On the Move clinic: A fall prevention nurse practitioner-driven model of care.
Geriatr Nurs
; 42(4): 850-854, 2021.
Article
in En
| MEDLINE
| ID: mdl-34090230
ABSTRACT
Falls in older adults are common and interventions to reduce associated morbidity and mortality remain difficult to implement. This quality improvement project evaluated On the Move, a new clinic designed to provide tailored recommendations to reduce falls risk, based on an adaptation of CDC's STEADI a falls risk screening, assessment and intervention guide. 89 participants were referred by primary care and emergency services. A nurse practitioner assessed modifiable physical, behavioral and environmental risk factors and utilized motivational interviewing and education to guide participants in developing an intervention plan. A physical therapist assessed gait/balance, the need for ongoing PT services and provided brief counseling. Participants received a 6-week phone call and 12-week follow up visit. Measurements, including 30-second chair stands, Timed Up and Go, 4-Item Dynamic Gait Index, and Activities-Specific Balance Confidence Scale all showed significant improvement. Participants made behavioral changes to reduce risk, and plans to continue exercise.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Nurse Practitioners
Type of study:
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Aged
/
Humans
Language:
En
Journal:
Geriatr Nurs
Year:
2021
Document type:
Article