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FALLS & MOBILITY ASSESSMENT & INTERVENTION PROGRAM A comprehensive community-based Falls Prevention Model

Sunbury Community Health Centre Inc. FALLS & MOBILITY ASSESSMENT & INTERVENTION PROGRAM A comprehensive community-based Falls Prevention Model. Referral by:. Sunbury Community Health Centre Inc.  Local Medical Officer  Self Referral  Hospital Discharge Planning

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FALLS & MOBILITY ASSESSMENT & INTERVENTION PROGRAM A comprehensive community-based Falls Prevention Model

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  1. Sunbury Community Health Centre Inc FALLS & MOBILITY ASSESSMENT & INTERVENTION PROGRAM A comprehensive community-based Falls Prevention Model

  2. Referral by: Sunbury Community Health Centre Inc.  Local Medical Officer  Self Referral  Hospital Discharge Planning  Other Agencies eg Hume City Council

  3. FALLS & MOBILITY ASSESSMENT (FAMA) Sunbury Community Health Centre Inc. COMPREHENSIVE MULTIDISCIPLINARY ASSESSMENT • Assessment by four Health Professionals • Maximum of four clients per three hour session. • EDUCATION • Video - “Standing On Your Own Two Feet” • Discussion on how to get up from the floor. • What to do in case of a fall. • Written Information - Falls Prevention Booklet and relevant brochures • CARE PLAN FEEDBACK to Client and Carer SIX MONTHLY REVIEW LETTER to LMO

  4. FALLS & MOBILITY ASSESSMENT (FAMA) Each Assessment Includes: Physiotherapist – Strength, Balance and Gait assessment Community Health Nurse – Medication, Vision, Nutritional Status, General Health assessment OccupationalTherapist – Home Assessment, Falls History, Social ad Community Supports, Cognitive and Functional assessment Podiatrist – Footwear, Feet and Gait Assessment, Gait and Vestibular Stepping Test

  5. FALLS & MOBILITY ASSESSMENT (FAMA) Sunbury Community Health Centre Inc. Assessment results fed back to Client and CARE PLAN developed, which may include: • Lifestyle factors eg, increased fluid intake and regular exercise • Referral to internal Sunbury Community Health Centre services and programs • Home safety recommendations Letter to LMO with summary of assessment results and recommendations for follow-up by LMO, which may include: • A review of Calcium and Vitamin D status supplementation • Optometry review • Specialist Clinics follow-up

  6. REFERRAL TO RELEVANT INTERNAL SERVICE PROVIDERS Sunbury Community Health Centre Inc. • These may include immediate start and priority status to the following: ‘In The Balance’ weekly exercise group Physiotherapy for Home Exercise Program / Hydrotherapy Dietitian Audiology for Hearing Test Podiatry Emergency Alarm Application Programmed Activity Group Dental

  7. REFERRAL TO EXTERNAL SERVICE PROVIDERS Sunbury Community Health Centre Inc. These may include: - Aged Care Assessment Services (ACAS) - Hume City Council (HACC Services) - Aids & Equipment Program

  8. SIX MONTHLY REVIEW Sunbury Community Health Centre Inc.  Review FAMA Assessment  Review Care Plan and LMO recommendations  Compliance with Recommendations recorded and discussed with client  Revise Care Plan

  9. Problems Encountered Sunbury Community Health Centre Inc. • Clients who do not attend ongoing centre programs, tend not to return for six monthly review. • LMO’s do not always follow-up on recommendations for specialist clinic referrals. • Vestibular conditions identified but not well treated.

  10. CLIENT FEEDBACK(Anecdotal Narrative) Sunbury Community Health Centre Inc. * Client compliance is high due to accessibility to internal services and familiarity with staff. * Clients prefer local assessment intervention. * Clients favour multidisciplinary assessment in one session at one location. *Clients feel ‘listened to’ and have the opportunity to have an extended consultation time to discuss a range of issues with FAMA health professionals. * Discussion / Sharing experiences with other ‘fallers’. * Greater understanding of multiple factors that can contribute to falling.

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