Fall Prevention & Vision Aids January 15, 2020 12:00 PM EST Dr. - - PowerPoint PPT Presentation
Fall Prevention & Vision Aids January 15, 2020 12:00 PM EST Dr. Ana M. Juricic T HIS WEBINAR IS BEING RECORDED . S TAY IN THE L OOP ! T HE SLIDE DECK AND RECORDING WILL BE WWW . FALLSLOOP . COM EMAILED AFTER THE WEBINAR . WWW . JR . FALLSLOOP
January 15, 2020 12:00 PM EST
THIS WEBINAR IS BEING RECORDED. THE SLIDE DECK AND RECORDING WILL BE
EMAILED AFTER THE WEBINAR.
STAY IN THE LOOP!
WWW.FALLSLOOP.COM WWW.JR.FALLSLOOP.COM
THIS WEBINAR IS BEING RECORDED. THE SLIDE DECK AND RECORDING WILL BE
EMAILED AFTER THE WEBINAR.
STAY IN THE LOOP!
WWW.FALLSLOOP.COM WWW.JR.FALLSLOOP.COM
January 15, 2020 12:00 PM EST
LOW VISION OPTOMETRIST LOOP FALL PREVENTION – JANUARY 15, 2020 TORONTO, ONTARIO
Poll Question
What field of health care are you in?
A. Occupational Therapy B. Physiotherapy/Kinesiology C. Nursing D. Eye health care professional E. Low Vision Therapist/Orientation and
Mobility
F. Government and/or Management G. None of the above
www.DrLowVision.com
Poll Question
If you are in health care, how many hours
direct patient care?
A. 0-5 hours B. 6-10 hours C. 11-20 hours D. 21-30 hours E. 31 or more hours
www.DrLowVision.com
Estimated 5.5 million Canadians live with a vision threatening eye condition
Of whom nearly 500,000 already are blind
Patients have a right to: Receive a timely referral and access to the full spectrum of care in their journey through vision loss, from an ophthalmologist’s or
to the rehabilitation professional’s delivery of intensive therapy, including any required specialized training to allow them to live safely, independently and with dignity The Canadian Patient Charter for Vision Care was signed on May 7, 2015 and was signed by all the leaders in Vision Health and CNIB
www.DrLowVision.com
BY AGE 65, 1 IN 3 CANADIANS WILL HAVE AN EYE DISEASE LEADING TO CHANGES IN VISION 1 IN 9 SENIORS WILL HAVE IRREVERSIBLE VISION LOSS WITH VISION LOSS IT IS COMMON TO LOSE INDEPENDENCE
www.DrLowVision.com
Declining health Disability Need for Assisted Living/Retirement
Facilities
Depression Frequent Falls
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1 in 3 Canadians over the age of 65
are at risk of falling at least once
Having impaired vision more than
doubles the risk of falls
Unintentional falls resulted in almost
1,800 reported emergency department (ED) visits and 417 hospital stays EVERY DAY in 2016-2017 in Canada
www.DrLowVision.com
Vision loss is avoidable under regular care of an
Comprehensive eye examinations will detect any eye
health or vision problems before they have a toll on day to day life
For seniors, annual eye examinations are recommended
(more often if being monitored for an eye condition)
For 20-65 yrs old, eye examinations every 2 years or
sooner if any eye conditions
Children, eye examinations every year
www.DrLowVision.com
How many clients/patients a month do you see who live
with vision loss?
A. 0-5
B. 6-20 C.21-50 D. 51 or more
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Vision Loss can lead to 6X increase risk of depression
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Do you have a family member or friend who is living
with vision loss?
A. YES B. NO
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1 in 3 Canadians will suffer from vision loss by the age of 75 1 in 3 will have difficulty: Reading the paper Driving Watching TV Identifying peoples faces Increased Risk of Falls
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Macular Degeneration Glaucoma Cataracts Diabetic Retinopathy Hereditary conditions Ocular injury
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www.DrLowVision.com
MACULAR DEGENERATION
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▪
LEADING CAUSE OF VISION LOSS IN WESTERN WORLD
▪
APPROX 2 MILLION CANADIANS AND 13 MILLION AMERICANS ARE AFFECTED
WHAT IS MACULAR DEGENERATION?
MACULA RESPONSIBLE FOR FINE
DETAIL AT THE BACK OF THE EYE
WITH MACULAR DEGENERATION
THERE IS DISRUPTION OF THE RETINAL LAYERS AT THE MACULA LEADING TO DISTORTED VISION
www.DrLowVision.com
www.DrLowVision.com
Macular Degeneration DRY Macular Degeneration (~85%) WET Macular Degeneration (~15%)
10 – 20 % of Severe Vision Loss 80 – 90 % of severe vision loss
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www.DrLowVision.com
Over 4 million Americans and 350,000 Canadians have glaucoma, but only half of them know they have it. Glaucoma is second leading cause of blindness according to World Health Organization
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Cloudiness of the
natural lens of the eye located behind the iris
More than 2.5 million
Canadians have cataracts
www.DrLowVision.com
www.DrLowVision.com
Diabetic Retinopathy
Approx. 2 million Canadians are diabetic
500,000 have diabetic retinopathy of which
100,000 have severe vision threatening forms
Leading cause of new cases of blindness
among adults aged 20-64 yrs old
www.DrLowVision.com
www.DrLowVision.com
Retinitis Pigmentosa – tunnel vision
Approx. 1 in 3500 Canadians are
affected
100, 000 in the US 20-30% of RP individuals also
have other conditions such as Usher’s syndrome which has hearing loss
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Individuals with albinism have
little or no pigment in their eyes and possibly with their skin and hair
Do not produce usual amounts
1 in 17,000 in USA
have some degree
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Often can cause visual field loss which will
increase risk of
bumping into things and people Missing steps Walking into doors/glass walls
www.DrLowVision.com
www.DrLowVision.com
Legally Blind = central acuity is 20/200 or less in the better eye, even with corrective lenses OR if the peripheral field is restricted to a diameter of 20 degrees or less Low Vision = central acuity is 20/70 or less in the better eye even with correction
Approx. 80-90% of legally blind individuals have some degree of
usable vision
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Only 2% of legally blind people use a guide dog and 35% use a white cane according to the Braille Institute.
www.DrLowVision.com
…and many solutions. What may help some may not help others even if they have the same condition.
www.DrLowVision.com
www.DrLowVision.com
www.DrLowVision.com
www.DrLowVision.com
Low Vision Exams are customized to each specific patient
www.DrLowVision.com
Exam will take 1-1.5 hrs
Specialized exam
Near
newspaper/books/mail
Distance
Glare
(computer etc)
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Medication Side Effects Can Affect Vision causing:
Dizziness, dryness of eyes and muscle weakness Increased risk of medication error Double the risk of falls Triple the risk of depression Quadruple the risk of hip fractures
www.DrLowVision.com
“CAN’T YOU JUST MAKE THE GLASSES STRONGER?”
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A GOOD REFRACTION IS IMPORTANT
Stronger glasses for near may be prescribed in the form of reading glasses or bifocals/progressives
Very important to educate patient that the focal
point in the reading area is much closer and if they look in this area while looking at floor – RISK OF FALLING
If a patient has COGNITIVE issues this may not be
the best option if does not have a caregiver or family member who can supervise
www.DrLowVision.com
www.DrLowVision.com
U2 lead singer Bono wears glare blocking sunglasses due to his glaucoma
www.DrLowVision.com
Address the patient’s goals Increase a sense of independence Decrease risk of depression by providing vision solutions to be able to
accomplish important daily living tasks
Address any safety issues especially if at higher risk of falls
www.DrLowVision.com
www.DrLowVision.com
Magnifiers: dome, hand held, stand , illuminated and non-illuminated
Prismatics Near Focus Binoculars
www.DrLowVision.com
*CCTVs *OCR readers *ZoomText *Jaws *Kurzwell
www.DrLowVision.com
Helpful aids for distance viewing Not to be used while walking and
looking through telescopic lens
Will magnify floor too much HIGH RISK OF FALLING OR
TRIPPING
Headborne Telescopes and Binoculars
www.DrLowVision.com
Binocular clip for TV viewing, looking at faces, watching live events including theatre
www.DrLowVision.com
www.DrLowVision.com
eSight 3 eyewear Electronic Digital Eyewear allow user to see DISTANCE, INTERMEDIATE AND NEAR!
CAUTION: user needs to flip device up in bioptic mode when walking to avoid falls
www.DrLowVision.com
IrisVision – using a Samsung smartphone
CAUTION: NOTE TO BE USED WHEN WALKING
www.DrLowVision.com
Converts TEXT to SPEECH, identifies known faces and currency, tells you the time, has auditory commands
www.DrLowVision.com
Coming in spring 2020, voice activated guiding
You can ask: “What’s in front of me?” It may respond: “It’s a door” You can ask it to guide you to the door
www.DrLowVision.com
www.DrLowVision.com
AIRA IS ON A MISSION TO PROVIDE INSTANT ACCESS TO VISUAL INFORMATION FOR ANYONE, ANYTIME, ANYWHERE.
www.DrLowVision.com
www.DrLowVision.com
ADVANCEMENTS WITH SMARTPHONES
Over 1.5 Million
volunteers available to assist
registered partially sighted and blind individuals in over 150 countries
www.DrLowVision.com
Narrates the world around you Designed for the blind and low
vision community, harnessing the power of AI to open up the visual world and describe nearby people, text and objects.
OCR/Facial Recognition
www.DrLowVision.com
Parapan athlete Tiana Knight navigating using BlindSquare
App)
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USING ECHOLOCATION AND ULTRASONIC DETECTION Sunu Band $410 CDN Buzz Clip approx. $350 CDN
www.DrLowVision.com
Siri on Iphone Alexa on
Amazon Echo
Google home
Can be used to tell time, weather, recipes, sport scores etc from within your house
www.DrLowVision.com
www.DrLowVision.com
Colour Contrast Cues
www.DrLowVision.com
www.DrLowVision.com
PAINT DOOR FRAME HIGH CONTRASTING COLOUR COMPARED TO WALL COLOUR *OPAQUE CUPS, DISHES BETTER THAN CLEAR GLASSES
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Extra lighting *sconces, task lights, night lights * if difficulty seeing in night, use a flashlight
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In Bathroom:
*Good lighting *Use high contrasting towels, floor mats that are non slip
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www.DrLowVision.com
Resources for those living with vision loss…
Low Vision Eye Care Professionals CNIB /Vision Loss Rehab
Balance For Blind Adults (Etobicoke) Vision Institute OCAD Vision Tech Services Fighting Blindness Canada, Canadian Council for the Blind, Toronto Visionaries and more.
www.DrLowVision.com
Auxilliary Health Care Professionals Certified Low Vision Therapists (CLVT) Certified Orientation & Mobility Specialists Occupational Therapists (OT) Physiotherapists
www.DrLowVision.com
Wear 100% UV blocking sunglasses/hat Eat green leafy vegetables and colourful fruits Use multivitamins with carotenoids Yearly eye examinations, or sooner Stop smoking
www.DrLowVision.com
New Pilot Project
– In home training
Objective: Increase
success with prescribed vision aids
Decrease frustration
associated with the learning curve of using a new device
Free of charge service
for eligible patients
+
www.DrLowVision.com
LET YOUR PATIENTS/CLIENTS KNOW THAT THEY ARE NOT ALONE
Toronto has many organizations focusing on the visually impaired and blind
Find out which support groups are in your area like: Canadian Council for the Blind’s Toronto Visionaries
www.DrLowVision.com
Find out
Find out who in your area provides low vision rehab services
Find out
Find out what local
care professionals are available that you can refer clients/patient to
Educate
Educate individuals you meet that there is HELP THAT IS AVAILABLE
www.DrLowVision.com
www.DrLowVision.com
www.DrLowVision.com
EVERYONE DESERVES TO “SEE” THE BEAUTIFUL THINGS IN LIFE!
Email: drjuricic@DrLowVision.com
Type your questions into the Q&A box. THIS WEBINAR IS BEING RECORDED. THE SLIDE DECK AND RECORDING WILL BE
EMAILED AFTER THE WEBINAR.
STAY IN THE LOOP!
WWW.FALLSLOOP.COM WWW.JR.FALLSLOOP.COM