presented by Jane A. Painter-Patton
The final part of this six-part falls prevention series focuses on how the interrelationship of psychosocial sequelae, fall risk, and fear of falling may affect a person who has had a stroke, Parkinson’s disease, or Multiple Sclerosis. This falls prevention series is designed for occupational therapy practitioners to gain a better understanding of the prevalence, ramifications, impact on occupation performance, and evidence-based programs related to falls and fear of falling. Practitioners will gain knowledge of how to utilize current evidence-based recommendations related to screenings, evaluations, and interventions with community-dwelling older adults to reduce fall risk and fear of falling.
Dr. Jane Painter-Patton has 37 years of experience working with older adults and is a professor at East Carolina University’s Occupational Therapy Department. She serves on the NC Falls Prevention Coalition and is a Board member of the NC Injury and Violence Prevention Council. Her interests, presentations, and publications focus on geriatric community-based therapy, including fall prevention, fear of falling, and home safety. She is a certified Arthritis Foundation Tai Chi and Interactive Metronome instructor, and is a Master Trainer for both A Matter of Balance and AOTA’s Fieldwork Educator Certificate program. Dr. Painter-Patton works with a multi-disciplinary team consisting of a geriatrician, physical therapist, and geriatric pharmacist in the Fall Risk Assessment Clinic for Older Adults at the Brody School of Medicine's Family Medicine, Geriatric Clinic. She has recently become a master trainer for the Matter of Balance fear of falling community-based program.
In the first chapter of this course, participants will review the new DSM-V. They will be able to define the different types of depression, the commonalities and types of anxiety disorders, and ramifications of each disorder. Dr. Painter-Patton reviews the associated depression and anxiety risk factors among those who have had a stroke, Parkinson’s disease, and Multiple Sclerosis.
Based on the new DSM-V, Dr. Painter-Patton compares and contrasts the different types of depression. She identifies associated depression risk factors among those who have had a stroke, Parkinson’s disease, and Multiple Sclerosis. Participants will learn to identify the types of anxiety and commonalities among these anxiety disorders.
After Dr. Painter-Patton defines falls and the fear of falling, participants will better understand how mood disorders impact functional performance in relation to them, and how they affect mood disorders. Associated fall and fear of falling risk factors common to those who have had a stroke, Parkinson’s disease, or Multiple Sclerosis are reviewed. Participants will gain an appreciation of the importance of understanding of how these mood disorder risk factors may affect fall and fear of falling prevalence among those who have had a stroke, Parkinson’s disease, or Multiple Sclerosis, and vice versa.
Based on the American Geriatrics/British Geriatrics Society Clinical Practice Guideline: Prevention of Falls in Older Persons’ recommendations pertaining to medications, participants will gain an understanding of how various medication classifications may increase fall risk and fracture risk. Dr. Painter-Patton discusses the importance of discussing medication management with each patient/client and possible caregivers.
In the final chapter of this course, Dr. Painter-Patton reviews current practices and extensive literature regarding specific depression, anxiety, and fear of falling screening tools. Participants will be able to identify which screening tools would be appropriate to incorporate into their practice.