Dec 11 / Guest blogger and occupational therapist, Pooja A. Patel, DrOT, OTR/L, BCG, CDP, CFPS, CGCP

Aging Gracefully, Safely: The Vital Role of OT in Holistic Fall Prevention for Older Adults

Welcome to guest blogger and OT Pooja A. Patel, DrOT, OTR/L, BCG, CDP, CFPS, CGCP

Everyone knows the population is aging—Silver Tsunami; Grey Wave; Boomers over 65—it’s becoming common knowledge. However, there seems to be a blind spot in understanding what this means from a health and care industry perspective.

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Keep reading to learn:
  • Statistics related to falls
  • Some challenges related to fall prevention
  • Areas to assess and address when working on fall prevention
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I’ve worked in acute care, an ILF/ALF community providing home health and outpatient OT, in private practice as an outpatient Med B provider offering primary care OT, and in the community as an educator. The common denominator has been the patient population—older adults and their families—and with that, comes falls. 

Fall statistics

As the population ages, the number of older adults experiencing falls continues to rise, creating significant impacts on health, quality of life, and healthcare costs. Each year, around 25% of older adults in the U.S. experience a fall, leading to an estimated $80 billion in healthcare costs—a number expected to surpass $100 billion by 2030 (that’s only 5 years away!). 

What does fall prevention entail?

Fall prevention has become quite a jargony word, but it entails far more. When I think of fall prevention, I’m thinking of assessment, education, intervention, prevention, and recovery. This sounds quite straight forward to most OTPs, but the reality of it is that we simply don’t have the time to perform truly holistic falls assessments and interventions in traditional practice settings. Recognizing the critical role of occupational therapy in mitigating fall risks, I try to emphasize the importance of a holistic, occupation-centered approach to fall prevention for older adults transitioning from hospital to home. This approach leverages comprehensive assessments and targeted interventions to improve safety and engagement in daily activities.

What should OTPs be addressing for fall prevention?

Here are a few of the areas OTPs should assess when working with a client on fall prevention:
• Physical – motor, balance, coordination, strength, sensation, vision, + more
• Cognitive – attention, memory, problem-solving, safety awareness, judgment, + more
• Mental Health – anxiety, depression, fear of falling, self-efficacy, + more
• Pain – muscular, neuropathic, acute vs chronic
• Quality of Life – satisfaction, habits + routines, sleep hygiene
• Environment – indoor, outdoor, social, + more

This allows for more targeted holistic interventions for each client and their family. 

Guest Writer

Pooja A. Patel, DrOT, OTR/L, BCG, CDP, CFPS, CGCP has nearly a decade of experience working with older adults in a variety of practice settings as an occupational therapist. She is Board Certified in Gerontology with additional specialty certifications in dementia, fall prevention, and geriatric care. After almost six years working inpatient, Dr. Patel left full-time inpatient care to split her time across settings. While she continues to practice inpatient on a per diem basis, she now holds roles in academia as an Adjunct Assistant Professor and guest lecturer, in leadership through various volunteer board positions, and in private practice through her own consulting firm where she educates, coaches, and connects families to caregiver support resources as well as provides holistic retirement planning services. She is also the host of the Aging Together podcast which shares expert insights on aging and lived experiences of caregiving.

Learn more about addressing falls in your OT practice

Join Pooja in her course addresses using a holistic OT approach and how occupational therapy practitioners can ensure comprehensive assessment and intervention from the hospital to the home and community

From Hospital to Home: Holistic Assessment & Intervention for Fall Prevention
 debuts Wednesday, December 18 at 8 pm Eastern
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