How do fall injuries affect people over age 65?
Healthy Aging Communication Network
Issue Brief: Preventing Falls in Older Adults
What is Balanced Act?
Balanced Act is a fall prevention program developed and operated by the city of
Phoenix. Fall injuries are one of the leading causes
to loss of independence for people over age 60. Balanced Act is
introduced at senior/community centers and housing sites through
a falls injury
presentation by Hearts of Joy Senior Care, Inc.
Fall-related statistics
are presented in addition to the most common causes for falls.
Participants learn easy remedies to modify their personal, home
and community
environments. A medication review is provided by the University
of Arizona College of Pharmacy where a visiting pharmacist
identifies any medications
that may trigger a fall.
Participants may sign
up to participate in the Matter of Balance program. The program
encourages
participants
to
discuss their fear of falling, make an action plan to address
their fall-related concerns and begin a stretching exercise program
that
strengthens muscles to help them remain on their feet.
Where can I participate in Balanced Act?
The city of Phoenix offers
Balanced Act at
nine locations:
* Parks & Recreation
sites that require an annual $5 fee (see Who may participate in Balanced Act?)
Who may participate in Balanced Act?
While Balanced Act is
offered free of charge to the community, people who register for
the program through a Parks & Recreation center will be charged
an
annual $5
fee.
The program is open to anyone interested in learning
more about how to avoid a future fall. This may include a person
over age 60, a caregiver, child of a senior, healthcare professional,
staff or anyone who may start experiencing a fall.
The program allows people at all different physical levels to participate.
Everyone is encouraged to do the exercises to the best of their ability.
Do I have to be a member of the senior/housing center to get involved?
The Matter of Balance
program is offered free. Guests are encouraged to register at
the center to allow for full access to the center’s activities/services.
What can I expect from Balanced Act?
Some of the benefits of participating in Balanced Act include:
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• Learning
how frequently fall-related injuries prevent seniors from experiencing
a productive, independent lifestyle.
• Developing an awareness of personal, home safety and environment issues
that may trigger a future fall.
• Understanding side effects of medications, how medicines may work against
each other and what may trigger a fall.
• Knowledge of how a fear of falling could prevent people from participating
in activities that could cause a fall.
• Identify activities/exercises that may help strengthen muscles to improve
balance and help people remain active.
• Plan methods to address personal fall-related issues, empowering people
to be actively involved in their health care and personal
safety. |
What is Matter
of Balance?
Matter of Balance is an
evidence-based fall prevention program developed by MaineHealth’s
Partnership for Healthy Aging. Two coaches lead the eight week,
two-hour class for participants to learn how
to address fall-related issues. During the first two weeks, the format
is discussion only, focusing on fears related to falling. Low-impact,
stretching exercise is introduced in the third class session that
starts many people back to being more physically active.
How do I participate?
Matter of Balance is offered
at seven senior/community center and housing sites (see locations
above). Participants are encouraged
to sign up for the Matter of Balance class through these sites. Class
size is limited to 15 participants. Participants may join before
the class begins or during one of the first two sessions. After
that, you may sign up for the next time the Matter of Balance
class is offered.
How can I become a Matter of Balance Master Trainer?
The Matter of Balance
program is a Train-the-Trainer program offered by MaineHealth’s
Partnership
for Healthy Aging.
Agency lead trainers
train local master trainers. Master trainers train coaches, provide
program oversight and ensure program fidelity.
How can I become a Matter of Balance coach?
Coach training is conducted in either one eight-hour or two four-hour
sessions. The program has been developed to be led by volunteers,
as coaches, but also may be led by staff.
On a quarterly basis,
the city of Phoenix offers training to staff and volunteers interested
in providing the program at their site.
The training is offered free of charge to city staff and volunteers.
To find out the organizational cost to receive this training, contact
602-262-7379 or Fall
Prevention HSD.
How can my agency bring Matter of Balance to our participants?
If your agency would like
to become a Matter of Balance master trainer site, contact MaineHealth’s
Partnership
for Healthy Aging for training dates and locations.
A number of Arizona agencies have been trained as master trainers
in A Matter of Balance. They can train volunteers or staff as coaches
to lead participant training sessions. For more information, contact
602-262-7379 or Fall
Prevention HSD.
In what areas
could an organization get involved?
The city of Phoenix would
like to develop partnerships to offer hearing, vision
and dental
screening to low-income program participants.
Each of these areas can cause a senior participant to experience
a fall. These health screenings can help the senior avoid a future
fall by identifying:
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• Imbalance
due to inner ear issues
• Poor vision due to improper eyewear, outdated prescription or not wearing
eyewear
• Poor nutrition due to ill-fitting dentures, poor oral hygiene or inability
to receive regular dental care. |
How was this program developed?
In November 2006, the
Phoenix City Council assigned the Human Services Department to
develop a fall prevention program that would inform
the population on how fall injuries impact the population over age
65 and methods to address the situation.
HSD contacted national
and local experts in the field of aging to discuss available fall
prevention
programs and elements of program development. Many of these experts
participated on an action committee to develop a falls strategic
plan. The plan was based on the National Council on Aging Falls
Free: A
National Falls Prevention Action Plan.
The action committee
wanted to address medication management, nutrition and home modifications
with an emphasis on physical mobility. HSD researched five evidence-based
physical activity programs designed to reduce fall injuries in
this population. The Matter of Balance program was recommended
and approved
for implementation in city senior centers.
In addition to the
Matter
of Balance, partnerships have been developed with Hearts of
Joy Senior Care, Inc.; University of Arizona College of Pharmacy;
and Rebuilding
Together to provide presentations, medication reviews and minor
home modifications to center participants.
Additional information on
the city's fall prevention program.