@stavieb: Welcome everyone to our first Twitter Chat, it’s Stav, usually tweeting as @VNSNY_news and today I’ll be acting as moderator. #VNSNYchat
April 19, 2012, 5: 00 pm

@stavieb: We’re talking about falls risk, especially in older adults, how 2 spot signs & prepare in advance to help avoid an injury. #VNSNYchat
April 19, 2012, 5: 00 pm

@stavieb: During chat @VNSNY_news will be Dr. Eileen Bach. She’s a PT w/ clinical doctorate & Director of Rehabilitation QA & Ed at VNSNY #VNSNYchat
April 19, 2012, 5: 01 pm

@stavieb: Why don’t we spend a few minutes introducing ourselves? #VNSNYchat
April 19, 2012, 5: 01 pm

@VNSNY_news: Hello everyone, Eileen here. Thanks for joining! #VNSNYChat
April 19, 2012, 5: 01 pm

@RightAtHomeLI: Phil Quartuccio Jr here for Right at Home North Shore Long Island. We offer homecare companion services. Looking forward to #VNSNYchat
April 19, 2012, 5: 03 pm

@stavieb: @RightAtHomeLI: Welcome Phil, thanks for joining! #VNSNYchat
April 19, 2012, 5: 04 pm

@stavieb: @NatriceR: Hi Natrice, thanks for joining! #VNSNYchat
April 19, 2012, 5: 04 pm

@NatriceR: Hi everyone, retired PSW from Ont. Canada, family caregiver, glad to be here for the chat;) #VNSNYchat
April 19, 2012, 5: 04 pm

@stavieb: I’ll start with general questions and anyone should chime in with their experiences and advice. #VNSNYchat
April 19, 2012, 5: 06 pm

@eCaring: Hi all, sorry I’m a bit behind. Just spilled hot coffee EVERYWHERE right before the chat! Ugh! #vnsnychat
April 19, 2012, 5: 06 pm

@stavieb: We’ll leave some room at the end of the hour to ask Eileen any specific questions you may have. #VNSNYchat
April 19, 2012, 5: 06 pm

@InStep_Mobility: #VNSNYchat My name is Mitch (In-Step Mobility) – we make the U-Step advanced walker to help people with neurological conditions walk safer
April 19, 2012, 5: 06 pm

@NatriceR: oh dear! RT @eCaring: Hi all, sorry Im a bit behind. Just spilled hot coffee EVERYWHERE right before the chat! Ugh! #VNSNYchat
April 19, 2012, 5: 06 pm

@stavieb: @eCaring Oh no! Get that cleaned up, we’ll still be here : ) #VNSNYchat
April 19, 2012, 5: 07 pm

@stavieb: Hi Mitch, welcome to the chat! #VNSNYchat
April 19, 2012, 5: 07 pm

@VNSNY_news: Welcome everyone, sorry about the coffee spill @eCaring… #vnsnychat
April 19, 2012, 5: 07 pm

@stavieb: Finally, please leave links and announcements to the last five minutes of the chat . Thanks, Stav #VNSNYchat
April 19, 2012, 5: 07 pm

@eCaring: I’m Melody here for @eCaring. We offer a web-based home health care mgmt system for families. Based in NYC : ) #vnsnychat
April 19, 2012, 5: 07 pm

@VNSNY_news: We’re going to be talking about falls preventions, because research shows how falls risk increases as we age #vnsnychat
April 19, 2012, 5: 08 pm

@stavieb: Hi Melody, welcome and I hope you didn’t get burned! #VNSNYchat
April 19, 2012, 5: 08 pm

@eCaring: @VNSNY_news @stavieb: Thanks! All cleaned up and no damage. Ready to roll #vnsnychat
April 19, 2012, 5: 09 pm

@VNSNY_news: According to @CDCgov , adults 65+ have 1 in 3 chance of falling & odds increase each year, reaching 1 in 2 by age 85. #VNSNYChat
April 19, 2012, 5: 10 pm

@NatriceR: Anyone interested in talking about seniors and falls, come over and stop by the chatrooom! #VNSNYchat
April 19, 2012, 5: 10 pm

@TiffanyAndLupus: RT @eCaring: I’m Melody here for @eCaring. We offer a web-based home health care mgmt system for families. Based in NYC : )n #vnsnychat
April 19, 2012, 5: 10 pm

@VNSNY_news: Falling is the leading cause of hospitalizations for those 65+…like Nancy Reagan. #VNSNYChat
April 19, 2012, 5: 10 pm

@stavieb: @TiffanyAndLupus: Hi Tiffany, welcome to the chat! #VNSNYchat
April 19, 2012, 5: 11 pm

@VNSNY_news: Research suggests fear of falling correlates to physical decline and increased falls risk #VNSNYChat
April 19, 2012, 5: 11 pm

@stavieb: Ready for the first question? #VNSNYchat
April 19, 2012, 5: 11 pm

@stavieb: Q1: If you are a #caregiver, what are some of the signs you noticed that your loved one might be at risk of falling? #VNSNYchat
April 19, 2012, 5: 12 pm

@InStep_Mobility: #VNSNYchat Is there a breakdown for the reasons for falling: walking instabilty, environment (loose rugs, cords), etc.?
April 19, 2012, 5: 12 pm

@NatriceR: A1 unsteady gait, easily unbalanced, cause inc. risk of falls #VNSNYchat
April 19, 2012, 5: 13 pm

@VNSNY_news: @InStep_Mobility yes, @AmerGeriatrics: identifies many fall risks incl medical & fall history, meds, vision… #VNSNYChat
April 19, 2012, 5: 14 pm

@eCaring: A1. Watching their feet. Hesitating while walking. Avoiding normal activities like going grocery shopping #vnsnychat
April 19, 2012, 5: 14 pm

@RightAtHomeLI: A1: Big indicators of increased fall risk can be shuffling the feet when walking #VNSNYchat
April 19, 2012, 5: 15 pm

@eCaring: A1. Fear of falling – a major predictor of future falls #vnsnychat
April 19, 2012, 5: 15 pm

@stavieb: Avoidance is definitely a big sign – I don’t want to go out @eCaring: A1. Avoiding normal activities like going grocery shopping #VNSNYchat
April 19, 2012, 5: 15 pm

@VNSNY_news: @InStep_Mobility there are 20+ factors for falls, noted by @AmerGeriatrics: ; each person should have an assessment #VNSNYChat
April 19, 2012, 5: 15 pm

@VNSNY_news: YES! RT @eCaring: A1. Watching their feet. Hesitating while walking. Avoiding normal activities like going grocery shopping #vnsnychat
April 19, 2012, 5: 16 pm

@VNSNY_news: Also walking too quickly, reaching too far, home environment, being distracted… #VNSNYChat
April 19, 2012, 5: 16 pm

@eCaring: A1. An accident that weakens the person. My grandfather was stumbling at high risk for fall following a car accident #vnsnychat
April 19, 2012, 5: 16 pm

@VNSNY_news: Fear of falling can be objectively measured and addressed as a #falls risk. We use FES and ABC Scale #VNSNYChat
April 19, 2012, 5: 17 pm

@eCaring: @VNSNY_news Reaching too far – wow, shows exactly how important it is our environments changes w our needs as we age #vnsnychat
April 19, 2012, 5: 17 pm

@VNSNY_news: We will provide links to resources at the end of the chat #VNSNYChat
April 19, 2012, 5: 17 pm

@stavieb: Hope he was OK RT @eCaring: A1. accident weakens person My grandfather was stumbling at high risk for fall following car accident #VNSNYchat
April 19, 2012, 5: 17 pm

@stavieb: Good point! @eCaring: @VNSNY_News Reaching too far – shows exactly how important our environments changes w our needs as we age #VNSNYchat
April 19, 2012, 5: 19 pm

@eCaring: @stavieb: Unfortunately the accident was the beginning of his decline. So many other factors: #alz, #gout, etc #vnsnychat
April 19, 2012, 5: 19 pm

@stavieb: Q2: Professionals and caregivers, have you given or received advice ways to reduce the risk of falling – clutter, footwear, etc? #VNSNYchat
April 19, 2012, 5: 19 pm

@VNSNY_news: @eCaring medical conditions and stress can also effect physical functioning, lead to falls risk #VNSNYChat
April 19, 2012, 5: 20 pm

@stavieb: @eCaring I’m so sorry. #VNSNYchat
April 19, 2012, 5: 20 pm

@VNSNY_news: @eCaring we see that a lot, that a fall with injury often begins a spiral downward. #VNSNYNews #vnsnychat
April 19, 2012, 5: 21 pm

@NatriceR: @stavieb: A2 Yes, it is common to be given inservices on how to reduce risks, falls, injury #VNSNYchat
April 19, 2012, 5: 21 pm

@mnhomecare: Ahh, I’m late! But I’m here! #vnsnychat
April 19, 2012, 5: 21 pm

@eCaring: @stavieb: TY, Stav! Its been a few years. Time heals. So does education and joining a community #vnsnychat
April 19, 2012, 5: 22 pm

@stavieb: @mnhomecare Welcome, welcome! I know what it’s like to be late for chats too : ) #VNSNYchat
April 19, 2012, 5: 22 pm

@RightAtHomeLI: A2: stabilize furniture, increase lighting, secure all rugs mats and carpets, install railings, keep mobility aids handy #VNSNYchat
April 19, 2012, 5: 22 pm

@eCaring: @VNSNY_news Yes! There is some startling statistics..something like 1/3 of falls are fatal? #vnsnychat
April 19, 2012, 5: 22 pm

@stavieb: @mnhomecare, we are on Q2: have you given or received advice ways to reduce the risk of falling – clutter, footwear, etc? #VNSNYchat
April 19, 2012, 5: 23 pm

@eCaring: A2. Ive found it helpful to walk the space with the person. Experience it as they do & be watchful for fall risks #vnsnychat
April 19, 2012, 5: 23 pm

@VNSNY_news: @eCaring it’s not 1/3, but about 25% of seniors w/hip fracture specifically have high mortality. #VNSNYChat
April 19, 2012, 5: 23 pm

@RightAtHomeLI: A2: Update eye and physical exams. May be necessary to use medical-alert device in case they can’t reach phone after fall. #VNSNYchat
April 19, 2012, 5: 24 pm

@VNSNY_news: Something caregivers can do at home is check footwear: should have a back (no slippers), no high heels, no worn soles #VNSNYChat
April 19, 2012, 5: 24 pm

@eCaring: @mnhomecare No, no I stand corrected, ty @Vnsny_news cites 25% #vnsnychat
April 19, 2012, 5: 25 pm

@stavieb: Great idea @NatriceR: @eCaring: A2. found helpful 2 walk space with person. Experience it as they do & be watchful for fall risks #VNSNYchat
April 19, 2012, 5: 25 pm

@VNSNY_news: Someone mentioned vision…should be checked every year. VERY important. Also lighting in the home. #VNSNYChat
April 19, 2012, 5: 26 pm

@mnhomecare: @eCaring I saw that! : ) #vnsnychat
April 19, 2012, 5: 26 pm

@mnhomecare: RT @AgileAging: The fatalities arent from the fall directly, but from the domino effects of recovery in bed with limited mobility #vnsnychat
April 19, 2012, 5: 26 pm

@stavieb: Q3: We’ve all read about hoarders, has anyone hired a professional organizer to help de-clutter? #VNSNYchat
April 19, 2012, 5: 27 pm

@ShyDi47: Footwear is important when dealing with falls. From my exp. lots of falls happen in the bathrm, @ kitchen. #Vnsnychat
April 19, 2012, 5: 27 pm

@ShyDi47: @stavieb: and some love to keep everything ridiculous why they just won’t part with somethings #Vnsnychat
April 19, 2012, 5: 28 pm

@VNSNY_news: @ShyDi47 yes, most falls happen at home, not in the public, due to reaching and bending and wet floors. #VNSNYChat
April 19, 2012, 5: 28 pm

@LongTermSol: Hi everyone — we’re also a little late! #VNSNYchat
April 19, 2012, 5: 29 pm

@mnhomecare: @VNSNY_news What about lighting–what things should people look out for/change? #vnsnychat
April 19, 2012, 5: 29 pm

@ShyDi47: Meds that they r taking can have an impact on their falls especially if there is a change in meds. I’ve seen this happen. #Vnsnychat
April 19, 2012, 5: 29 pm

@reddycarept: @VNSNY_news> Pleased to be here. #VNSNYChat
April 19, 2012, 5: 30 pm

@eCaring: A3. Ive found that the “professional organizing” responsibility often falls to adult children to clean #aging parents homes #vnsnychat
April 19, 2012, 5: 30 pm

@stavieb: Good question! RT @mnhomecare: @VNSNY_News What about lighting–what things should people look out for/change? #VNSNYchat
April 19, 2012, 5: 30 pm

@VNSNY_news: @mnhomecare hallway/bathroom lighting may not b bright enough; lamps @ eye level so may cause glare issue. #VNSNYChat
April 19, 2012, 5: 30 pm

@RightAtHomeLI: A3. Hoarding can be deeply rooted psychologically, esp. in dementia. Some cases this will go beyond what an organizer can do. #VNSNYchat
April 19, 2012, 5: 30 pm

@eCaring: @stavieb: @mnhomecare. Make sure all light bulbs work, are clean. Check all switches operate lights as the should, no crossing #vnsnychat
April 19, 2012, 5: 31 pm

@ShyDi47: Their footwear they should not be wearing slippers that slide everywhere. Running shoes @ I know there r some good slippers. #Vnsnychat
April 19, 2012, 5: 31 pm

@stavieb: @eCaring That’s true, and I think because of the emotional baggage, that’s a really hard job. #VNSNYchat
April 19, 2012, 5: 31 pm

@eCaring: RT @RightAtHomeLI: A3. Hoarding can be deeply psychological, esp. in dementia. Some cases go beyond what an organizer can do. #vnsnychat
April 19, 2012, 5: 31 pm

@VNSNY_news: at the emotional attachment to things #VNSNYChat RT @RightAtHomeLI: A3. Hoarding can be deeply rooted psychologically… #vnsnychat
April 19, 2012, 5: 31 pm

@LongTermSol: A3. Agree with @eCaring — sometimes having an outsider come in to de-clutter can increase stress #vnsnychat
April 19, 2012, 5: 32 pm

@LizandEtt: Throw rugs = potential hazard for tripping/slipping {RT @mnhomecare | RT @VNSNY_news: Something caregivers can do at home is…} #vnsnychat
April 19, 2012, 5: 32 pm

@AgileAging: RT @eCaring: A1. Fear of falling – a major predictor of future falls #vnsnychat
April 19, 2012, 5: 32 pm

@mnhomecare: RT @eCaring: Make sure all light bulbs work, are clean. Check all switches operate lights as the should, no crossing #vnsnychat
April 19, 2012, 5: 32 pm

@ShyDi47: Lighting is important at night what I found works is night lights a lot of homes have them. #Vnsnychat
April 19, 2012, 5: 32 pm

@eCaring: @stavieb: Absolutely. Memories good and bad, cultural values, #caregiver time..all complicate cleaning out #vnsnychat
April 19, 2012, 5: 32 pm

@RightAtHomeLI: Cleaning up will help mobility, but may add stress if someone is hoarding. May be short term solution #VNSNYchat
April 19, 2012, 5: 32 pm

@VNSNY_news: Clutter isn’t just unsightly, it can make it hard for some1 w/limited movement to navigate the home. #VNSNYChat
April 19, 2012, 5: 33 pm

@eCaring: @LongTermSol For many $$$ is also an issue that prevents hiring a professional #vnsnychat
April 19, 2012, 5: 33 pm

@VNSNY_news: .@LizandEtt rugs (and cords) should be moved out of the walking path, or secured to the floor w/tape #VNSNYChat
April 19, 2012, 5: 33 pm

@reddycarept: @VNSNY_News > Unfortunately, pets under foot can contribute to the problem as well.n#VNSNYChat
April 19, 2012, 5: 34 pm

@eCaring: @VNSNY_News Is there any evidence if hoarder are high at risk for falls? #vnsnychat
April 19, 2012, 5: 34 pm

@NatriceR: RT @VNSNY_news: @LizandEtt rugs (and cords) should be moved out of the walking path, or secured to the floor w/tape #VNSNYChat
April 19, 2012, 5: 34 pm

@NatriceR: RT @reddycarept: @VNSNY_News > Unfortunately, pets under foot can contribute to the problem as well.#VNSNYChat
April 19, 2012, 5: 34 pm

@ShyDi47: @eCaring $ is always a factor even in LTC but u know there r services just 4 seniors for a very minimal cost. #Vnsnychat
April 19, 2012, 5: 35 pm

@eCaring: GREAT point!! RT @reddycarept: @VNSNY_News > Unfortunately, pets under foot can contribute to the problem as well.#VNSNYChat
April 19, 2012, 5: 35 pm

@NatriceR: @reddycarept i already trip over family pets its very true #VNSNYchat
April 19, 2012, 5: 35 pm

@VNSNY_news: @eCaring the ENVIRONMENT puts you at risk, not the behavior, but there’s no specific data on hoarding and falls. #VNSNYChat
April 19, 2012, 5: 35 pm

@stavieb: Good point @NatriceR: @reddycarept @VNSNY_News > Unfortunately, pets under foot can contribute to the problem as well.#VNSNYChat
April 19, 2012, 5: 35 pm

@ShyDi47: Also, believe it or not pets can make someone fall in their home as well I have seen it myself. #Vnsnychat
April 19, 2012, 5: 35 pm

@VNSNY_news: Our clinicians see that a lot! #VNSNYNews RT @NatriceR: @reddycarept i already trip over family pets its very true #vnsnychat
April 19, 2012, 5: 36 pm

@eCaring: Same here. Our 14 year old cat is a constantly under out feet! He’s a little slow : / RT @NatriceR: i already trip over pets #vnsnychat
April 19, 2012, 5: 36 pm

@AgileAging: Avoiding falls by learning how to stand up and sit down safely, using the EYES, demo on my free video. http: //t.co/KY2ARr8g #Vnsnychat
April 19, 2012, 5: 36 pm

@stavieb: Shall we move to the next ?. Q4: Has anyone recommended or tried using exercise as a way to improve strength and balance? #VNSNYchat
April 19, 2012, 5: 36 pm

@stavieb: Send her the transcript : ) @EOG_EPNP too bad my mom not on twitter, this describes her, #VNSNYchat
April 19, 2012, 5: 37 pm

@ShyDi47: @stavieb: and exercise is important not only for the frail but 4 everyone #Vnsnychat
April 19, 2012, 5: 37 pm

@stavieb: @AgileAging We’ll have time at the end of the chat for links and promotions. #VNSNYchat
April 19, 2012, 5: 37 pm

@LizandEtt: Often, responsibility falls on a Daughter {RT eCaring | A3. Ive found that the “professional organizing” responsibility …} #vnsnychat
April 19, 2012, 5: 38 pm

@VNSNY_news: There is strong evidence that exercise will decrease falls risk. #VNSNYChat
April 19, 2012, 5: 38 pm

@NatriceR: RT @ShyDi47: @stavieb: and exercise is important not only for the frail but 4 everyone #VNSNYchat
April 19, 2012, 5: 38 pm

@mnhomecare: @stavieb: Tai Chi. Martial arts are also good for balance but for seniors…depends on the person, maybe. #vnsnychat
April 19, 2012, 5: 38 pm

@eCaring: @ShyDi47 Can you share of some low cost #hoarding cleaning services at the end of the chat? Would love to have those handy #vnsnychat
April 19, 2012, 5: 39 pm

@VNSNY_news: Exercise can increase balance, strength, flexibility, all of which can decrease falls risk. #VNSNYChat
April 19, 2012, 5: 39 pm

@LongTermSol: RT @VNSNY_news: There is strong evidence that exercise will decrease falls risk. #VNSNYChat
April 19, 2012, 5: 39 pm

@stavieb: True! Who’s going to the gym w/me today : ) @NatriceR: @ShyDi47: and exercise is important not only for the frail but 4 everyone #VNSNYchat
April 19, 2012, 5: 39 pm

@VNSNY_news: @mnhomecare Some studies show Tai Chi can reduce falls but u need 2 commit 2 Tai Chi routine for min of 16 wks #VNSNYChat
April 19, 2012, 5: 40 pm

@stavieb: @eCaring @ShyDi47, I don’t have any handy, but I’ll definitely research it. #VNSNYchat
April 19, 2012, 5: 40 pm

@mnhomecare: I often see seniors roller blading. If they keep it up, they will be less likely to fall–stronger legs, less fear of falling! #vnsnychat
April 19, 2012, 5: 40 pm

@ShyDi47: @stavieb: oh sure going to the gym is fun no excuse here #Vnsnychat
April 19, 2012, 5: 40 pm

@VNSNY_news: Older adults should definitely consult with their medical team b/4 starting an exercise program. #VNSNYChat
April 19, 2012, 5: 41 pm

@eCaring: @LizandEtt Yes, I do agree that females are often times the one responsible for #eldercare. Male caregivers are on the rise.. #vnsnychat
April 19, 2012, 5: 41 pm

@stavieb: & we’ll post free @NYCParks resources for Tai Chi in Riverside, Bryant, and Fort Tyron Parks this summer at the end of the chat. #VNSNYchat
April 19, 2012, 5: 41 pm

@madisonptot: A household suggestion we emphasize in our talks at Senior Centers is that towel racks r intended to support weight of TOWELS #vnsnychat
April 19, 2012, 5: 41 pm

@ShyDi47: @stavieb: don’t have them handy @ this very moment but I do know in my specific area there is such a service 4 seniors #Vnsnychat
April 19, 2012, 5: 41 pm

@mnhomecare: @stavieb: Tai Chi in Bryant Park! Sounds like fun! I went ice skating there a couple of months ago. : ) #vnsnychat
April 19, 2012, 5: 42 pm

@VNSNY_news: By exercise, we don’t necessarily mean running but muscle and balance activities to improve control. #VNSNYChat
April 19, 2012, 5: 42 pm

@mnhomecare: RT @madisonptot: We emphasize in our talks at Senior Centers is that towel racks r intended to support weight of TOWELS #vnsnychat
April 19, 2012, 5: 42 pm

@eCaring: @mnhomecare @stavieb: Tai Chi in Bryant Park? If you have info, please share. Would love to take my father! #vnsnychat
April 19, 2012, 5: 43 pm

@stavieb: Q5: Have you had your eyes examined in the last 12 months? #VNSNYchat
April 19, 2012, 5: 43 pm

@VNSNY_news: @madisonptot EXACTLY! #vnsnychat
April 19, 2012, 5: 43 pm

@ShyDi47: @eCaring when u think of it, it has been the role for females to care for children @ what not 4 generations #Vnsnychat
April 19, 2012, 5: 43 pm

@eCaring: @VNSNY_news Yardwork is a great form of exercise. Involves lifting and engaging muscles in a way that could prevent falls #vnsnychat
April 19, 2012, 5: 43 pm

@LizandEtt: Yoga is great for improving balance & staying limber {RT @VNSNY_News | Exercise can increase balance, strength, flexibility … #VNSNYChat}
April 19, 2012, 5: 43 pm

@ShyDi47: Also the YMCA have water aquafit classes 4 seniors which is good nnn #Vnsnychat
April 19, 2012, 5: 44 pm

@AmerGeriatrics: RT @VNSNY_news: @InStep_Mobility yes, @AmerGeriatrics: identifies many fall risks incl medical & fall history, meds, vision… #VNSNYChat
April 19, 2012, 5: 44 pm

@mnhomecare: @madisonptot It’s not just seniors misusing towel racks. People attach resistance bands to towel racks with unfortunate results! #vnsnychat
April 19, 2012, 5: 45 pm

@VNSNY_news: Remember: vision is not just acuity, but depth perception & seeing contrast/colors are elements of vision. #VNSNYChat
April 19, 2012, 5: 45 pm

@ShyDi47: @stavieb: yes I have @ I was shocked how my eyes have detiorated not wearing bifocals yet but soon #Vnsnychat
April 19, 2012, 5: 45 pm

@NatriceR: RT @ShyDi47: @eCaring when u think of it, it has been the role for females to care for children @ what not 4 generations #Vnsnychat
April 19, 2012, 5: 45 pm

@ShyDi47: Lot of health clubs have programs geared just 4 seniors which is all good. #Vnsnychat
April 19, 2012, 5: 46 pm

@VNSNY_news: .@LizandEtt yoga can be great, with the right teacher, supervision and pacing yourself needed #VNSNYChat
April 19, 2012, 5: 46 pm

@stavieb: @ShyDi47 Sigh, I’m in bifocals now – actually they are called multi-focal contact lenses so at least I can hide it #VNSNYchat
April 19, 2012, 5: 46 pm

@ShyDi47: What I find with seniors they spend a lot of time alone makes me sad. #Vnsnychat
April 19, 2012, 5: 47 pm

@mnhomecare: Q5. Yep! I got new contact lenses. I want to get new glasses too but I have to save for them. #vnsnychat
April 19, 2012, 5: 47 pm

@stavieb: I’m gong to address the following questions to Eileen, tweeting as @VNSNY_news, but if anyone has any info, feel free to share! #VNSNYchat
April 19, 2012, 5: 47 pm

@ShyDi47: @stavieb: my glasses I wear is strictly distance 4 now but that will change getting old here ha #Vnsnychat
April 19, 2012, 5: 48 pm

@stavieb: Q6: Why is it important to approach falls risk in different ways- look at meds, using PT, a doctor, eye care professional, etc? #VNSNYchat
April 19, 2012, 5: 48 pm

@ShyDi47: Also VON Canada has a program for people who cannot get out due to health reasons where they will come @ visit in the home. #Vnsnychat
April 19, 2012, 5: 49 pm

@LifeSupportMed: After the chat, check out what we’re doing about falls education in New Mexico. http: //t.co/WX4YnTEv #vnsnychat
April 19, 2012, 5: 49 pm

@VNSNY_news: A6: Each person has unique risks, so multi-disciplinary & multi-factorial screening is important. #VNSNYChat
April 19, 2012, 5: 49 pm

@VNSNY_news: Research shows that multifactorial approach to falls risk reduction has better outcomes #VNSNYChat
April 19, 2012, 5: 50 pm

@mnhomecare: RT @VNSNY_news: A6: Each person has unique risks, so multi-disciplinary & multi-factorial screening is important. #vnsnychat
April 19, 2012, 5: 50 pm

@VNSNY_news: @ShyDi47 That’s what we do : -) #VNSNYChat
April 19, 2012, 5: 50 pm

@ShyDi47: @stavieb: u need to look at the whole person when assessing them for falls, @ what not this is important 4 their own well being. #Vnsnychat
April 19, 2012, 5: 50 pm

@VNSNY_news: Medicare covers falls risk assessment under wellness exams, so ppl 65+ should ask their MD for it. #VNSNYChat
April 19, 2012, 5: 51 pm

@ShyDi47: Working together as a team is imperative in the helping relationship. #Vnsnychat
April 19, 2012, 5: 51 pm

@NatriceR: A6 it is not always easy to identify reasons for falls…so many physical reasons, meds, abilities or lack thereof #VNSNYchat
April 19, 2012, 5: 51 pm

@NatriceR: AMEN!! RT @ShyDi47: Working together as a team is imperative in the helping relationship. #VNSNYchat
April 19, 2012, 5: 52 pm

@stavieb: Agreed! RT @ShyDi47: Working together as a team is imperative in the helping relationship. #VNSNYchat
April 19, 2012, 5: 52 pm

@VNSNY_news: We haven’t mentioned medications, but several types of drugs significantly increase falls risk: narcotics, sedatives. #VNSNYChat
April 19, 2012, 5: 52 pm

@ShyDi47: Assessing the person b4 the fall occurs is important especially if they r risk ie. balance issues, not seeing well, etc. #Vnsnychat
April 19, 2012, 5: 52 pm

@VNSNY_news: …also benzodiazopines & anti-psychotics increase falls risk. Anyone taking >4 meds shld discuss w/MD and pharmacist #VNSNYChat
April 19, 2012, 5: 53 pm

@stavieb: Q7: If your loved one has a cane or a walker, does that mean you don’t have to worry about falls? #VNSNYchat
April 19, 2012, 5: 53 pm

@ShyDi47:@VNSNY_news new meds the pt should be monitored closely especially if they do live alone #Vnsnychat
April 19, 2012, 5: 53 pm

@VNSNY_news: prevention! RT @ShyDi47: Assessing person b4 the fall occurs is important especially if they r risk #vnsnychat
April 19, 2012, 5: 54 pm

@VNSNY_news: YES! There is research for this RT @ShyDi47: new meds the pt should be monitored closely esp if they do live alone #vnsnychat
April 19, 2012, 5: 55 pm

@ShyDi47: @VNSNY_news yes antidepressants @ ativans can pose a risk to some for falls lots of side effects taking these meds #Vnsnychat
April 19, 2012, 5: 55 pm

@LizandEtt: A6 | It’s multifactorial; not just 1 cause & not always a pt issue! Grandmother fell when caregiver let go of gaitbelt {@stavieb: #vnsnychat}
April 19, 2012, 5: 55 pm

@stavieb: Our hour is almost over, any final thoughts/questions about fall prevention? #VNSNYchat
April 19, 2012, 5: 56 pm

@ShyDi47: Prevention is the best route to go when it comes to falls. A fall can be prevented if a home assessment is done by OT. #Vnsnychat
April 19, 2012, 5: 56 pm

@VNSNY_news: It is important to work collaboratively w/your health care team – ask questions, take notes at office visits, etc. #VNSNYChat
April 19, 2012, 5: 57 pm

@ShyDi47: @VNSNY_News communicating w h/c providers is important providing the best care 4 the pt. #Vnsnychat
April 19, 2012, 5: 58 pm

@VNSNY_news: And it is import to strive to keep active every day – advice for all of us. #VNSNYChat
April 19, 2012, 5: 58 pm

@NatriceR: @stavieb: @VNSNY_news thanks for the chat, it is important to discuss things like safety issues…so many ppl need protecting #VNSNYchat
April 19, 2012, 5: 58 pm

@LizandEtt: thx for chat! Great way 2 highlight care issues! { @stavieb: | Our hour is almost over, any final thoughts about fall prevention? #VNSNYchat}
April 19, 2012, 5: 58 pm

@VNSNY_news: .@ShyDi47 and a nurse and PT as well to get the multifactiorial assessment #VNSNYChat
April 19, 2012, 5: 59 pm

@stavieb: RT @NatriceR: @VNSNY_news thanks for the chat, it is important to discuss things like safety issues…so many ppl need protecting #VNSNYchat
April 19, 2012, 5: 59 pm

@eCaring: We’re offering a 3 month free trial of @eCaring to #caregivers & home care providers. DM me if interested! #aging #homecare #vnsnychat
April 19, 2012, 5: 59 pm

@stavieb: As we end our chat, is there anything people want to share with the group? Feel free to post links & announcements. #VNSNYchat
April 19, 2012, 5: 59 pm

@ShyDi47: Just so everyone knows u can get a home assessment done by an Occupational Therapist where they will assess your home. #Vnsnychat
April 19, 2012, 5: 59 pm

@VNSNY_news: @NatriceR: Every 12 seconds a baby boomer turns 60, so falls will be a more prevalent issue as time goes on #VNSNYChat
April 19, 2012, 5: 59 pm

@eCaring: Congrats to@VNSNY_news & @stavieb: for a very successful & informative inaugural chat about fall prevention & the #elderly #vnsnychat
April 19, 2012, 6: 00 pm

@stavieb: @VNSNY_news video: How to help prevent trips and falls in the home: http: //t.co/RRO32kzg #VNSNYchat
April 19, 2012, 6: 00 pm

@stavieb: @mnhomecare, there are suggestions for lighting in this video that I found very helpful http: //t.co/RRO32kzg #VNSNYchat
April 19, 2012, 6: 00 pm

@VNSNY_news: Stav is posting links to falls resources for everyone #VNSNYChat
April 19, 2012, 6: 01 pm

@VNSNY_news: I mentioned earlier objective tools for measuring fear of falling, and I will post those links right now… #VNSNYChat
April 19, 2012, 6: 02 pm

@mnhomecare: @stavieb: Oh great! Thanks!! #vnsnychat
April 19, 2012, 6: 02 pm

@RightAtHomeLI: Posted this before, very relevant to #VNSNYchat . Tips on Preventing Nighttime Slips and Falls. http: //t.co/gJvsP87X “Like” us on Facebook
April 19, 2012, 6: 02 pm

@VNSNY_news: FES = “Falls Efficacy Scale” from Dr. Tinneti http: //t.co/EqJxTjT6 #vnsnychat
April 19, 2012, 6: 02 pm

@VNSNY_news: ABC = Activities Specific Balance Confidence Scale http: //t.co/maeHZ5kA #vnsnychat
April 19, 2012, 6: 03 pm

@stavieb: @madisonptot, this video talks about using grab bars and not towel racks http: //t.co/U6ynxbk2 #VNSNYchat
April 19, 2012, 6: 03 pm

@stavieb: VNSNY’s Strong Foundations service has been designed to help those who are at-risk for falls. http: //t.co/HRC8mB5b #VNSNYchat
April 19, 2012, 6: 03 pm

@stavieb: Summer on the Hudson: Tai Chi Sundays at 8 am in Riverside Park at the Sailors and Soldiers Monument http://bit.ly/JoaP6K #VNSNYchat
April 19, 2012, 6: 03 pm

@ShyDi47: This was a great chat just wondering my mats in my berm r gorgeous @ I don’t want 2 get rid of them. No falls yet. #Vnsnychat
April 19, 2012, 6: 04 pm

@stavieb: Sunrise Tai Chi Classes: http://bit.ly/HWEOUF Wednedsays at 6: 30 am in Fort Tyron Park #VNSNYchat
April 19, 2012, 6: 04 pm

@ShyDi47: This was a really great chat by for now @ hopefully we can meet all again. #Vnsnychat
April 19, 2012, 6: 05 pm

@stavieb: Bryant Park Tai Chi Tuesdays and Thursdays at 7: 30 am http://www.bryantpark.org/plan-your-visit/taichi.html #VNSNYchat
April 19, 2012, 6: 05 pm

@stavieb: Eileen’s blog post: fearful on your feet http://bit.ly/Hc2u7A talks about footwear and falling. #VNSNYchat
April 19, 2012, 6: 05 pm

@stavieb: Finally, we’re posting photos of falls risk especially in NYC at http://on.fb.me/I7yep7 and we’re calling for your submissions. #VNSNYchat
April 19, 2012, 6: 05 pm

@stavieb: Thanks everyone for making our first Twitter chat a huge success! I’ll be posting the transcript in a few days! #VNSNYchat
April 19, 2012, 6: 06 pm

@VNSNY_news: Thanks, everyone. I enjoyed chatting with you. Let’s keep actively engaged in falls prevention. #VNSNYChat
April 19, 2012, 6: 07 pm

@VNSNY_news: If you have specific questions, you can @ message @VNSNY_News and I will get them. #VNSNYChat
April 19, 2012, 6: 08 pm

@NatriceR: TY! RT @VNSNY_news: Thanks, everyone. I enjoyed chatting with you. Lets keep actively engaged in falls prevention. #VNSNYChat
April 19, 2012, 6: 08 pm

@LizandEtt: Prevent injuries by reducing need 2 changes clothes after a meal. The SmockFrock is fashionable & functional, covers chest+lap #vnsnychat
April 19, 2012, 6: 09 pm

@LizandEtt: @LizandEtt: Visit our eboutique (I’m Liz, my grandmother was Ett) 4 specialized apparel & accessories for the stylish patient! #vnsnychat
April 19, 2012, 6: 12 pm