On the Move clinic: A fall prevention nurse practitioner-driven model of care.

Journal Article (Journal Article)

Falls in older adults are common and interventions to reduce associated morbidity and mortality remain difficult to implement. This quality improvement project evaluated On the Move, a new clinic designed to provide tailored recommendations to reduce falls risk, based on an adaptation of CDC's STEADI: a falls risk screening, assessment and intervention guide. 89 participants were referred by primary care and emergency services. A nurse practitioner assessed modifiable physical, behavioral and environmental risk factors and utilized motivational interviewing and education to guide participants in developing an intervention plan. A physical therapist assessed gait/balance, the need for ongoing PT services and provided brief counseling. Participants received a 6-week phone call and 12-week follow up visit. Measurements, including 30-second chair stands, Timed Up and Go, 4-Item Dynamic Gait Index, and Activities-Specific Balance Confidence Scale all showed significant improvement. Participants made behavioral changes to reduce risk, and plans to continue exercise.

Full Text

Duke Authors

Cited Authors

  • Kanne, GE; Sabol, VK; Pierson, D; Corcoran, MW; Silva, SG; White, HK

Published Date

  • July 2021

Published In

Volume / Issue

  • 42 / 4

Start / End Page

  • 850 - 854

PubMed ID

  • 34090230

Electronic International Standard Serial Number (EISSN)

  • 1528-3984

Digital Object Identifier (DOI)

  • 10.1016/j.gerinurse.2021.03.019

Language

  • eng

Conference Location

  • United States