OccupationalTherapy.com Phone: 866-782-9924


Different Types of Falls and Prevalence of Anticipated Physiologic Falls

Kathleen Weissberg, OTD, OTR/L

February 22, 2016

Share:

Question

Can you please review the different types of falls and why anticipated physiologic is so prevalent?

Answer

There are several types of falls that might be seen. Accidental falls are when the fall happened by accident. Unanticipated physiologic means that the patient does not have any risk factors. Anticipated physiologic means that the patient has risk factors. The reason we went through the different tests, risk factors, and assessments is because people who have those are more at risk for falling. If you look at those particular things that pop up, like orthostatic hypertension, having an assistive device, having decreased strength, poor balance, poor reaction time, etc., then an assessment is recommended. Seventy-eight percent of all the falls that we see could have been identified by a test or by a risk assessment. For example, I have worked in long-term care for a long time and oftentimes will hear people say to me, "oh, well, she just slipped on the floor because it was wet and she did not see the water. It is an isolated incident that will never happen again." Maybe that is true but you have to then step back and question, "Is it really an accidental fall?" The vast majority of falls can be examined and a determination made that there was something that would have led us to know that patient was at risk for falling. For example, the risk factor might be poor vision, environmental barriers, etc.


kathleen weissberg

Kathleen Weissberg, OTD, OTR/L

Dr. Kathleen Weissberg, (MS in OT, 1993; Doctoral 2014) in her 25+ years of practice, has worked in rehabilitation and long-term care as an executive, researcher and educator.  She has established numerous programs in nursing facilities; authored peer-reviewed publications on topics such as low vision, dementia quality care, and wellness; has spoken at numerous conferences both nationally and internationally, for 20+ State Health Care Associations, and for 25+ state LeadingAge affiliates.  She provides continuing education support to over 17,000 therapists, nurses, and administrators nationwide as National Director of Education for Select Rehabilitation. She is a Certified Dementia Care Practitioner and a Certified Montessori Dementia Care Practitioner.  She serves as the Region 1 Director for the American Occupational Therapy Association Political Affairs Affiliates and is an adjunct professor at both Chatham University in Pittsburgh, PA and Gannon University in Erie, PA. 


Related Courses

Multisensory Stimulation Rooms for Persons with Dementia: Design on a Dime
Presented by Kathleen Weissberg, OTD, OTR/L
Video

Presenter

Kathleen Weissberg, OTD, OTR/L
Course: #5180Level: Intermediate1 Hour
  'Confirmed a practical OT approach to meaningful sensory integration for older adults'   Read Reviews
This session reviews the benefits and limitations of sensory stimulation for persons with dementia and design factors to consider when designing a multi-sensory space. This session will offer a “design on a dime” approach to a sensory room and demonstrates to occupational therapists how they can assist communities in designing a space to impact the quality of life without relying on pharmacology.

Fall Management: Evidence-Based Interventions for Screening and Intervention
Presented by Kathleen Weissberg, OTD, OTR/L
Video

Presenter

Kathleen Weissberg, OTD, OTR/L
Course: #9453Level: Intermediate2 Hours
  'Many different interventions, and I especially enjoyed the information regarding yoga for balance'   Read Reviews
This session will review evidence-based screening and intervention strategies applicable to a balance and falls management program including research-based exercise programs, environmental modification, patient and caregiver education and balance retraining activities. Falls management program rationale and implementation is also discussed as well as interdisciplinary techniques and strategies to reduce fall risk in the elderly.

Sexuality in Long-Term Care: Open Your Mind (And Close the Door, Please)
Presented by Kathleen Weissberg, OTD, OTR/L
Video

Presenter

Kathleen Weissberg, OTD, OTR/L
Course: #3343Level: Intermediate2 Hours
  'Raised awareness to my own perception and biases regarding sexuality in older clients'   Read Reviews
What is sexuality and why is it so seldom spoken of when talking about older adults, particularly those in long-term care? Sexuality and intimacy are essential elements of one’s personality. Thus, it is important that residents, staff, and therapists in LTC have skills to effectively and compassionately address sexuality including misconceptions, personal and cultural views or biases, and barriers. This course explores the perceptions and perspectives of residents, staff, caregivers, and family members related to sexuality and intimacy. The course provides opportunities for people who have not given this topic much thought to consider their views, identify barriers, consider consent, and facilitate solutions and strategies when sexual expression becomes problematic. The specific role of occupational therapy related to intimacy with various diagnoses including diabetes, CVA, cancer, and arthritis is reviewed.

Elder Abuse and Child Abuse: Know the Signs and Your Role
Presented by Kathleen Weissberg, OTD, OTR/L
Video

Presenter

Kathleen Weissberg, OTD, OTR/L
Course: #4370Level: Intermediate1 Hour
  'The instructor was systematic at going thru the definitions and examples of both Elder and Child abuse'   Read Reviews
Elder abuse and neglect and child abuse and neglect are harsh realities. This course will identify the physical, clinical, and behavioral indicators of physical, emotional, and sexual abuse needed to identify and report to appropriate agencies. Participants will gain an improved awareness of warning signs of abuse, the clinician's role in reporting abuse, and the steps for reporting abuse and getting proper assistance.

Bullying Among Older Adults: Not Just A Playground Problem
Presented by Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP
Video

Presenter

Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP
Course: #5660Level: Introductory1 Hour
  'Powerpoint was easy to follow along with'   Read Reviews
The definition and incidence of bullying in adult living communities and day centers including what older adult bullying looks like in this population are reviewed in this session. Characteristics of older adult bullies as well their targets and gender differences will be explored. The reasons why bullying occurs as well as the five different types of bullies are defined. Interventions for the organization, the bully, and the target will be reviewed to help communities minimize (and prevent where possible) bullying and mitigate the effects on the target. Addressing bullying behavior among older adults is critically important for enhancing quality of life and promoting emotional well-being; strategies to create caring and empathic communities for all residents and staff members are also reviewed.

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.