MEDICAL DISCLAIMER

The information contained on this website is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding any medical condition, or before beginning any exercise program

Toll Free Senior Line 

 

The toll-free Seniors Information Line provides  a traditional method of speaking with a bilingual, customer-service oriented telephone agent. For basic information on government programs and services for seniors, their families and caregivers please contact:

1-855-550-0552

Tele-Care

 

If you or someone you know requires non-urgent health advice or information, call Tele-Care. A registered nurse will assess your needs and provide information, education and/or advice as required. For access to this confidential and bilingual toll-free telephone service, 24 hours a day, seven days a week please dial:

8-1-1

For medical emergencies, immediately call  911  or visit your local emergency department.

FINDING BALANCE NB © 2016 - FINDING BALANCE CANADA, IN PARTNERSHIP WITH NB TRAUMA PROGRAM | UNDER LICENSE FROM THE INJURY PREVENTION CENTER. 

FINDING BALANCE ALGORITHM

Education & Behavior Change

Education:

When communicating with the older adult, it is important to use plain language. Plain language is text that is easy and quick to read. It is intended for a broad group of people some of whom may not have high literacy and clarifies and explains information to non-medical professionals. It is not 'dumbing' down professional writing or underrating the complexities of medical care.

If providing written information, dark lettering on a light, non-glassy background with large font size (14) is recommended for older adults.

Brochures on falls prevention, bone health, diet, activity and other topics should be provided as appropriate.

Consider adult learning principles such as:

  • Information needs to relate to the seniors' own experiences and make sense to them.

  • Adults must actively participate in the learning experience to remember it.

  • Everyone learns at different rates and in different ways.

 

Educate older adults and their families that most falls are preventable and for those falls that are not preventable, educate on injury reduction strategies.

 

Research indicates that the language used with older adults can influence the uptake of information. Messages are better received if they are positive and focus on healthy aging, mobility and independence rather than falls and safety.

 

Behaviour Change:

Most of the recommendations provided to older adults require a change in their behaviour. To be motivated to change behaviour, they must:

  • Believe that there is a problem

  • Believe that it is their problem

  • Believe that there is a solution

  • Believe that they can implement it and receive benefits

Individuals have to be ready to change. Prochaska outlines stages in his Transtheoretical Model of Stages of Readiness for Change. It is important for the healthcare provider to recognize the stage the client is at, as different approaches are necessary to engage individuals at different stages.

 

Motivational Interviewing is a tool for facilitating many different kinds of positive behaviour change. The basis for it is guiding individuals to evoke their own motivations for change. It has been defined as "... a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence."

 

To facilitate behaviour change, consider programs that emphasize social aspects and counter the belief that nothing can be done. Find out what the clients are willing to modify and address their concerns first. Fear of falling, activity avoidance and lack of ability may need to be addressed first.

 

Older adults are not a homogeneous group and will have differences in how they accept falls prevention strategies depending on their age, level of frailty, socioeconomic status and culture. One size does not fit all. When planning education or any interventions, the targeted group must be considered.

Resources: