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Ms. Teresa MAK Physiotherapist I,
Tuen Mun Hospital, NTWC 16 May 2017
Multidisciplinary Fall Prevention Program for Community Dwelling Elderly in Primary Health Care Setting – A Five-year Review
Occupational Therapy Physiotherapy
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Background Information
Program Objectives – Early detection and fall risk triage screening of elderly in
primary health care setting – Provide suitable intervention – Patient and carer empowerment
Inclusion Criteria – Non-institutional living elderlies with aged 60 or above – With history of fall within one year or with fall risk
Service Locations
TSWCHC YLCCC TMCCC
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Service Provision and Workflow
Education Talk and initial Triage screening
Low Risk
Discharge with education
Medium and
High Risk
Individual Assessment & Consultation
Medium Risk
High Risk
4 sessions group therapy, exercise kit for home training
Refer to: - Geriatric Day Hospital - Community Physiotherapy - Community Occupational
Therapy + Home Visit
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Program Outcomes
(Jan 2010 – Dec 2015) 3529 elderly clients were enrolled
195
993
1290
938
123
< 60 60-69 70-79 80-89 >= 90
Age Distribution
Fall Risk level
Majority: Aged 70-79
Majority : Low Risk
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Conclusions
Effective to reduce fall incidence in community dwelling elderly
Significant improvement in • Reduced fall rate • Strengthened dynamic
balance, lower limb strength • Less fall related risky behavior • Higher self-confidence in fall
prevention • Enhanced fall prevention
knowledge