On the Move clinic: A fall prevention nurse practitioner-driven model of care.
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.
Duke Scholars
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Related Subject Headings
- Primary Health Care
- Nursing
- Nurse Practitioners
- Humans
- Gait
- Exercise
- Aged
- 4205 Nursing
- 1110 Nursing
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Primary Health Care
- Nursing
- Nurse Practitioners
- Humans
- Gait
- Exercise
- Aged
- 4205 Nursing
- 1110 Nursing