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Falls prevention Tairāwhiti


The falls clinic includes an assessment by a physician, physiotherapist, pharmacist, social worker, occupational therapist and falls prevention nurse. Given the new model provides for assessments in general practice, clinics have reduced from monthly to quarterly. For more information about Tairāwhiti falls prevention services contact Pinnacle MHN falls prevention nurse Kat Ngatai: kat.ngatai@pinnacle.health.nz or 027 602 6259.

Tairāwhiti: community strength and balance

  • Presbyterian Support East Coast (PSEC) is the lead agency in the Tairāwhiti area. Enliven, the service arm of PSEC that aims to maximise the independence of older people has the role of administering the community group strength and balance programme.
  • Aims to decrease the incidence and severity of falls in older adults by improving their strength and balance and maintaining their independence.
  • Providers of approved programmes meet nine evidence-based criteria for improving strength and balance. The classes vary in style, level of ability, time, cost and location. 
  • Classes with chair support, seated options, social and educational components are available.
  • View approved classes in the Tairāwhiti. 

Who's eligible?

People are eligible for community group strength and balance programme if they are:

  • aged 75 years and older (or like age) and enrolled with a Pinnacle MHN general practice
  • Māori, Asian and Pacific Island people aged 65-74 years older (or like age) and enrolled with a Pinnacle MHN general practice.

The programme is not suitable for:
  • people living dependently in aged care facilities or hospital care
  • those unable to leave their home due to medical conditions or very limited mobility.

How to refer

General practice provides a key point of access to the falls prevention service. Practices across the Tairāwhiti region can screen, assess and refer eligible patients to the in-home programme. 

To refer, complete the Pinnacle MHN Community MDT e-referral. Under the 'clinical details' tab please tick 'include screening results', and ensure falls assessment is included.

If more specific falls prevention exercise and activity advice is required, you can refer to the Green Prescription team who can then provide advice on the appropriate exercise option for your patient.

Contact

For more information about the community group strength and balance programme, contact Enliven 0800 436 548 or enliven@psec.org.nz.


Tairāwhiti: in-home strength and balance

  • Run by Sport Gisborne Tairāwhiti
  • Based on the Otago exercise programme (a series of controlled trials of over 1,000 adults that found an overall 35 per cent reduction in falls following participation in the individualised strength and balance exercise program).
  • Administered by a physiotherapist who provides an individualised assessment of falls risk factors within the patient's home, develops a strength and balance exercise program and follows this with further home visits and phone support for up to twelve months.
  • Equipment and referrals to relevant agencies is provided as required.

Who's eligible?

People are eligible for community group strength and balance programme if they are:

  • aged 75 years and older (or like age) and enrolled with a Pinnacle MHN general practice
  • Māori, Asian and Pacific Island people aged 65-74 years older (or like age) and enrolled with a Pinnacle MHN general practice.

The programme is not suitable for:
  • people living dependently in aged care facilities or hospital care
  • those unable to leave their home due to medical conditions or very limited mobility.

How to refer

General practice provides a key point of access to the falls prevention service. Practices across the Tairāwhiti region can screen, assess and refer eligible patients to the in-home programme. 

To refer, complete the Pinnacle MHN Community MDT e-referral. Under the 'clinical details' tab please tick 'include screening results', and ensure falls assessment is included.

If more specific falls prevention exercise and activity advice is required, you can refer to the Green Prescription team who can then provide advice on the appropriate exercise option for your patient.

Contact

For more information about the in-home strength and balance programme, contact in-home strength and balance physiotherapist Oka Sanerivi: okas@sportgisborne.org.nz or 868 9943 ext 723.


Tairāwhiti: fracture liaison service

The fracture liaison service is for people who have had an initial fracture and are at risk of a second or subsequent fracture if an intervention is not put in place to minimize the risk. 

Criteria

  • The person is aged >50-75 years.
  • This is a frailty fracture (a fracture occurring from minimal trauma such as a fall from standing height) 
  • This is NOT a fracture of hands, feet or skull. 
  • The person lives in the Tairāwhiti DBH catchment area.

Referrals are generally received via the outpatients fracture clinic. For more information about the fracture liaison service contact Pinnacle MHN falls prevention nurse Kat Ngatai: kat.ngatai@pinnacle.health.nz or 027 602 6259.

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