Authors (including presenting author) :
So CT(1)(2), Li WW(1)(2), Leung KW(1)(2), Pak KH(1)(2)
Affiliation :
(1)Medical & Geriatric, Princess Margaret Hospital (2)Occupational Therapy Department
Introduction :
A structural home risk assessment, fall prevention education and home rehab training can reduce the intrinsic and extrinsic fall risks, to prevent recurrent fall and unplanned re-admission.
Objectives :
This pilot study examines the effectiveness of a structured fall prevention program to reduce home fall risks. The program includes fall prevention education on topics like risky behaviors, home hazards and post-fall management for patients who are cognitively sound to improve patient’s awareness to fall. Furthermore, there are Home-based functional training programs to strengthen physical health by introducing health Qigong and LiFE programs. Home environment is also examined by comprehensive home assessment during the program. If home hazards are identified, safety advice or home modifications are suggested to reduce environmental risks.
Methodology :
1. Fall risks education 2. Home-based training programs using Health Qigong and LiFE concepts 3. Home environment suggestions
Result & Outcome :
1. To improve patient's balance, self-care and reduce fall risks by measuring Functional reach, Modified Barthel Index (MBI), Lawton Instrumental Activities of Daily Living Scale (IADL) and Fall Risk Assessment Scale for the elderly (FRASE) 2. To improve patient's confidence in daily tasks by measuring Short Fall Efficacy Scale (short FES) 3. To reduce possible fall hazards in patient's home environment by measuring Home Falls and Accidents Screening Tool (HOME FAST) Total of 8 ICM patients were recruited. After completing fall rehabilitation program, improvements in balance and ADL independency were shown. Patients also presented more confidence in daily tasks. There were also reduced fall hazards in patients' home environment.
