1. Strength and Balance Exercises Regina Lutheran Home

2. 1-Nov-15Saskatchewan Falls Collaborative2 Eden Facility Regina Lutheran Home Piccadilly - elders 62 long term care beds Level of Care 3-4 (mostly 4) Piccadilly has 4 neighbourhoods: –Rose Garden –Heritage Heights –Sunshine Valley –Blueberry Hill

3. 1-Nov-15Saskatchewan Falls Collaborative3 Aim To reduce falls and improve balance –Pre and Post test of Berg Balance Scale was administered to identify if balance improved with exercise. –24 elders were selected to participate in a eight exercise program

4. 1-Nov-15Saskatchewan Falls Collaborative4 Team Members Leah Clement, DOC Brandy Green, Physical Therapist Marisol Molina-Smith, Fall Prevention Coordinator

5. PDSA #1 Objective: Strength & Balance Exercise program Plan: Select residents to participate in a exercise program Prediction: Participant’s balance will improve and falls reduced Pre and Post Berg Balance Scale test was administered

6. Do What we did –berg tested before implementing program –designed and developed an exercise program with Physiotherapist and staff –sent out memo describing program and keep staff inform –Implemented Strength & Balance program –participants exercised twice a week for eight weeks –attendance was taken –berg test completed after eight weeks

7. Study/Action Two groups: –Group 1 participated in Strength and Balance program –Group 2 participated in Walking program Post Berg Balance Scale test was administered 14 participants completed the program

8. Berg Scores showed that residents who were involved improved their balance Action –to continue the Strength and Balance exercises

9. Strength & Balance Group Results Out of the 9 that successfully completed the study, 3 participants had a change of 8 or more BBS points. According to Berg Balance Scale, 8 points are required to reveal a genuine change in function between pre & post tests 2 participants scored 0 1 declined by two points due to illness The elders who participated had an average score of 5 points

10. Pre & Post Berg Scale Score Difference Strength and Balance Program

11. Walking Results Out of the 5 that successfully completed the study, 2 participants had a change of 8 or more BBS points. 1 participant scored 2 points 2 participants scored 0 maintained mobility The elders who participated had an average score of 4 points

12. Pre & Post Berg Scale Score Difference Walking Program

13. 1-Nov-15Saskatchewan Falls Collaborative13 Lessons Learned Motivation plays a major role for participant success Consistency: same time, place and date Physical Improvement: endurance, strength and flexibility

14. 1-Nov-15Saskatchewan Falls Collaborative14 Next Steps Train staff to lead exercises Continue to work with Physiotherapist Educate and engage elders on understanding the importance of exercising Conduct study in Memory Lane