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预防跌倒.pdf

上传人: S** 编号:1240725 2026-05-16 33页 4.11MB

1、Presentation Title|Month Year|1Positive Ageing Summit May 2025Dr Jennie H.auContemporary falls preventionContemporary Falls PreventionSession outline:*Summary of best practice falls prevention in different settings*Implementing holistic person-centred approaches-how Whiddon is tackling falls in RAC*

2、Practical ideas to implement exercise as medicine increasing fun&participation Falls in Community34Falls in RACH5Falls in Hospitals?AHP lead exercise?Bed sensors?Multi-factorial interventionsThere is a new Clinical Trial being run at USyd nowInstitute for MSK Health.Cameron ID,Dyer SM,et al.Interven

3、tions for preventing falls in older people in care facilities and hospitals.Cochrane Database of Systematic Reviews 2018,Issue 9.Art.No.:CD005465.DOI:10.1002/14651858.CD005465.pub4.Accessed 20 September 2024How Whiddon is tackling falls in RACH 20251.All in education and personalised risk factor and

4、 management tools2.Food as medicine dairy/other protein,Ca,Vit D3.Exercise as medicine individually prescribed PRT and high challenge balance https:/ TRAINING FOR ALL short videos and quiz10Adapted from the Guide to Action for Falls Prevention Tool(GtA):Logan PA,Horne JC,Allen F,et al.A multidomain

5、decision support tool.to prevent falls in older people:the FinCH cluster RCT.Southampton(UK):NIHR Journals Library;2022 Jan.(Health Technology Assessment,No.26.9.)Appendix 1,GtACH tool.Clinical training person-centred tool 11Adapted from the Guide to Action for Falls Prevention Tool(GtA):Logan PA,Ho

6、rne JC,Allen F,et al.A multidomain decision support tool.to prevent falls in older people:the FinCH cluster RCT.Southampton(UK):NIHR Journals Library;2022 Jan.(Health Technology Assessment,No.26.9.)Appendix 1,GtACH tool.12Adapted from the Guide to Action for Falls Prevention Tool(GtA):Logan PA,Horne

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1. **最佳实践与多场景干预**:涵盖社区、养老院(RAC)及医院的跌倒预防,强调多因素干预(如临床训练、床传感器)及循证依据(Cochrane综述)。 2. **Whiddon养老院方案**: - **个性化工具**:全员强制培训(短视频+测验),采用《跌倒预防行动指南》(GtA)工具。 - **三大支柱**:食物(高蛋白/钙/维D)、运动(个体化抗阻+高难度平衡)、睡眠/环境优化。 3. **运动作为"药物"**: - **处方标准**:抗阻训练(PRT,2-3组×10-15次,RPE 12-14)+高难度平衡训练,每周2小时,持续6个月。 - **效果数据**:多项研究显示跌倒率降低55%-77%(如SUNBEAM项目221人,跌倒率降55%)。 4. **成功案例**:通过社区活动(如"Live it UP")、本地合作(眼镜店/鞋店),目标实现养老院跌倒率≥30%下降。
**防跌秘诀?** **运动良方?** **饮食防跌?**
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