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HEALTH AND WELL BEING OF SENIORS AT HOME A Six Week Course for Seniors Covering Safety, Medications, Fitness Community Resources to Stay Safely at Home Elizabeth Tepper RN CEN GOALS OF PROGRAM To teach the senior population living in their homes necessary information and skills to promote a safe environment and maintain their health and quality of life • Fall prevention • Fire safety • Security • Food safety/hand washing/infection prevention • Access to care/transportation • Medication safety geaugahousingservices.org PROFILE OF OLDER AMERICANS 3 Million Persons Celebrated their 65th Birthday in 2011 • 41.4 million persons over 65 • Represent 13.3% of population • Over 1 in 8 is over 65 • 75-85 age group is 12.8 million • 85 + group is 5 million (Administration on Aging website, n.d.) www.visualphotos.com SENIOR HEALTH IS BETTER IN A FAMILIAR PLACE There’s No Place Like Home • More comfortable and secure in a familiar place • Care in the home is more cost-effective • Maintain freedom/independence • Comfortable with routine • Surrounded by memories • Maintain dignity , ("No Place Like Home," 2013) bostinno.streetwise.co POTENTIAL RISKS TO STAYING HOME • Falls • Fire/emergency/evacuation • Robbery/scammers/ finances • Isolation • Poor nutrition • Medication issues and errors • Transportation/difficulty accessing resources (Healthy people 2020 website. (n.d.) www.disorderlystitches.com FALLS Falls are preventable • 1 out of 3 adults over 65 falls each year • Leading cause of injuries • 2.3 million falls in ED in 2010 • Cost of falls $30 billion in 2010 • Injury from falls cause loss of independence • Falling leads to fear and reduced mobility (Falls among older adults: An overview. (n.d.). www.comforcareblog.com FIRE/EMERGENCY/ACCESS TO CARE TRANSPORTATION • Over age 65, risk of death/injury from fire is doubled • Difficulty accessing care, due to loss of ability to drive safely • Lack of plan for emergencies • Lack of coordination of care www.seniorlivingrockies.com (National fire protection association website, 2013) ROBBERY/SCAMS/FINANCES Don’t be a Victim • At risk for scammers • Robberies • Money management issues • Insurance medical coverage issues seniorassistedliving.wordpress.com - MEDICATION MISMANAGEMENT #1 cause of nursing home placement 28% of all hospitalizations are drug related and 11% for noncompliance Older adult have increased risk of adverse reactions, due to multiple meds, comorbidities (Marek KD, Antle L. 2008) www.familyfirstseniorcare.com AUDIENCE/VENUE • Audience: Over Fifty Clubseniors living independently, married, widows, and widowers • 6 week program held weekly • Each session will be 30-45 minutes integrated into weekly meeting • West Chester Area Senior Center 530 East Union Street, West Chester, PA 19382 West Chester Area Senior Center IMPLEMENTATION/ TEACHING STRATEGIES • Lecture • Discussion • Visual aids/videos • Games/quizzes • Brochures/handouts • Guest speaker: Chester County Fire Department www.craigiebaptist.org.au PROMOTION Announcement on West Chester Area Senior center’s website & Facebook Page Advertisement on Senior Center’s In-House Multi-Media Visual Display Brochures in local primary care offices, program available to all seniors (participants do not need to be a member of club to attend) OVERVIEW/LESSON PLAN Week 1: Safety- in the home, tripping hazards, handrails, dangers, security, driving safety, correct use of cane or walker, proper lighting Week 2: Diet and nutrition-easy healthy meal preparation ,meals on wheels, safety in kitchen, hand washing, infection prevention Week 3: Medications- storage, dosing, timing ,food reactions, medication management chart handout Week 4: Exercise and mobility- importance of exercise, ROM, demonstration, correct body mechanics Week 5: Emergencies- signs & symptoms to seek medical care vs 911, important numbers to have a handy, guest speaker from fire company, establish escape plan in emergency Week 6: Community resources, senior programs in county, senior transportation, brochures from chamber of commerce, government and community programs such as PACE EXPECTED OUTCOME/ EVALUATION • Participants will: • become aware of issues that can affect their quality of life • state major risks • state methods and solutions for prevention • Ongoing evaluation determined by level of engagement and participation • Survey distributed to all participants bulgingbuttons.wordpress.com REFERENCES Falls among older adults: An overview. (n.d.). Retrieved from http://www.cdc.gov/homeandrecreationalsafety/falls/adultfall.html For senior citizens, there’s no place like home. (2013, September). Case Management Advisor, 24(9), 97-98. Healthy people 2020 website. (n.d.). http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=31 Marek KD, Antle L. Medication Management of the Community-Dwelling Older Adult. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 18. Available from: http://www.ncbi.nlm.nih.gov/books/NBK2670/ National fire protection association website. (2013). http://www.nfpa.org/safety-information/forconsumers/populations/older-adults