Bingocizing down fall risk in rural supportive living
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Purpose: In adults aged 65 and older, falls are the leading cause of death (Centers for Disease Control and Prevention, 2022). Approximately 28% of the 800,000 Americans residing in Assisted Living Facilities will experience at least one fall in a 90-day range (American Health Care Association and National Center for Assisted Living, 2024; Schott and Tietiens, 2019). Due to the reality that many rural communities have under resourced health care infrastructure, the consequences of a fall in a rural living community have the potential to be detrimental (Ziller and Milkowski, 2020). The purpose of the capstone experience was to address fall rates of a rural living community using evidence-based fall prevention programming. Methodology: The author partnered with the multidisciplinary fall prevention team to address the administrative goal of achieving a rolling quarterly fall rate of less than one percent. An evidence based, fall prevention program, Bingocize, was implemented with residents at Hickory Grove. An assessment battery was administered to willing residents to evaluate the impact of Bingocize on balance and fall risk. Results: On average residents who completed the Bingocize fall prevention programming were able to improve or maintain performance on the Berg Balance Scale, Timed Up and Go, and 30 Second Sit to Stand test. Residents who did not participate in Bingocize demonstrated small levels of decline on functional assessments and accounted for the majority of falls that occurred during the timeframe in which the capstone experience took place. Conclusion: Bingocize was a feasible, sustainable, and engaging program to implement with rural older adults to achieve the desired fall rate and mitigate fall risk. When paired with multifactorial fall risk assessments Bingocize presents the opportunity to decrease fall rates and improve physical function among rural older adults.
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