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Lambers_Summit talk.pdf

上传人: 彩旗 编号:1158770 2026-03-02 25页 1.70MB

1、Occupational Therapy:Creating a clear vision for Evidence Based Fall Prevention in home and communityStephanie Lambers M.Ed.,OTR/LTriHealth Community Benefit/Special Projects Consultantstephanie_University of Cincinnati Doctorate of Occupational Therapy ProgramAssistant Adjunct Professor lamberseucm

2、ail.uc.eduFalls Data Falls are the leading cause of injury death for adults age 65 and older(CDC,2024)1 in 4 older adults falls.(CDC,2024)Falls are NOT a normal part of aging.This Photo by Unknown Author is licensed under CC BY-NC-NDVision and Falls:Supporting Data A study published in JAMA Ophthalm

3、ology found that 27.8%of US adults aged 71 and older had vision impairment.(January 2023)A University of Michigan study indicates that adults who have trouble with their vision have a higher risk of mortality due to higher risk of falls.(May 2025)Access to vision care and fall prevention programs co

4、uld potentially lower mortality risks associated with vision loss(University of Michigan,May 2025)TriHealth Think First Injury Prevention Programs/Process for SeniorsCDC STEADI STOP ELDERLY ACCIDENTS DEATHS AND INJURIESFall Prevention Process SummaryCDC STEADI Fall Risk Identification&Referral Expan

5、sion of TriHealth Evidence Based Fall prevention initiative since 2014 Currenty funded by Bethesda Foundation.Built into EPIC/EMR 15 pilot TriHealth TPP Physician practices(thanks Melissa Basile OTR/L)Connected to Smart sets in Welcome to Medicare/Annual Medicare Wellness Visits Generates identified

6、 fall risk(low,moderate and high)with recommended referralsProcess Summaryhttps:/ the smartset is accepted,recommendations are included in to the patients After Visit Summary(AVS)for low,moderate or high fall risk.Included in the recommendations for all risk levels(there is a website for fall preven

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1. ** falls危害**:65岁以上成人跌倒致死率最高(CDC,2024),1/4老年人跌倒,跌倒非正常衰老。 2. **视力与跌倒关联**:27.8%71岁以上成人视力受损(JAMA,2023),视力问题增加跌倒及死亡风险,视力护理可降低风险。 3. **TriHealth跌倒预防流程**:基于EPIC系统评估风险(低/中/高),推荐课程(Stepping On跌倒降31%,本地降40%;太极降47%)及居家改造。 4. **OT角色**:居家访评评估视力影响,指导环境改造(如对比度、照明)、辅助设备使用,链接资源(如Prevent Blindness)。 5. **合作网络**:联合医疗机构、学术项目(UC OT)、非营利组织(CABVI)等,整合社区资源预防跌倒。
**跌倒风险高?** **视力与跌倒?** **居家防跌倒?**
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