The Startling Truth About Falls in Hospitalized Older Adults
Description
Show Notes:
Guests:
Mary Fischer, PT, DPT, Board Certified Geriatric Clinical Specialist
https://www.linkedin.com/in/mary-fischer-pt-dpt-gcs-571994b/
Kristine Josef PT, DPT, Board Certified Cardiovascular and Pulmonary Clinical Specialist
Links:
https://aptageriatrics.org/wp-content/uploads/2022/01/GeriNotes-23-6.pdf
https://www.cdc.gov/steadi/hcp/clinical-resources/inpatient-care.html
https://www.youtube.com/watch?v=qdm7C-fu7o0
https://www.cdc.gov/steadi/hcp/clinical-resources/index.html#cdc_listing_res2-clinical-tools
Guest Quotes:
Kristine 10:58 : What take aways? do you have for clinicians on an everyday basis who maybe would be like, no, sign off on this patient? “If you’re gonna see this patient once, you might as well make it worth it. Right? So, You know, you see this patient and they’re, they’re already walking a lap in the hallway. But what is their fall risk? Right? 150 ft walking isn’t gonna tell you much. They can walk on a straight on an even surface in the hospital. That’s very benign.”
Mary 23:10 Did this change your practice at all working with your patient population?
“Definitely for me. I mean, doing outcome measures routinely, whichever ones are appropriate. Now, you know, I learned a little bit about the strength testing using a chair stand and we chose the five times to stand, which we talked about in our discussion that maybe wasn’t the best one. It’s got a very high you know, floor effect.
If you can’t do one you get a zero. So now we more routinely use the 30m second chair stand. And so we, so if I would say just for me, it’s like, yeah, pushing outcome measures.”
Mary 24:03 “Should we be walking our patients more quickly? “
Rapid Responses:
What’s your favorite outcome measure to use in practice?
Mary: “I jump right to the classic chair stand, whether it’s 30 or five times”
Kristine: “probably the 10 meter. It’s easy quick And we have to cross the streets in New York City.”
You know you work in acute care when:
Mary: “Well you know, you have the extra socks and sneakers in the locker. Code brown, code yellows…”
Kristine: “I pick scrubs with a cargo pocket on my thigh, so that I can hook the Foley catheter onto it. That’s nice. And it’s clutch. That’s so clutch. You gotta keep it below the waist.”
Connect with our hosts and the podcast!
Email the show if you would like join our team: aptaacpodcast@gmail.com
Leo Arguelles (LEE-O R-GWELL-IS)
Twitter @LeoArguellesPT
Ashley Poole
Twitter @AshleyPooleDPT
Interested in being a future guest?
APTA Acute Care:
Twitter @AcuteCareAPTA
Facebook APTA Acute Care
Instagram @AcademyAcutePT
YouTube APTA Acute Care Podcast
United States
