How different MDT members prevent falls in older people Flashcards
According to the National Service Framework for Older People (DoH, 2001), how many broad groups are the older population classed in, and what are they called?
3
Entering old age
Transitional phase
Frail older people
According to the National Service Framework for Older People (DoH, 2001), what kind of people are classed in ‘entering old age’ group?
Active, independent people who have just completed career in paid employment/childrearing
According to the National Service Framework for Older People (DoH, 2001), what kind of people are classed in ‘transitional phase’ group?
Between healthy, active life and frailty
What is the NICE definition of frailty?
Loss of resilience that means people don’t bounce back quickly
after a physical or mental illness, an accident or other stressful event
According to the National Service Framework for Older People (DoH, 2001), what kind of people are classed in ‘frail older people’ group?
Vulnerable as a result of health problems, social care needs or both
In the ‘frail older people’ group of the elderly population, what 3 factors can make them vulnerable to put them in that group?
Health problems
Social needs
Both
How do NHS and social plans aim to improve services, to keep older people healthy?
Extend access to services eg. supporting independence
How do NHS and social plans aim to change funding, to keep older people healthy?
Fund long-term care fairly
According to Lyndon in 2014, is frailty considered a syndrome?
Yes
According to Lyndon in 2014, what 3 factors are combined to cause frailty?
Natural ageing
Loss of fitness
Multiple long-term conditions
How many classes of frail people are there, according to Lyndon in 2014?
3
What are the 3 groups of frail people, according to Lyndon in 2014?
Older people with one or more chronic, long-term condition
Older people who require support from care services to live independently, even without diagnosed condition
Older people who are on the threshold of either of these two groups
How many frailty syndromes are there that should raise suspicion of frailty and what are they?
5
Delirium
Immobility
Falls
Continence problems
Medicines management challenges
Give 2 types of people who have the frailty syndrome delirium?
People with acute confusion
People with dementia/memory loss who have sudden worsening in confusion
Give 3 examples of what happens to person with frailty syndrome falls?
Collapse
Found on floor
Legs give way
Describe the changes in movement of people with frailty syndrome falls?
Sudden changes in movement
Describe the incontinence of people with frailty syndrome continence?
New/worsening urinary or faecal incontinence
What is a person susceptible to if they have the frailty syndrome Medical Management Challenges?
Susceptible to drug side effects and interactions
Which 5 professions make up a rapid response team?
General nurse
OT
PT
SLT
Social care worker
When do rapid response teams assess frail patients that are admitted, and why?
Give same-day assessment to produce immediate short-term intervention plan
This prevents hospital admission
What is meant by the rapid response team being a ring-fence team?
Professionals in rapid response team are protected from being assigned to other work so they can focus on frail patients
After assessing the frail patient, how does the rapid response team review their progress with the intervention plan?
Work with community rehab and GPs for ongoing support and reviews
Why is it important that rapid response teams do same-day assessments of frail patients?
This prevents hospital admission
Frail people at higher risk of deterioration when admitted to hospital
What do OTs need to identify, in order to create a safe environment for the frail person?
Identify occupational (meaningful activity) performance issues due to impact of medical condition
If a frail person is struggling with self care, motility and other domestic activities, what can OTs implement for support?
Adaptations/equipment/assistive technologies
What 2 activities can OTs implement for frail people to maintain awareness, after assessing their cognitive status?
Reality orientation techniques and reminiscence activities
How can OTs facilitate independence of frail people?
Implement daily meaningful activities
How can OT help frail people find relevant services eg. for support network?
Signpost them
What 3 physical factors do physiotherapists assess function of in frail people?
Physical function
Mobility
Interaction
What is meant by subjective factors of frail people, which are assessed by PTs?
Frail person’s ICE
What is meant by the 4 objective factors of frail people, which are assessed by PTs?
ADL (Activities of daily living) function
mobility
strength
transfers between different spaces
What is meant by the 2 environmental factors of frail people, which are assessed by PTs?
What/how much physical space they have
Risks in the physical space
What is meant by the 2 carers/relatives factors of frail people, which are assessed by PTs?
Assess patient’s needs, beliefs, attitudes towards having a carer,
assess if carer has proven skills for handling
What 2 activities can PTs implement to improve objective factors of a frail person?
activities to strengthen specific muscle groups
supervised transfers and walking
What 2 pieces of advice can PTs implement to improve objective factors of a frail person?
Footwear advice
Lifestyle advice
How can PTs improve environmental factors of a frail person?
Make sure physical features (eg. chairs, rugs) are arranged safely
How can PTs ensure that carers/relatives have proven skills to handle frail patient?
Teach them minimal safe handling
Which 4 difficulties cause patient needs that Speech Language Therapies anticipate and respond to?
Speech, language, communication or swallowing difficulties
Give 3 ways in which SLTs assess possible history of communicating/swallowing difficulties in a frail person?
Check medical/nursing notes
History-taking in case with patient
Significant Other’s report
What does a SLT aim to address in direct therapy with frail patients?
Strengths and weaknesses
In indirect therapy for a frail person, who does the SLT discuss with?
SLT discusses with SOs of frail person
Give 3 ways in which SLT can adjust the communicative environment for a frail person, as indirect therapy?
conversation partner training
reducing background noise
aphasia-friendly signage
In an informal assessment of a frail person, what does SLT screen for?
Swallowing difficulties
In an informal assessment of a frail person, what 4 skills does SLT assess?
observational, communication, sensory, cognitive skills
In a formal assessment of a frail person, what imaging does SLT use to assess speech production, language and swallow abilities?
Videofluoroscopy (moving x-ray of swallowing)
What is the WHO principle regarding importance of health to everyone?
Highest attainable standard of health is fundamental human right
According to WHO principles, is active cooperation of public important to improve health of all people?
Yes
Improved by informed opinions and active co-operation of public
According to WHO, what 2 measures must government implement to improve health?
Health and social measures
Describe the Interaction of Concepts, ICF 2021 model?
Biopsychosocial model of disability,
theorising that a person’s functional levels are dynamic interactions of environmental, personal factors and their health conditions
