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The interventions in Strong Foundations combine evidence-based practice models with VNSNY’s clinical excellence in nursing and physical therapy.
This multi-team, multi-intervention approach has been a key recommendation in the AGS guidelines for developing falls-risk reduction programs for older adults living in the community.1 The AGS recommends the following activities be included in an effective falls-risk reduction plan:
For each risk factor covered in Strong Foundations, the nurse and/or physical therapist will administer a combination of clinical evaluations, patient education and exercises designed to work together to reduce the patients’ falls risk. In fact, programs like Strong Foundations, which combine skilled nursing with physical therapy and education, have been proven more effective than those which treat only one factor of falls risk.2
1 American Geriatrics Society, New Guidelines for Preventing Falls in the Elderly, 2011.
2 Tinetti ME, Baker DI, McAvay G, Claus EB, Garrett P, Gottschalk M, Koch ML, Trainor K, Horowitz RI. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. New England Journal of Medicine. 1994 Sept 29; 331(13): 821–7.
3 Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ. Fear of falling and restriction of mobility in elderly fallers. Age and Ageing 1997; 26: 189–193.
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Facts about Falling
Research suggests that once a person falls, he or she develops a fear of falling that correlates to functional decline in activities of daily living (ADLs) and subsequent physical debility. Along with age and economic factors, fear of falling also correlates with observable balance and gait abnormalities that can be corrected using physical therapy.3