FALLS

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
Occupational Therapist 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.
• LMOs 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.
Clients prefer local assessment intervention.

• Client compliance is high due to accessibility
  to internal services and familiarity with staff.

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.