1. Team A Jackie Cochran Jane John-Nwankwo Sarah Tackett

2. Introduction of Aggregate Elderly – age 60 and older 12% United States Population is over 65 years of age Reside in Assisted Living Facility Risk for balance problems

3. Epidemiology Triad Elderly with Balance Problems Host: Elderly 60 years and older Male and Female Agent: Physical: Aging affects strength and balance Chemical: Side effects of medications Exposed to Communicable Disease Community Acquired Pneumonia – cause weakness, poor nutrition Environment: Poor lighting, throw rugs Clutter Small Rooms at Assisted Living Facility

4. Balance: Needs Assessment Diming of senses Five senses decrease Musculo-Skeletal Muscle and bone atrophy Medications Sensory and cognitive deficits

5. Validation of fall risk assessment for seniors Disability and rehabilitation Fall risks increase after age 60 The risks increase as the age increase Risks were associated with other medical problems associated with aging Balance test used: The Tinetti Performance-Oriented Mobility Assessment (POMA) The Timed "Up & Go" Test (TUGT) Berg Balance scale

6. Gaps in Data Data explored showed no change in information.

8. World Health Organization Agenda Six point Agenda to improve public health Promote Development Foster Health Security Strengthen Health Systems Harness Research, Information & Evidence Enhance Partnerships Improve performance

9. WHO Agenda: Population Ageing Term for Elderly 60 and up Increase in population internationally Encourage Physical Activity Improve functional status Improve quality of life Improve Mental Health Reduces risk of Falls Balance exercises are key for those who are risk for falls WHO Falls Prevention for Active Ageing Model

10. Action plan to Reduce Occurrence of Falls Build Awareness Improve Assessments Implement Culturally Appropriate interventions

11. Conclusion Every 18 seconds an older adult is treated in an emergency department for a fall, and every 35 minutes someone in this population dies as a result of their injuries.

12. References American Family Physician (2000). What causes falls in elderly. Retrieved Sept 18, 2009 from http://www.aafp.org/afp/20000401/2173ph.htmlhttp://www.aafp.org/afp/20000401/2173ph.html Center for Disease Control (2009). Falls among older adults: an overview. Retrieved on September 6, 2009 from http://www.cdc.gov/HomeandRecreationalSafety/falls/adultfalls.html http://www.cdc.gov/HomeandRecreationalSafety/falls/adultfalls.html Clark, M. (2008). Community health nursing: Advocacy for population health (5th ed.). Upper Saddle River, NJ: Prentice Hall. Cwikel, et al (1998)Disability and rehabilitation. Validation of a fall risk screening test (EFST), for community dwelling elderly retrieved from http://www.ncbi.nlm.nih.gov/pubmed/962226 http://www.ncbi.nlm.nih.gov/pubmed/962226 Dicker, R. (2002). A brief review of the basic principles of epidemiology. In M.B. Gregg (Ed.) Field epidemiology (2 nd ed) pp 8-25. New York: Oxford university.

13. References (cont) Lyons. S. S. (2004). Fall prevention for older adults. Iowa City (IA): University of Iowa Gerontological Nursing Interventions Research Center, Research Dissemination Core. National Guideline Clearinghouse. Retrieved September 20, 2009, from http://www.guideline.gov/summary/summary.aspx?doc_id=4833&nbr=003480&string= elderly Kaiser Family (2007). Demographics and the economy. Retrieved September 4, 2009,from http://www.statehealthfacts.kff.org/comparemaptable.jsp?ind=2&cat=1&sub=1&yr=85& typ=2&sort=3&o=a http://www.statehealthfacts.kff.org/comparemaptable.jsp?ind=2&cat=1&sub=1&yr=85& typ=2&sort=3&o=a Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. (Research Report) retrived from http://www.thefreelibrary.com/Use+of+clinical+and+impairment- based+tests+to+predict+falls+by...-a099848607http://www.thefreelibrary.com/Use+of+clinical+and+impairment- based+tests+to+predict+falls+by...-a099848607 Raiche, et al (2000) retrived from http://www.capsil.org/capsilwiki/index.php/Performance_Oriented_Balance_and_Mobil ity_Assessment_(POMA) Vergados, D. (2008). Service personalization for assisted living of elderly people at home. CS Digital Library. Retrieved September 4, 2009, from http://www2.computer.org/portal/web/csdl/doi/10.1109/SMAP.2008.38 http://www2.computer.org/portal/web/csdl/doi/10.1109/SMAP.2008.38 World Health Organization (2009). Definition of an older elderly person. Retrieved September 4, 2009, from http://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html http://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html