Positive Steps - Fall Prevention and Exercise Program
A joint project of the Regina Health District, the Paul Schwann Applied Health and Research Centre (University of Regina) and Farm Credit Corporation


Falls account for 56% of accidental deaths in Canada in 1989, and falls are a contributing factor in 40% of nursing home admissions. (Source: Saskatchewan Health, 1999)
It has been estimated that up to 80% of falls can be prevented. Simple changes in and around the home, as well as changes to the way we do our day to day activities can greatly reduce our risk of falling. In addition, regular exercise will keep muscles strong, improving balance, co-ordination and mobility, while reducing the risk of serious injury if a fall does occur.
The Positive Steps program consists of a handbook and an accompanying video. The Positive Steps program looks at fall risk, and gives the tools needed to lower that risk. The exercises found in the handbook and on the video can be done alone or as small groups.
The first part of the handbook looks at some common causes of falls and gives ideas on how to eliminate or minimize risks. Areas looked at include:

  • Personal Risks
  • Situational Risks (indoor)
  • Situational Risks (outdoor)
  • Behaviours Which Increase Risk
  • Attitudes and Beliefs

Three Steps to Preventing Falls (adapted to reflect the role a direct support worker) are:

  1. Be aware - Look around. Learn to recognize risks. Anticipate where problems might occur.
  2. Be Safe - Take steps to lower the risks. Remove hazards in the home, centres (and elsewhere). Encourage people to ask for help when necessary and try to anticipate when help may be needed. Ensure that canes and walkers are used if needed. Compensate for some of the physical changes which occur in the body by (encouraging) moving more carefully. Use the pull-out chart at the back of this handbook as a reminder..
  3. Be active - encourage and assist each individual to maintain a healthy lifestyle which includes regular physical activity to keep muscles, bones and joints in good health.

The video and the second part of the handbook deals with an exercise program. This guides you through a series of warm-up exercises, reviews flexibility and strength exercises shown on the video and reviews fitness and safety information. There are three level, (beginner, intermediate, and advanced), each marked by a different color band at the bottom of the television screen. Instructions are provided on how to use the video and handbook.

Although for seniors the information is relevant for any individual with poor mobility. Progressive exercises are suitable for a wide range of physical abilities and ages. As persons with developmental disabilities age increased measures need to be taken to prevent falls and subsequent injuries.

 

Available from:

Active Living Coordinator
Regina Health District
2110 Hamilton Street
Regina, Sk. S4P 2E3 Telephone: (306) 766-7731

Description of Resource: handbook, 52 pages, coil bound

Approximate Cost: $15.00 for the set