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Trent Brown – The Clinician’s Guide to Reducing Falls: Evidence-Based Strategies that Work
- Faculty:
- Trent Brown
- Duration:
- 5 Hours 55 Minutes
- Format:
- Audio and Video
- Copyright:
- May 11, 2018
Description
Reduce Falls and Increase:
- Functional and occupational performance and participation
- Visual processing and strategies during dynamic movement and ambulation
- Safety with gait, functional mobility, transfers, and sit-stand
- Patient confidence with mobility in the home and community
As a clinician who has worked in skilled nursing, home health, acute, and transitional care, I’ve seen and treated too many patients who experience falls. In the past, I focused too much of my attention on strengthening the low extremity or solely on home modification, which resulted in seeing minimal gains. What was I missing? There had to be a better way to treat this population. Finally, I discovered that by examining the myriad causes to falls – psychological, physiological, visual, and neuromuscular – I could effectively treat my patients by improving functional and occupational performance and giving them confidence with mobility in their home and community.
In this lab-intensive recording, learn and practice the evidence-based tools I use to help prevent falls. Feel confident and comfortable using these proven strategies that immediately carry over into your clinical setting.
Handouts
| Manual – The Clinician’s Guide to Reducing Falls (21.2 MB) | 115 Pages | Available after Purchase |
Outline
THE COST OF FALLS
- Frequency of falls – a breakdown in the US
- Results of falls
- Cost and future projections
- Environments where falls occur
CAUSES OF FALLS AND WAYS TO REDUCE THEM
- Specific causes
- Medication
- Ageism
- Diagnosis
- Contracture
- Weakness
- Compensatory gait patterns
- Common associations leading to falls
- Fear of falling (stiffening strategy)
- Genomic hypovitaminosis
- Gender
- UE weakness
- Visual space relation and fixation duration
- Soleustretch and Visual Stance demonstration
- LAB
- PNF functional strengthening techniques (CR vs HR vs CRAC)
- GRAC Rowing (Modified D1, D2)
- Gastroclock with CRAC technique
- LAB
- Medication and mechanism
- Type I iliopsoas contracture and anterior pelvic tilt vs. posterior pelvic tilt
- Male vs. female
- Lengthen and shorten demonstration
- LAB
CLINICAL AND EDUCATIONAL ROLE IN REDUCING FALLS
- Education
- Sleep, adaptive equipment, home environment
- Fall reduction in the home
- Otago and other “fall reduction” programs
- 4-Test Balance Scale (LAB)
- Chair Stand Test
BEST PRACTICE: ASSESSMENTS, ACTIVITIES, AND EXERCISES
- Fall risk evaluations
- Functional reach (FRT), TUG, Fall Algorithm
- LAB
- Hip/frontal plane stabilizers
- Reducing circumduction, shuffle, or Trendelenburg gait
- Trochanter Tension
- LAB
- Hip mobilizers
- Seated and standing mobilization technique
- Dynamic PNF chops
- Quad sit-up (LAB)
- Log roll
- Determinants of gait
- Exercise/activity dose and frequency
DOCUMENTATION AND CASE STUDY
- 5 platforms of successful documentation
- Documentation examples
- Case study
Faculty
Trent Brown, MOT, OTR/L, ATP, BCG
Advanced Healthcare
TRENT BROWN, MOT, OTR/L, ATP, BCG, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care. Mr. Brown also reviews clinical documentation for UDOH as an expert witness in reviewing cases. Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131 advancing OT practice in the state of Utah and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.
Speaker Disclosures:
Financial: Trent Brown is an adjunct professor at the University of Utah. He receives a speaking honorarium from PESI, Inc.
Non-financial: Trent Brown is a credential holder of a board certification in gerontology (BCG) from the AOTA.
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