th e

o f
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Ministry of Health Malaysia

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p
FALLS PREVENTION &
MODULE NO.1

ou t
r LL
i h
t t ho A D G
y w a u L F N I N
A R
SAFE oENVIRONMENT
no t
TI O T I O
STE c op
N A N E
A
N V EN
D N E E T H
E I O T L
R N T I T E A
P VE DEPARTMENT
OCCUPATIONAL THERAPY M F H
R O M O S I A
TE C TR AYY
IN IS AL
I N M
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE PREVENTION AND

MINISTRY OF HEALTH MALAYSIA INTERVENTION STEERING
Ministry of Health Malaysia
 th e
o f
OBJECTIVES s i on
i s
e rm
t p L
ou r L
i h
t t ho A D G
w u L F N I N
GENERAL
o p y a
A A R SPECIFIC
t c N O N E E
o
o
T TIOently in daIily
nTo participate independ S T 1. Pro vid ing int erv ent ion s tha t targe t

D living task (ADL an d IA

A
DL )Nwi
NenvironmV
th
E
saf e
N E E T H
improving physical abilities.

E
ent
I O T 2.
L Ch ang ing act ivi ty pat ter n and behavior.

R N T I T E A 3. Pre sci bin g ass ist ive device and mobility

P VE M F H aids.

R O M O S I A4. Ad apt / mo dify client’s home and other

T E C RY Y
environment

I N T
S L A 5. Ed uca tio n and tra ining for client and

NI A carer

MI M
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

MINISTRY OF HEALTH MALAYSIA
Ministry of Health Malaysia
 OCCUPATIONAL THERAPY
HOME ASSESSMENT
ASSESSMENTS
IADL
Lawton Activities Home Fast
Daily Living Scale Home Evaluation Checklist

01 02 03 04

ADL COGNITIVE
Modified Barthel
FUNCTION
Index (MBI)
SLUMS and/or MMSE
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

MINISTRY OF HEALTH MALAYSIA
Ministry of Health Malaysia
 01 ADL Retrainingthe
o f
on
i s si
02 IADL e rm Retraining
p
OCCUPATIONAL ithou or ALL t
w03 t h F N D N G
THERAPY cop y a u
A L
Cognitive
N
Training
A E RI
t O N O E
INTERVENTION
D o no
T
04 I
N
Home T I
AVisit -S T
Home Modification
E
N V E O N E T H
E T I TT A L
R N I
P 05 VEPatient/Carer
M H E
Education
R M O F I A
E O
C TR AY Y S
T
IN IS AL
I N M
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

Ministry of Health Malaysia
MINISTRY OF HEALTH MALAYSIA
 ADL Retrainingthe
o f
on
si
A u t p e rm i s
L
i h o
t t ho r A L D G
F N
D o t c op y w
O
a u
N A L
I O N A N
T
EE
RI
o n
T I T S
D A N N E H
L N V
R E
P VE
E
N T I O
M I TT E
H E A LT

R M O F I A
E (Choi etO S
T C TR AY Y
al., 2013).

I N I S AL
I N M
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

Ministry of Health Malaysia
MINISTRY OF HEALTH MALAYSIA
 IADL
Food Preparation
Laundry

Mode of
Housekeeping
Transportation

(Brown et al., 2014)

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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

Ministry of Health Malaysia
MINISTRY OF HEALTH MALAYSIA
 COGNITIVE
ASSESSMENT
‘’It will help decrease by addressing the perceptual-
motor integration problem that causes instability in
performing certain automatic tasks such as walking
that eventually results in a fall.’’

(Lipardo et al., 2017)

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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

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 Reality Orientation

COGNITIVE Memory Training

TRAINING

Group Therapy
(Barban et al., 2017)
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

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MINISTRY OF HEALTH MALAYSIA
 HOME ASSESSMENT
1
Receive referral form
(in-patient or out-patient) 2
Home Screening
(using Home Fast)
3
Fall Risk (Yes) STEP BY
4 STEP
Further Home Evaluation

5 (Home Visit)

Sugesstion / Modification
6
Follow Up
7
Discharge
(Lektip et al., 2020)
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

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MINISTRY OF HEALTH MALAYSIA
 HOME MODIFICATION

Bathroom Lighting Furniture

Arrangement

Floor Storage

Stairways Mobility (Cumming et al., 1999)

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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

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MINISTRY OF HEALTH MALAYSIA
 PATIENT/
CARER
EDUCATION
Walking Aids

2 Wheel Rollator Quadripod Walking Frame

Proper Foot Wear

Assistive Device

Energy Conservation
and Work Simplification
Techniques

Foot Wear Long handle-shoe Reaching

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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

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MINISTRY OF HEALTH MALAYSIA
 REFERENCES
• Choi, H., Hayward, R. A., & Langa, K. M. (2013). Fall Associated Difficulty with Activities of Daily Living (ADL) in Functionally
Independent Older Adults Aged 65 to 69 in the United States: A Cohort Study. Journal of the American Geriatrics Society, 61(1).
https://doi.org/10.1111/jgs.12071
• Brown, J., Kurichi, J. E., Xie, D., Pan, Q., & Stineman, M. G. (2014). Instrumental Activities of Daily Living Staging as a Possible
Clinical Tool for Falls Risk Assessment in PM&R. PM & R : The Journal of Injury, Function, and Rehabilitation, 6(4), 316–323.
https://doi.org/10.1016/j.pmrj.2013.10.007
• Lipardo, D. S., Aseron, A. M. C., Kwan, M. M., & Tsang, W. W. (2017). Effect of Exercise and Cognitive Training on Falls and Fall-
Related Factors in Older Adults With Mild Cognitive Impairment: A Systematic Review. Archives of Physical Medicine and
Rehabilitation, 98(10), 2079–2096. https://doi.org/10.1016/j.apmr.2017.04.021
• Lektip, C., Rattananupong, T., Sirisuk, K. O., Suttanon, P., & Jiamjarasrangsi, W. (2020). Adaptation and evaluation of home fall risk
assessment tools for the elderly in Thailand. Southeast Asian Journal of Tropical Medicine and Public Health, 51(1), 65-76.

• Barban, F., Annicchiarico, R., Melideo, M., Federici, A., Lombardi, M., Giuli, S., Ricci, C., Adriano, F., Griffini, I., Silvestri, M., Chiusso,
M., Neglia, S., Ariño-Blasco, S., Cuevas Perez, R., Dionyssiotis, Y., Koumanakos, G., Kovačeić, M., Montero-Fernández, N., Pino, O., &
Boye, N. (2017). Reducing Fall Risk with Combined Motor and Cognitive Training in Elderly Fallers. Brain Sciences, 7(12), 19.
https://doi.org/10.3390/brainsci7020019
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

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MINISTRY OF HEALTH MALAYSIA
 REFERENCES
• Cumming, R. G., Thomas, M., Szonyi, G., Salkeld, G., O’Neill, E., Westbury, C., & Frampton, G. (1999). Home Visits by an
Occupational Therapist for Assessment and Modification of Environmental Hazards: A Randomized Trial of Falls Prevention. Journal of
the American Geriatrics Society, 47(12), 1397–1402. https://doi.org/10.1111/j.1532-5415.1999.tb01556.x
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

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MINISTRY OF HEALTH MALAYSIA
 THANK YOU!
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NATIONAL FALL PREVENTION AND INTERVENTION STEERING COMMITTEE

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