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Enacting Fall Prevention in Community Outreach Care.

James A Shaw1, Denise M Connelly2, Carol L McWilliam2

  • 1Toronto Rehabilitation Institute, Toronto, Ontario, Canada james.shaw@uhn.ca.

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|June 28, 2014
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Summary
This summary is machine-generated.

Health care providers find that enacting careful practice is essential for effective fall prevention programs. This involves holistic client care, understanding life contexts, building therapeutic relationships, and interprofessional learning.

Keywords:
emotions / emotion workfalls / fallinghealth care professionalsolder peoplephenomenologyrisk

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Area of Science:

  • Geriatric Medicine
  • Healthcare Provider Experience
  • Fall Prevention Strategies

Background:

  • International focus on fall prevention has increased over the last two decades.
  • Limited research exists on healthcare providers' perspectives in delivering fall prevention programs.

Purpose of the Study:

  • To explore the lived experience of healthcare providers enacting fall prevention.
  • To understand the meaning of this experience for an interprofessional geriatric outreach team.

Main Methods:

  • Interpretive phenomenological study.
  • Individual, semi-structured interviews with 6 healthcare providers.
  • Focus on an interprofessional geriatric outreach team in Ontario, Canada.

Main Results:

  • Enacting careful practice is central to the experience of fall prevention.
  • Four key themes emerged: caring fully for older clients, seeing clients in their life contexts, enacting therapeutic relationships, and interprofessional experiential learning.

Conclusions:

  • Findings highlight the importance of holistic, context-aware, and relationship-centered care in fall prevention.
  • Suggestions are made for policy and practice, considering the emotional labor involved for providers.