MOVING RIGHT TO STAY UPRIGHTPLENARY SESSIONSWesley Theatre

CONCURRENT SESSIONSSmith Room - Acute/Subacute careWesley Theatre - Community ProgramsThe Lyceum - Communication Initiatives

NSW FALLS PREVENTION NETWORK FORUM PROGRAMFriday 19 May 2017Wesley Conference Centre

2 NSW Falls Prevention Network Forum

NSW FALLS PREVENTION NETWORKThe NSW Falls Prevention Network has existed since 1993.

ObjectivesThe specific objectives of the NSW Falls Prevention Network are to: 1. Support networking of people and organisations working to prevent falls and harm from falls among

older people in NSW (for example, health professionals, government, community and residential aged care providers, non-government organisations and researchers).

2. Support sharing of falls prevention resources and initiatives developed by Network members and exploration of opportunities to undertake collaborative projects and/or combine resources in joint initiatives.

3. Support access to and dissemination of information on local and international falls prevention research findings, policy and practice initiatives, tools and resources.

4. Support the communication and implementation of the NSW Health falls prevention strategies through Network activities.

5. Ensure the Network remains valued, respected, and responsive to the needs of current and potential members and key stakeholders.

6. Promote prevention of falls among older people as a key health issue.

Plenary Presentations at this forum will be filmed and a DVD produced. This will be distributed following the forum, and you will be notified by the NSW Falls Prevention Network website and email list.

fallsnetwork@neura.edu.au

Exhibitors

Happy

mobile pedorthicsWalking

INVISA-BEAM® catch them before they fall®

NSW Falls Prevention Network Forum 3

8.30 am REGISTRATION/ARRIVAL TEA/COFFEE

9.00 am OPENING SESSIONChairperson: Professor Stephen Lord, NHMRC Senior Principal Research Fellow, NeuRAWELCOME TO COUNTRYUncle Chicka Madden, Gadigal Elder

9.10 am OPENINGMs Carrie Marr, Chief Executive, Clinical Excellence Commission

9.20 am - 10.30 am PLENARY SESSION 1Chairperson: Ms Lorraine Lovitt, Lead, NSW Falls Prevention Program, Clinical Excellence Commission (CEC)

9.20 am Pam Albany Guest LectureCan fear of falling make you unstable on your feet?Associate Professor Kim Delbaere, Principal Research Scientist, Falls, Balance and Injury Research Centre, Neuroscience Research Australia (NeuRA)

9.50 am Falls prevention research updateProfessor Stephen Lord, NHMRC Senior Principal Research Fellow, and Director, Falls, Balance and Injury Research Centre, NeuRA

10.20 am Question Time

10.30 am MORNING TEA AND TRADE EXHIBITS

11.00 am - 12.50 pm PLENARY SESSION 2Chairperson: Professor Cathie Sherrington, Head Ageing and Physical Disability Program, Musculoskeletal Health, Sydney School of Public Health, The University of Sydney

11.00 am Delirium and fallsAssociate Professor Gideon Caplan, Director Post Acute Care Services and Director, Geriatric Medicine, Prince of Wales Hospital, Conjoint Associate Professor, University of NSW

11.30 am Mrs Dean’s StoryMs Niccola Follett, Falls Prevention Coordinator, Southern NSW LHD and Mrs Dean’s daughter, Ms Christine Ewin

12.00 noon NSW Falls Prevention Program updateMs Lorraine Lovitt, Lead, NSW Falls Prevention Program, Clinical Excellence Commission (CEC)

12.30 pm April Falls Competition Winners PresentationMs Ingrid Hutchinson, Project Officer NSW Falls Prevention Program, CEC

12.40 pm Question Time

12.50 pm LUNCH AND TRADE EXHIBITS

NSW FALLS PREVENTION NETWORK FORUM Friday 19 May

Wesley Conference CentrePROGRAM

4 NSW Falls Prevention Network Forum

1.30 pm - 3.00pm

CONCURRENT SESSIONS

1.30 pm A. ACUTE/SUBACUTE CARE -SMITH ROOM

Chairperson: Ms Shelley Moor, Falls Prevention Coordinator, Western NSW & Far West LHDs

B. COMMUNITY PROGRAMS -WESLEY THEATRE

Chairperson: Ms Sharon Butler, Allied Health Manager, Anglicare

C. COMMUNICATION INITIATIVES - THE LYCEUM

Chairperson: Mr Nazmul Ahasan,Falls Prevention Coordinator, Murrumbidgee LHD

1.30 pm A patient centred culture of safety huddleMs Clare Morcom, NUM and Ms Amanda Newman, EEN, Rehabilitation, Orange Health Service, Western NSW LHD

Balance Exercise and Strength Training (BEST) at Home – a home based exercise program to prevent falls in older peopleMs Amanda Bates, BEST at Home Program Manager, Health Promotion, Illawarra Shoalhaven LHD

Engaging a whole primary care “village” to prevent falls: general practice, allied health and patientsDr Amy Tan, Project Officer, iSOLVE, Faculty of Health Sciences, The University of Sydney

1.45 pm Falls Prevention in Hunter New England LHDMs Kelley Lennon, Nurse/Midwife Manager, Clinical Practice & Leadership, Nursing & Midwifery Services, HNELHD

Engaging Men in Fall Prevention: Feedback from Men’s ShedsDr Jeannine Liddle, Ageing, Work and Health Research Unit, The University of Sydney

Communicating healthy ageing messages to older people- what do older people value?Ms Carolyn Loton and Ms Claire Dyson, Juntos Marketing, Sydney

2.00 pm Excellence in prevention of falls and fall related injuriesMs Alison Cowling, CNS & CNE and Ms Sally Milson-Hawke, Director of Nursing & Midwifery, John Hunter Hospital, HNELHD

The setting of balance-related goals among community dwelling older peopleMs Juliana Souza de Oliveira, Sydney School of Public Health, The University of Sydney

Reaching, preaching and teaching Ms Sally Castell, Movement Matters, Older Adult Health, Fitness and Exercise Consultancy

2.15 pm Talking about walking: Standardising mobility terminology in SESLHDMs Jamie Hallen, Falls Prevention Program Coordinator, South Eastern Sydney LHD

Falls before and after cataract surgery: a prospective cohort studyAssociate Professor Lisa Keay, Deputy Director, Injury Division, The George Institute for Global Health

Use and perceptions of activity monitors and health coaching in community dwelling seniorsMs Catherine Kirkham, Research Physiotherapist, Sydney School of Public Health, The University of Sydney

2.30 pm We will catch you! A mental health falls prevention programMs Alexandra Sepulveda NUM & Ms Jennifer Hughes CNE , Cumberland Hospital, Western Sydney LHD

Falls prevention in rural and remote communitiesMs Elizabeth Buffon, Ms Susan Cooper, Ms Kylie Kerslake & Ms Carrie Barlow, Primary Health Nurses, Dareton Primary Health Centre, Far West LHD

Adapting falls prevention education for the local Aboriginal communityMs Mary-Anne DeNavi, Healthy Ageing Program, Prince of Wales Community Health, South Eastern Sydney LHD

3.00 pm - 4.00 pm

CONCLUDING SESSION - Overview of new research projects, Wesley TheatreChairperson: Professor Stephen Lord, NeuRA

3.00 pm Proactive and reactive adaption to unpredictable trips and slips: Can we train older adults not to fall?Dr Yoshi Okubro, JSPS Postdoctoral Fellow for Research Abroad, Falls, Balance and Injury Research Centre, NeuRA

3.15 pm Understanding the effects of fatigue on balance, gait and fall risk in older peopleDr Daina Sturnieks, Senior Research Officer, Falls, Balance and Injury Research Centre, NeuRA

3.30 pm Does a fall prevention educational program improve knowledge and change exercise prescribing behaviour in health and exercise professionals? A randomized controlled trialAssociate Professor Anne Tiedemann, Career Development Fellow, NHMRC, Principal Research Fellow, Sydney Medical School, The University of Sydney

3.45 pm Question Time

4.00 pm CLOSE OF FORUM

NSW Falls Prevention Network Forum 5

PLENARY SPEAKER ABSTRACTS AND BIOGRAPHIES

PLENARY SESSION 1Pam Albany Guest Lecture - this lecture honours the late Pam Albany, a passionate advocate for accident and injury prevention in her various work roles. She was the key facilitator for promoting evidence-based practice through the NSW Falls Policy and NSW Falls Prevention Program and Network.

The 2017 Pam Albany Guest Lecturer is Associate Professor Kim Delbaere, NeuRACan fear of falling make you unstable on your feetFear of falling is common in older adults, with prevalence rates often extending those of falls themselves. Fear of falling may reflect a realistic appraisal of reduced functional abilities, however it often leads to a reduction in activity levels and community participation. Excessive fear can change how people walk - often referred to as ‘cautious gait’ - which decreases a person’s postural stability. Fear of falling is, therefore, not just a consequence of falling, but also a risk factor for future falls. Exercise can reduce this fear, however, other psychological treatments are required to achieve a lasting effect.

Associate Professor Kim Delbaere is Principal Research Scientist in the Falls, Balance and Injury Research Centre at Neuroscience Research Australia and Associate Professor, University of NSW. She has been supported by a National Health and Medical Research Council Career Development Fellowship since 2012. Her research has contributed to the understanding of physical, psychological and cognitive factors causing falls. Her multidisciplinary approach incorporates elements from physiotherapy, psychology, brain imaging and software engineering towards preventing falls and promoting healthy ageing.

Contact email: k.delbaere@neura.edu.au

Professor Stephen Lord, NeuRAFalls prevention research update Three recent studies aimed at understanding fall risk will be presented. These cover brain activation in high-functioning older adults, causes of unexplained falls, and the role of gait adaptability in fall avoidance. In addition the findings of three randomised controlled trials will be presented and discussed. These include studies that have evaluated virtual reality treadmill training, social dancing and Tai Chi in older people with mild cognitive impairment as interventions.

Professor Stephen Lord is NHMRC Senior Principal Research Fellow and Director of the Falls, Balance and Injury Research Centre at Neuroscience Research Australia. He has published over 400 papers in the areas of applied physiology, instability, falls and fractures in older people and is acknowledged as a leading international researcher in his field. His research follows two main themes: the identification of physiological risk factors for falls and the development and evaluation of falls prevention strategies. A key aspect of this research has been the design, implementation and evaluation of exercise programs for the general population of older people as well as for those identified as being at increased risk of falls, i.e. people with Parkinson’s disease, stroke, dementia and frailty. His methodology and approach to fall-risk assessment has been adopted by many researchers and clinicians across the world and he is actively engaged in initiatives aimed at implementing falls prevention evidence into policy and practice.

Contact email: s.lord@neura.edu.au

PLENARY SESSION 2Associate Professor Gideon Caplan, Prince of Wales HospitalDelirium and fallsDelirium is the most common diagnosis and adverse event affecting older people in hospital, with overall 25% suffering from delirium, and over 50% on some wards. Delirium causes increased mortality and nursing home placement as well as greater cognitive and physical disability. Delirium is also a trigger adverse event, leading to higher rates of falls, pressure sores, readmissions and other hospital-related problems. The higher rate of falls is a combination of delirium itself, the medications and restraints used during episodes of delirium. Multicomponent delirium interventions reduce falls by 62%, as well as having many other benefits. Therefore better care of delirium is a very important strategy to reduce falls.

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Associate Professor Gideon Caplan is Director of Post Acute Care Services and Director of Geriatric Medicine at Prince of Wales Hospital and a Conjoint Associate Professor at the University of New South Wales in Sydney, Australia.

His research involves developing and rigorously testing new health services, he has been a chief investigator on 5 investigator-initiated RCTs, and the pathophysiology of delirium, where he works with a consortium of international investigators.

He is President of the Australasian Delirium Association and chaired the drafting committee of the Delirium Care Standards for the Australian Commission on Safety and Quality in Health Care.

Contact e mail: g.caplan@unsw.edu.au

Ms Niccola Follett, Southern NSW LHD and Mrs Dean’s daughter, Ms Christine EwinMrs Dean’s StoryMrs Dean’s story is an engaging and emotional journey of a 76 year old who suffers a delirium and a serious fall in hospital. Her daughter Christine will recount her mother’s loss of confidence and decline in the months that follow the fall. Key issues related to communication, dementia and delirium as well as family/carer involvement during a hospital admission will be highlighted.

Ms Niccola Follett is the Falls Prevention Coordinator for Southern NSW Local Health District. This position covers community, aged and acute care across nine Local Government Areas. Niccola is passionate about rural communities and their people. She has been working in the field of Public Health and Nursing since 2002.

Contact email: niccola.follett@health.nsw.gov.au

Ms Lorraine Lovitt, Clinical Excellence CommissionNSW Falls Prevention Program update The CEC NSW Falls Prevention Program continues to develop and drive system improvements to reduce falls and harm from falls in hospitals and community. This presentation will highlight key resources and the latest program implementation for the Ministry of Health Leading Better Care - Better Value Care, Falls in Hospital initiative.

Ms Lorraine Lovitt is the Lead of the NSW Falls Prevention Program at the Clinical Excellence Commission (CEC). The CEC has a key role in building capacity for quality and safety improvement in health services in NSW and in her role Lorraine is working to support improved care for older people as they engage with NSW Health services.

Lorraine has a nursing background (registered nurse with post graduate qualifications in gerontology) with considerable experience in aged care (management, consultation and co-ordination) in both community and acute care settings and with the residential aged care sector.

Lorraine is the Board Chair for Twilight Aged Care and is a Graduate of the Australian Institute of Company Directors (AICD). Lorraine’s is motivated to ensure that people in our care are supported to continue to live their lives well and with dignity.

Conatct email: Lorraine.Lovitt@health.nsw.gov.au

Ms Ingrid Hutchinson, Clinical Excellence CommissionApril Falls Competition winners presentation

This presentation will present an overview of April Falls Day®/Month activities and announce the winner of the April Falls Competition.Ms Ingrid Hutchinson is the Project Officer for the NSW Falls Prevention Program at the Clinical Excellence Commission. She co-ordinates a variety of State wide projects in Falls Prevention and supports Local Health District Falls Prevention Coordinators in NSW. Ingrid has a Bachelor of Applied Science (Nutrition) and a Post Graduate Diploma in Health Promotion.

Contact: Ingrid.Hutchinson@health.nsw.gov.au

NSW Falls Prevention Network Forum 7

NOTES

ACKNOWLEDGEMENTS

We would like to thank:NSW Ministry of Health NSW Falls Prevention Program, Clinical Excellence Commission NSW Local Health District Falls Prevention CoordinatorsStaff from the Falls, Balance and Injury Research Centre, Neuroscience Research Australia (NeuRA)Photography: Ms Jessica Lindsay

Exhibitors: Active Mobility, Agency for Clinical Innovation, Alzheimer’s Australia NSW, Arthritis and Osteoporosis NSW, Avant Innovations, Guide Dogs NSW/ACT, Happy Walking Mobile Pedorthics, Invisa-Beam International, Parkinson’s Disease Australia, Prima Health Solutions, Safety and Mobility, Statina Healthcare Australia, Sydney North Primary Health Network, Uniting, Vision Australia

NSW Falls Prevention Network Advisory Committee 2016/17 membership: Professor Stephen Lord, NHMRC Senior Principal Research Fellow, Director, Falls, Balance & Injury Research Centre, NeuRADr Esther Vance, Project Officer, NSW Falls Prevention Network, NeuRAMs Lorraine Lovitt (chair), Lead, NSW Falls Prevention Program, Clinical Excellence CommissionMs Ingrid Hutchinson, Project Officer, NSW Falls Prevention Program, Clinical Excellence CommissionMs Deidre Upton, Senior Project Officer, NSW Office of Preventative Health, MOHMs Mandy Meehan, Team Leader, Occupational Therapist, SMHSOP, Ryde Community Mental Health, Northern Sydney LHDMs Joanne Macmillan, CNC, Aged Care/Dementia (Community), Northern Sydney LHDMs Amy Maitland, Senior Physiotherapist, PACC, Hospital in the Home, Western Sydney LHDMs Mandy Mayahi Neysi, CNC Aged Care/Dementia, Westmead Hospital, Western Sydney LHDDr Tai-Tak Wan, Medical Director, Ambulatory Care, Fairfield Hospital, South Western Sydney LHDMs Regina McDonald, CNC, HammondCareMs Kim Maddock, Acting Nurse Manager, Chronic & Aged Care, Nepean Hospital, Nepean Blue Mountains LHDMs Judy Coates, Senior Physiotherapist, HACC & Disabilities, Hunter New England LHDMs Kelly Meacham, Physiotherapist, Port Macquarie Community Health Centre, Mid North Coast LHDMs Natalie McDermott, Health Promotion Officer, Wagga Wagga Community Health, Murrumbidgee LHDMs Alison Stoker, NUM, Aged Care Warren MPHS, Western NSW LHDMs Kathryn Wallace, CNS, Chronic & Complex Care, Far West LHDMs Anthea Temple, Acting Program Manager, Acute Care, Agency for Clinical InnovationMr Peter Cribbs, Extended Care Paramedic Educator, NSW AmbulanceMs Sharon Butler, Allied Health Manager, AnglicareMs Barbara Ward, President, SHARE

fallsnetwork.neura.edu.au

Falls Prevention®is everyone’s business