Module 2: Body Changes - Alberta Health Services€¦ · Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 1 of 15. Module 2: Paying Attention to Body Changes

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 1 of 15

Module 2: Paying Attention to Body Changes Learning Goals:

• To increase awareness that paying attention and taking your time can prevent falls

• To increase participants knowledge of age related vision, hearing and nerve changes

• To learn about and manage risk factors related to bladder

Key Messages: 1. Take your time – One thing at a time. Listen to that inner voice that may be

encouraging you to “Ask for Help “. 2. Our senses and body changes as we age - Eye and ear tests, wearing

glasses and hearing aids, using night lights 3. Learn to manage bladder changes 4. May is Speech, Hearing and Vision Month

Readings: Take Action Prevent a Fall Before it Happens www.findingbalancealberta.ca

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 2 of 15

Let’s Talk About

Slow Down & Be Safe

Source: Microsoft Office Clipart Collection

Date: Time: Place:

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 3 of 15

Let’s Talk About

Eyes, Ears, Nerves to be Safe

Source: Microsoft Office Clipart Collection

Date: Time: Place:

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 4 of 15

Let’s Talk About

Managing Bladder Control to be Safe

Date: Time: Place:

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 5 of 15

Lesson Plan Site:__________________________________ Date: __________ Module Number 2: Paying Attention to Body Changes Preparation

Advertising arranged? i.e. posters printed, room booked

Time

Introduction The goal is to increase awareness of age related changes i.e. vision, hearing, nerve, and bladder

5 min

Learning Goals Key Messages Activities 10 min

To learn that taking your time and slowing down can prevent falls

Stop and plan ahead Slow down Do one thing at a time

Review self-test on Risky Choices Ask the group to share ideas to reduce risk taking. Use visual aids, pictures, i.e. Stack Jenga blocks pull one each time risk is identified until the tower of blocks falls

To learn about sensory changes

Visual changes. Hearing (loss of, hearing aids) Nerve changes. (numbness, tingling, loss of sensation)

Review Finding Balance Eye Condition photos Talk about eye exam and getting prescription changed Talk to your doctor about changes in sensing heat, cold and pain in hands and feet

Learn to manage bladder changes to prevent falls

Pelvic Floor muscles support and close off the bladder Weakness and types of bladder changes

Provide local resources Show appropriate pads for managing urine leakage

Learning Resources Choose resources appropriate for your group

Summary Repeat the Key Messages 5 min

Evaluation

Pick from list of Reflective Questions 5 min

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 6 of 15

Module 2 Resources: 1. Finding Balance Pictures for discussion can be found under Handouts for Clients

Eye Conditions www.findingbalancealberta.ca

2. Self Tests

• Risky Behaviours add to Jenga game 3. Information

a. Picture of eye: http://www.brightfocus.org/macular/about/understanding/anatomy-of-the-eye.html

b. Understanding Macular Degeneration http://www.ahaf.org/macular/about/understanding/dry-macular-degeneration.html

c. Deaf and Hard of Hearing Association (Calgary) http://www.chha-calgary.ca/facts1.html d. Canadian Continence Foundation- Pelvic health and continence

https://www.mdconversation.com/secure/patients/en/pelvichealth4.jsp e. Pelvic Floor Clinic Calgary Zone:

http://www.albertahealthservices.ca/3811.asp

4. OT Works Tools for Living well http://www.caot.ca/default.asp?pageID=3775 5. Props to explain management of bladder incontinence • Round Balloons filled with 150 mls of water can help participants to visualize bladder

(where the knot in balloon can be the urethra) • Purchase Incontinence pads Depends, Tena, or Harmonie small, regular, super Men’s

triangle pad helps post prostate leakage • Demonstrate absorbency by pouring ½ cup yellow coloured water (food colouring)

onto incontinence pad and demo that it does not leak

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 7 of 15

Evaluation Reflective Questions: At the end of each presentation, pick one of these questions. Ask the whole group or go around the room to each participant. Preface: Let's take a few minutes to think about what we've heard and how we'll use it in our lives. Questions:

• What's one thing you will start doing after this talk?

• What's one thing you will stop doing after this talk?

• What's one thing you will change after this talk?

• What's one thing you'll do today or this week because of what you have just learned?

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 8 of 15

Slow Down

Avoid Needless Risks

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 9 of 15

Constipation causes Irritable Bladder Source: Pictures from Calgary zone pelvic floor clinic

Source: Pelvic Floor Clinic Calgary zone

Move ’n Mingle - Module 2 Paying Attention to Body Changes – 2014 - Page 10 of 15

Move ’n Mingle - Module 2 Paying Attention to Body Changes – 2014 - Page 11 of 15

Where Falls Happen

Source: Falls & Related Injuries among Older Canadians http://www.hiphealth.ca/media/research_cemfia_phac_epi_and_inventor_20100610.pdf

Place of Fall Occurrence (65+) 2008/09

RESIDENTIAL INSTITUTION

18%

SCHOOL, OTHER INSTITUTION, PUBLIC

AREA6%

OTHER8%

UNSPECIFIED PLACE

17%

HOME51%

Dr. Vicky Scott PhD RN Centre of Excellence on Mobility, Fall Prevention and Injury in Aging (CEMFIA)

Move ’n Mingle - Module 2 Paying Attention to Body Changes – 2014 - Page 12 of 15

Self-Test: Paying Attention

• As we get older it takes us more time to react. • We need to focus on what we are doing.

Questions: Never Sometimes Always

I try to do only one thing at a time when moving around

I plan ahead

I take time to get things done

I am able to ask for help

When I am tired I stop what I am doing and take a rest.

Adapted from Robson, E., Edwards, Dr. J., & Howell, Dr J. (1996). A Guide for Seniors to Assess Their Risks for Falling: Steady as You Go. Capital Health Authority, Public Health Services.

Tips:

Stop one thing before you start another. Do one thing at a time Plan ahead You save time if you slow down Ask for help when you need it. Ask again if people forget; they usually

want to help.

Move ’n Mingle - Module 2 Paying Attention to Body Changes – 2014 - Page 13 of 15

Self-Test: Risky Behaviours

• Some people enjoy taking risks. As you age, the chance of injury increases from risky behaviour

This exercise will help you recognize what habits or attitudes may put you at risk for a fall.

Questions: Never Sometimes Always

I climb on the furniture when things are beyond my reach.

I ask for help with awkward and heavy items.

I ask for help when I am sick.

I test myself to see if I can still do the things I could in the past.

Adapted from Robson, E., Edwards, Dr. J. & Howell, Dr J. (1996). A Guide for Seniors to Assess Their Risks for Falling: Steady as You Go. Capital Health Authority, Public Health Services.

Tips:

Store things you use often on easy-to-reach shelves Use sturdy steps with a handrail for support to reach high places If both your hands are full you are more at risk for injury if you fall Ask for help or use a cart with wheels to carry things Ask for help when you are sick, as you may be weaker than you think

Make wise choices, prevent a fall

Move ’n Mingle - Module 2 Paying Attention to Body Changes – 2014 - Page 14 of 15

Source: Phillips Lifeline Education Module

Decreased vision

Loss of Hearing

Numbness in Feet

Not Paying Attention

RUSHING

TRIP or a SLIP

Move ’n Mingle - Module 2 Paying Attention to Body Changes - 2014 - Page 15 of 15

Suggested Inventory List for Module 2 Kit

Module 2: Paying Attention To Body Changes Quantity Item (s) Comments

1 Folder with Module 2 lesson plan Pictures for discussion • Slow Down • Eyes change (blurred letters) • Eye condition photos • Where Falls Happen graph • Full Bowel on Bladder cartoon

Handouts for photo copying • Self-Test Paying attention • Self-Test Risky behaviours

Jenga game to use to talk about increasing risks and falls

Choose 1 or 2 handouts

Show incontinence pad samples i.e. Depends, Harmonie, Tena,Poise, Men’s triangle pad Round Balloons filled with a half cup of water and tied in knot help participants to visualize bladder capacity amounts Yellow Food coloring to tint water to demonstrate absorbency of pads

Show the whole package and point out the diagrams of pad sizes so group can see what they look like on store shelves