Falls Prevention Awareness Week Promotional Packet September TEXAS ASSOCIATION OF 2009 21-25 AREA AGENCIES ON AGING Fall Prevention Awareness Week September 21-25 2009 The Texas Falls Prevention Coalition marketing/communication committee has prepared this packet with several resources for Area Agencies on Aging, community partners and coalition members to conduct activities to promote Fall Prevention Awareness Week. Possible activities, media releases, flyers, pamphlets and websites links are included in this packet to help in planning promotional events. Each day of the week will focus on risk factors that may contribute to falls. Monday - Physical Activity Promote the importance of increasing daily physical activity to improve balance, strength, flexibility, and endurance. Tuesday- Home Safety Promote the importance of making the home a falls free environment. Wednesday- Medication Management Promote the importance managing medication and knowing the interactions with each other when taking multiple medications. Thursday- Family Awareness Educate and promote awareness of falls prevention to family members of individuals who may or may not have had a falls. Friday- A Matter of Balance or Other Fall Prevention Programs Promote the award winning evidence-based program, AMOB, or other fall prevention programs. AMOB reduces the fear of falling through group discussion, problem-solving strategies and increasing the physical activity levels of those who have concerns about falls. Planning Suggestions: Physical Activity Local Gyms Solicit local gyms to have free classes for seniors on Monday or the whole week. Ask to display TFPC AMOB brochures and other fall-related informational brochures at the facility. Gold’s 24 Hour Fitness World’s Gym Balley’s Curves YMCA/YWCA AMOB Classes Conduct demonstration AMOB classes including sample of the exercises. DVD Create a DVD with different sessions of the AMOB class including sample of the exercises to handout. Physical Activities Examples Invite physical activity instructors to senior centers, independent living centers, retirement communities, etc. to demonstrate a variety of exercises and provide education on the importance of exercising daily. Tai Chi Arthritis Exercise Program Silver Sneakers Planning Suggestions: Home Safety Senior Centers September is National Senior Center Month. Contact the senior centers in your area and ask if you can help organize a Senior Home Safety Fair for the senior center participants. You can distribute fall prevention resources like the Home Safety Checklist available on www.healthyagingprograms.com or www.cdc.gov/injury. Plan a demonstration of common hazards (How many can you spot?), and invite local professionals with home safety knowledge to speak or provide additional materials and resources. Homebound Older Adults Partner with a local “meals on wheels” organization and have the Home Safety Checklist and other fall prevention material delivered to each client along with their meal. Local Chain and Mom/Pop Stores Solicit local stores to set-up “end caps” or a display of products that can be used in the home for prevention of falls and/or safety. Have AMOB coaches man an informational table by the “end cap” or display several days during the week but especially Tuesday. Ask Home Depot or Lowes to hold the “Do it Yourself” classes geared towards making the home safe (installing grab bars, etc.) A list of some products that can be promoted: Motion activated lights Daily timers for lights Indoor/outdoor lighting Grab Bars Non-skid bath mats, strips Remote controls Extension cord ties Reach sticks Night Lights Stores (just a few): Lowes The Home Depot True Value Neighborhood Store Walmart Target K-Mart Sears Bed Bath and Beyond Linens and Things Pharmacies Local Builders/Handymen Contact local builders or handymen that would be able to help in installing products. Planning Suggestions: Medication Management Local Pharmacies Solicit pharmacies to set-up a table to display brochures and information related to managing medication in terms of fall prevention. Attach AMOB information to prescription bags Handout medication booklets for individuals to keep track of medications and encourage older adults to take it to their primary care provider to check medication interaction Ask pharmacies to offer and promote a “brown bag” review of medications for older adults at their store Ask pharmacists to visit senior centers, parks and recreation centers, malls, etc. to conduct a medications check clinic. Planning Suggestions: Family Awareness Intergenerational Activities Promote and conduct activities that the youngest to the oldest person can attend. Health Fair/ Family Fun Fest Plan a wellness festival for older adults and their families. Start with a free yoga or Tai Chi demonstration, and partner with a local health care provider to offer foot, cholesterol, osteoporosis, blood pressure, vision, or hearing screenings. Have healthy snack on hank and a nutritionist who can offer tips. Tie good health to fall prevention. Plan an intergenerational play date to be held at a convenient location for older adults and their families. Contact a local parents’ group or advertise at the library, playground, etc. Grandparent’s Day is September 13th and may give the opportunity for this type event http://www.grandparents-day.com/ Use the event to educate children and grandparents about fall prevention and awareness. Caregivers Ask local churches and human service organizations to get information out to caregivers to educate them about the importance of fall prevention for the ones for whom they care. Area agencies on aging have Caregiver Support Programs and may be a good partner in getting materials out to these individuals. Seminars Conduct seminars at churches Parks and Recreation centers Hands on Demonstrations Home safety workshops at the park, local stores, retirement homes, senior centers geared toward families. Engage the children of appropriate ages to conduct a Home Safety check for their grandparents or older neighbor. Planning Suggestions: Fall Prevention Programs A Matter of Balance or other fall prevention program Promote locally in newspapers, on TV, radio PSA Display TFPC statewide brochure in places frequented by older adults Handout the AMOB flyer at health fairs, churches, hospitals, senior centers, parks and recreation centers, etc. Contact local physicians, OT, PT, nurses, hospitals to promote the program and create a partnership Hold sample classes Conduct information sessions with older persons as well as the directors of agencies Planning Suggestions: Media/Communications Local Media Promote fall prevention activities through Paid Advertising or public service announcements (PSA) Your Agency Newsletter or flyer insert Partner Newsletters, article or flyer insert Community Calendars i.e. newspaper, television, websites, etc. Local television station, public television stations community calendars Websites, links from your partners websites E-mail or call your local television stations for a spot on their morning or noon broadcast regarding “Falls Prevention Week”. Publicizing your scheduled classes for the month or the remainder of the year. Publicize scheduled volunteer coaches training and/or meetings for volunteer coaches Sample spot for TV community information/calendar In celebration of “Falls Prevention Week” September 21 – 25, 2009 the (organization name) will be providing information on the A Matter of Balance (MOB) program (or other fall prevention program) and other scheduled activities for the week. MOB is a fall prevention program geared to persons age 60 and over who have fallen or have a fear of falling (or information about other fall prevention program). If you or your loved one would like additional information contact name, Program Developer at number. Sample webpage (courtesy of the Area Agency on Aging of the Coastal Bend) Area Agency on Aging of the Coastal Bend Have you or someone you know fallen? In celebration of “Falls Prevention WeeK ” September 21-25, 2009 and Keeping Texans Standing Tall, the Area Agency on Aging (AAA) of the Coastal Bend will be conducting A Matter of Balance (MOB) sessions throughout the Coastal Bend Region. AAA is committed in providing public awareness, education and resources to promote and implement the evidence based MOB program. The MOB program helps reduce risk factors of falls and injuries in older adults. It is reported that falls are a major public health issue amoung adults age 65 and older. One-third of all older Texans age 65 and over will fall each year and of those who fall 70% require emergency medical care and 40% require nursing home care. Do you know someone who: are concerned about falls have sustained a fall in the past restrict activities because of concerns about falling are interested in improving flexibility, balance and strength are age 60 or older, ambulatory and able to problem-solve Degisned by Boston University, “A Matter of Balance” an award winning program is designed to reduce the fear of falling and increase the activity If so, we would welcome the levels of older adults who have concerns about falling. opportunity to speak with you regarding our next scheduled A Matter of Balance session. The MOB program utilizes volunteer coaches to teach the eight two-hour sessions that draws on principles of adult learning to change participants behavior and to sustain changes long after the sessions have been completed. Contact: Participants learn to view falls and fear of falling as controllable, as well as learn to set ralistic goals for increasing activity. Participants also learn how to change their environment to reduce fall risk factors in and out of the home. The program promotes exercise as a way to increase strength, balance, and flexibility. Area Agency on Aging of the Coastal Bend 361 883-3935 ext. 260 1-800-817-5743 We are waiting for your call Falls Prevention Week September 21-25, 2009 Sample Press Release One out of three senior citizens will fall this year. Falls are the major contributing factor to 40% of all nursing home admissions. Falls cost our nation $19 billion dollars annually and this doesn’t reflect the emotional, psychological and catastrophic events that are imposed on family and caregivers. About 50% of those senior citizens who fall will fall again. In Texas, fall related hospital charges account for over $508 million dollars. Statewide the most common cause of hospitalization was a specified fall (trip, slip, or stumble). Because of these startling statistics, Governor Rick Perry signed House Bill 703 into law, creating Fall Prevention Awareness Week to be held September 21 - 25. The bill recommends programs and policies be developed to promote reduction of falls and create an increase in fall prevention awareness. The Texas Falls Prevention Coalition (TFPC) has been coordinating and planning statewide events to promote fall prevention awareness to inform all Texans about this important issue. TFPC, founded in 2007, is comprised of the Area Agencies on Aging, community partners, hospitals, and other statewide stakeholders utilizing the fall prevention model, A Matter of Balance. This program consists of eight interactive sessions which are offered at no cost to older adults. The classes can take place in various settings such as, senior centers, recreation centers, adult living facilities, and clinics. The program is aimed at helping older adults to conquer the fear of falling, increase their physical activity, and reduce fall hazards in their home. Fall Prevention Awareness carries out the message of Keeping Texans Standing Tall. The goal is to increase awareness of the importance of preventing falls among older adults by engaging in health promotion and disease prevention activities. Each day of Fall Prevention Week will focus on proven methods to reduce falls. These methods include: Physical Activity, Home Safety, Medication Management and review, and family awareness. Representative Patrick Rose will hold a kick-off press conference from the Capital September 21, 2009 at 10:00 am. This is a great opportunity to age well and continue to be independent. For more information about the classes or events, please contact: the (name of organization) _____________ Article - Medication Screening Day (September 23) Fall Prevention Awareness Week (September 20-26) is affording older adults, and their families and caregivers, many opportunities to learn about the incidences and risks of falls. The observance occurs each year starting on the first day of fall, thanks to a bill signed into law by Governor Rick Perry. The Texas Falls Prevention Coalition is actively working to educate about the risk of falls and to reduce incidences. The Coalition was formed in 2007 and is comprised of Texas Area Agencies on Aging, community partners and statewide stakeholders whose primary function is to coordinate the statewide evidence-based fall prevention program, A Matter of Balance. Within each Matter of Balance class, participants have the opportunity to explore the many factors that may contribute to their risk of falling. In addition to personal conditions that may contribute, such as muscle weakness, poor balance, flexibility, and endurance, participants also consider external factors such as medications, shoes, walkers, and household hazards. An individual can be placed at a higher risk for falls by taking four or more prescription medications, a condition known as “polypharmacy”. The Center for Disease Control suggests, “Have your doctor or pharmacist look at all the medicines you take—including ones that don’t need prescriptions such as cold medicines. As you get older, the way some medicines work in your body can change. Some medicines, or combinations of medicines, can make you drowsy or light-headed which can lead to a fall.” Dr. Michael Lichtenstein, Professor of Medicine and Chief of the Division of Geriatrics, Gerontology and Palliative Medicine at UT Health Science Center at San Antonio, said “The more complex the medication regimen, the greater the risk for adverse drug interactions and side effects. So the goal should be the simplest medication regimen (fewest medications) with the lowest effective dose for each.” Numerous sources report balance problems for individuals using a variety of psychotropic medications. An example would be taking a benzodiazepine for anxiety along with an antidepressant. Dr. Lichtenstein summarizes, “In general, but not always, the greatest risk is when a new medication is introduced into a regimen or doses are increased too rapidly. Persons should strive to make only one change at a time to be able to judge the impact of the adjustment on the person. Drug withdrawal may be an important issue with some medications. Changing the timing of a dosage is not as risky, if the person is already taking the medications without problems.” In their Guideline for the Prevention of Falls in Older Persons, the American Geriatrics Society wrote, “Falls generally result from an interaction of multiple and diverse risk factors and situations, many of which can be corrected. This interaction is modified by age, disease, and the presence of hazards in the environment. Frequently, older people are not aware of their risks of falling, and do not recognize risk factors or report these issues to their physicians. Consequently, opportunities for prevention of falling are often overlooked, with risks becoming evident only after injury and disability have occurred.” A good start to identify your risk of falling and ways to reduce that risk is to speak with your health care professional. Possible Activity (courtesy of Mary Ann Contreras ) Fall Prevention Week 2009 Planning for Intervention Goal: A multidisciplinary approach to fall prevention in the home. Preparation: Gather key professionals together with an interest in senior safety/fall prevention. Consideration to core medical professionals such as RN’s, Pharmacists, Gerontology, Physical Therapists, Dietitians, Otologists, and Public Health professionals should be given. Other interested providers include Area Agency on Aging, home safety consultants, home improvement experts, and engineers. Be familiar with the CDC and other expert knowledge regarding home safety recommendations. Contact your organization’s PR/media relation person to involve the local press/media as a community outreach and information activity. Have a supply of various pamphlets with information on home safety, fall prevention, local resources for exercise and classes. Develop an evaluation tool to be left and completed post visit. Bring a sign in sheet for participants and the senior citizens. Bring a camera and all necessary authorization forms. Develop and bring a personal home evaluation/balance check list and stamped/self addressed envelopes for return to leave with the seniors. Develop and bring medication list cards to leave with the seniors. Bring a thank you card with contact information for follow up questions to leave with the seniors. Contact several (with a goal of 3-4 homes) seniors and family members for permission for home/medication/fall prevention intervention with media involvement. Day of event: Have a preplanned location for all team members to meet. Provide location addresses. Consider several key messages/take away ideas in each area of specialty for press coverage questions and community information. Have a printed list of tips/contact information for fall prevention to give to the media—so they can expand their coverage. Plan to be at the first home mid morning and be completed with all homes by early afternoon. Post event: After all evaluations have been returned, review the encounters with all the team members, considering and documenting suggestions by each member. Contact the senior participants at specific time intervals post event for further follow up documenting the results/evaluations. Begin planning for next year. Contact Information Sample Resolution RESOLUTION FALL PREVENTION AWARENESS WEEK SEPTEMBER 21 – 25, 2009 WHEREAS, the (insert area, city, county, region) is home to more than (insert older population number covered) citizens age 60 and over; and WHEREAS, older Texans are valuable members of our society who enhance our communities and personal lives; and WHEREAS, one out of three older Texans will fall this year; and WHEREAS, falls among older adults account for forty percent of all nursing home admissions; and WHEREAS, falls cost our state $1.8 billion dollars annually; and WHEREAS, the emotional, psychological and catastrophic costs that effect families and caregivers is immeasurable. NOW THEREFORE, BE IT RESOLVED September 21-25, 2009 to be Fall Prevention Awareness Week. We urge everyone to take time this first week of fall 2009 to learn about factors that contribute to falls and strategies that can lessen the chance that they will experience a fall. Our efforts can improve the lives of our older citizens and help pave the way for safer future generations. Resolution adopted by the (insert name of body making resolution) on this day of September, 2009. __________________ (insert names of officials adopting resolution) Additional Resources Websites Texas Falls Prevention Coalition AMOB programmatic site http://www.srph.tamhsc.edu/research/texashealthylifestyles/tfpc/texas-fallsprevention-coalition.html AoA- Administration on Aging http://www.aoa.gov/AoARoot/Index.aspx CDC- Centers for Disease Control and Prevention http://www.cdc.gov/ncipc/duip/preventadultfalls.htm NCOA- National Council on Aging http://www.healthyagingprograms.org/content.asp?sectionid=113 Fall Prevention Awareness Day Website This website was created to help states and communities to promote falls awareness day and/or week. http://www.healthyagingprograms.org/content.asp?sectionid=149 National Resource Center for Safe Aging http://www.safeaging.org/ Home Safety Council http://www.safeaging.org/ Maine Partnership for Health Aging http://www.mmc.org/mh_body.cfm?id=432 National Institute on Aging- Age Pages http://www.niapublications.org/shopdisplayproducts.asp?id=45&cat=All+Age+Pa ges Texas Association of Area Agencies on Aging http://www.t4aging.org Texas Association of Home Builders http://www.texasbuilders.org/#bf_miniCal_80 Texas Department of Aging and Disability Services http://www.dads.state.tx.us/ Medication Management Pocket Minder www.channing-bete.com, 1-800-628-7733, item # PS47551 1. Panhandle AAA– Amarillo 1-800-642-6008 15. Brazos Valley AAA– Bryan 1-800-994-4000 2. South Plains AAA– Lubbock 1-888-418-6564 16. Deep East Texas AAA– Jasper 1-800-435-3377 3. North Texas AAA– Wichita Falls 1-800-460-2226 17. South East Texas AAA–Beaumont 1-800-395-5465 4. North Central Texas AAA– Arlington 1-800-272-3921 18. Harris County AAA– Houston 1-800-213-8471 5. Tarrant County AAA–Fort Worth 1-817-258-8100 19. Houston-Galveston AAA– Houston 1-800-437-7396 6. Dallas County AAA– Dallas 1-214-379-4636 20. Golden Crescent AAA– Victoria 1-800-574-9745 7. Ark Tex AAA– Texarkana 1-800-372-4464 21. Alamo AAA– San Antonio 1-866-231-4922 8. East Texas AAA– Kilgore 1-800-442-8845 22. Bexar County AAA– San Antonio 1-800-960-5201 9. West Central Texas AAA– Abilene 1-800-928-2262 23. South Texas AAA– Laredo 1-800-292-5426 10. Rio Grande AAA– El Paso 1-800-333-7082 24. Coastal Bend AAA–Corpus Christi 1-800-817-5743 11. Permian Basin AAA– Midland 1-800-491-4636 25. 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