtub. Shows the things which are done well and the common risk factors - cables, slippery surface, loose fitting carpet.]]> 2022-05-05 18:40:18 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171920239 YG https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171921187 PT, OT, SLT lecture covered this well]]> 2022-05-05 18:41:05 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171921187 YG https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171927023 Eye sight gets worse
Hearing problems
Heart problems
Neurological problems
Musculoskeletal problems 

Generally as we age the above factors gets worse which increases the risk of falls]]> 2022-05-05 18:45:17 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171927023 JL https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171934174 The Physiology of Normal Ageing

This is covered in next weeks lecture.
]]> 2022-05-05 18:50:58 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171934174 OG oshinigalahitiyawa https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171949146 PT, OT and SLT - Clinical Lecture 

Covered this LO well]]> 2022-05-05 19:02:33 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171949146 OG oshinigalahitiyawa https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171955977 PT, OT and SLT - Clinical Lecture 

Covered this LO well ]]> 2022-05-05 19:08:23 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171955977 KD denke318 https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171999606 PT/OT/SLT -Clinical Lecture
Covered this LO]]> 2022-05-05 19:47:18 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2171999606 KD denke318 https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172000693 Clinical Lecture: The knack of staying upright and what can go wrong as you get older

Yassin and Joe summarised the key points well ]]> 2022-05-05 19:48:21 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172000693 KD denke318 https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172002913 PT/OT/SLT lecture
Good disadvantages of older people being admitted into hospital 
Advantages should be common sense (Better access to emergency care/Better treatment options/Difficult conditions can be managed/ etc.) ]]> 2022-05-05 19:50:18 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172002913 KD denke318 https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172003433 Pretty sure it's next week's lecture ]]> 2022-05-05 19:50:50 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172003433 MS msivakandarajah https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172021290 The lecture PT, OT & SLT for older people covered this LO well. ]]> 2022-05-05 20:08:45 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172021290 MS msivakandarajah https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172033170 ‘The Clinical Lecture: The knack of staying upright and what can go wrong as you get older’ covered this LO well.

Condition that causes increase falls:

Eye - Catracts, macular degeneration, bifocals

Vestibular - Benign paroxysmal positional vertigo and Ménière’s disease

Brain - Parkinson, stroke

Nerve muscle - neuropathy and myopathy

Cervical spondylosis, OA, foot deformity (e.g diabetes with peripheral central neuropathy)


Drug classAdverse reaction

NSAIDs  | Gastrointestinal bleeding and peptic ulceration Renal impairment
Diuretics  | Renal impairment, electrolyte disturbance Gout Hypotension, postural hypotension
Warfarin  | Bleeding
ACE inhibitors  | Renal impairment, electrolyte disturbance Hypotension, postural hypotension
β-blockers  | Bradycardia, heart block Hypotension, postural hypotension
Opiates  | Constipation, vomiting Delirium Urinary retention
Antidepressants  | Delirium Hyponatraemia (SSRIs) Hypotension, postural hypotension Falls
Benzodiazepines  | Delirium Falls
Anticholinergics  | Delirium Urinary retention Constipation ]]> 2022-05-05 20:21:10 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172033170 MS msivakandarajah https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172036324 The lecture PT, OT & SLT for older people covered the disadvantages/consequences of hospital admission but advantages are not covered.]]> 2022-05-05 20:24:39 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172036324 MS msivakandarajah https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172037068 This is covered in next weeks LO.]]> 2022-05-05 20:25:30 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172037068 MS msivakandarajah https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172042764 This is covered by the clinical lecture ‘home assessment and the falling patient’.

Targeting resources
- High risk fallers Fallen before in previous 12 months
- Fall with injury
- Cognitive impairment
- Visual impairment
- Gait or balance impairment
- Fear of falling
- Leaving a rehab setting particularly post fracture neck of femur

Purpose of home assessment with people who fall

Identify home hazards and recommend or arrange modifications

Assess and modify performance and function

Identify and agree strategies to reduce falls risk

Education and information giving


Completing the home visit
 Standardised assessment process e.g home fast checklist that OT can use
 Clinical reasoning 
 Observation of function and behaviour 
 Activity analysis

]]> 2022-05-05 20:32:13 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172042764 OG oshinigalahitiyawa https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172045344 'The knack of staying upright and what can go wrong as you get older' - Clinical Lecture 

The lecture covers the LO
Mathu has summarised the key points well ]]> 2022-05-05 20:35:23 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172045344 MS msivakandarajah https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172048189 OT assessment -

Assessment & consideration  of:
• Impact  of medical  conditions
• Self care (toileting,  nutrition,
washing  and dressing)
• Transfers and  mobility
• Domestic activities
• Cognitive status
• Falls screening
• Support  networks
• Leisure time
• Assessment  & preparation  for
discharge

PT assessment

Assessment includes:
◼ subjective factors – identifies patient concerns and expressed needs
◼ objective factors – function in ADL ( activities of daily living), mobility,
strength
◼ environmental factors – physical space ◼ carer/relatives factors – needs, beliefs and attitudes
❑ mental status of client
❑ function – transfers, sit to stand, turning, balance, stairs, steps, in and out of car
❑ mobility and strength – observation and recorded measures ❑ space, risks
❑ footwear
❑ carer – proven skills for handling, motivation etc.

SLT assessment

◼ Informal assessment
❑ e.g. observations; conversational skills; sensory or
cognitive impairment; screening for swallowing difficulties
abilities; swallow function – video fluoroscopy
◼ Formal assessment of function
❑ e.g. components of speech production; language ◼ → profile of strengths and difficulties

Social workers assessment 

What is the role of  social work with older people 
• Care Act 2014 – assessment and eligibility
determination 
• Risk assessment 
• Mental Capacity/Best interest assessment 
• Safeguarding – including self-neglect 
• Community work 
• Involving older people, their carers and families in
their care 
• Anti-discriminatory and anti oppressive practice

]]> 2022-05-05 20:38:50 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172048189 MS msivakandarajah https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172049684 2022-05-05 20:40:36 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172049684 MS msivakandarajah https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172055806 https://www.clinicalkey.com/student/content/book/3-s2.0-B9780702070280000329#hl0000939 - covers the LO well.]]> 2022-05-05 20:47:12 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172055806 EC emmachambers36 https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172059823 Susan Lee - "The Knack of Staying Upright and what can go wrong when we are older" lecture

Vision changes - reduced depth perception, reduced contrast sensitivity
Gait changes, compensatory reflexes are slower (~20 seconds)
Brain has fewer nerve fibres and fewer neutrons, therefore slower rxn times

Diseases affecting balance
- cataracts
- macular degeneration
- bifocals
- vertigo
- parkinsons
- stroke

]]> 2022-05-05 20:51:13 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172059823 Maire Hanley https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172460704 Straughan, L. (2022) PT and OT for older people. Delivered 3 May 2022.
One slide from this lecture (image already attached) had all the information we need for this LO. ]]> 2022-05-06 06:12:44 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172460704 Maire Hanley https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172462208 Lee, S. (2022) The knack of staying upright and what can go wrong as you get older. Delivered 3 May 2022. 
The second half of this lecture covered the reasons in detail why older people fall, e.g. medications, polypharmacy, certain medical conditions. ]]> 2022-05-06 06:15:20 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172462208 Maire Hanley https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172463229 Fiddes, T. (2022) Home assessment in the falling patient. Delivered 3 May 2022.
One slide from this lecture (image already attached) had all the information we need for this LO. No lecture as such on this LO. ]]> 2022-05-06 06:16:53 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172463229 Maire Hanley https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172464383 Straughan, L. (2022) PT and OT for older people. Delivered 3 May 2022.
This lecture covered the consequences of admitting someone to hospital only. ]]> 2022-05-06 06:18:55 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172464383 Maire Hanley https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172465031 Straughan, L. (2022) PT and OT for older people. Delivered 3 May 2022. 
Thacker, H. and Anka, A. (2022) Social work and older people. Delivered 3 May 2022.
The first lecture discussed the role of the OT, PT and SLT in assessing the care needs of older people. The second lecture discussed the role of social workers in assessing the care needs of older people. Both of these lectures covered the LO well. ]]> 2022-05-06 06:19:46 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172465031 Maire Hanley https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172468487 Fiddes, T. (2022) Home assessment in the falling patient. Delivered 3 May 2022.
Lots of detail in this lecture for this LO. It decribes the criteria for those deemed to be at high-risk from falling, as well as hazards in the home, e.g. poor lighting, steps not marked, rugs. ]]> 2022-05-06 06:24:21 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172468487 Maire Hanley https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172470072 Lee, S. (2022) The knack of staying upright and what can go wrong as you get older. Delivered 3 May 2022.
This lecture discussed in detail why people might fall - vestibular conditions, eye conditions. 
Mathu's link provides everything we need to know. ]]> 2022-05-06 06:26:08 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172470072 Maire Hanley https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172470353 This LO is covered next week. ]]> 2022-05-06 06:26:31 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172470353 KD denke318 https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172557810 https://geekymedics.com/falls/
Good summary of the LO]]> 2022-05-06 08:04:16 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2172557810 AH angelinarosex https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2173888098 https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Good article]]> 2022-05-07 14:39:49 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2173888098 AH angelinarosex https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2173892922 https://geekymedics.com/falls/

10/10]]> 2022-05-07 14:49:03 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2173892922 AH angelinarosex https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2174645172 the knack of staying upright lecture covers in detail.]]> 2022-05-08 19:41:52 UTC https://padlet.com/angelinarosex/pabocdac3uvdl48t/wish/2174645172