The Ponca Tribe Injury Prevention Program Office is housed in the White Eagle Health Center. The primary goal is to decrease the number of unintentional falls in older adults whom are over the age of 55 and reside in the Ponca Tribe of Oklahoma area.


Problem: One in three adults aged 65 years and older experience a fall each year. Falls in older adults may lead to sedentary behavior, decreased independence, and lower quality of life
Baseline: Baseline data for falls was initially obtained from the Resource and Patient Management System (RPMS) by White Eagle Health Center IT department. According to RPMS, injury surveillance report, from Sept 1 2015 to Aug 31, 2017, 91 of WEHC incidences are recorded as falls for ages 55 +. A list of enrolled members whom are over the age of 55+ and reside in Kay County was obtained from the Ponca Tribe Enrollment office as a baseline # of persons 55+


Four areas of focus include:


1. Home safety with modifications for decreasing fall risks and hazards
2. Promoting balance, strength, and mobility through exercise
3. Promoting annual vision checks
4. Promoting medication reviews to identify potential interactions increasing fall risk

Background

1. Home Safety Assessments with Modification(s) 
   
a. A home safety assessment checklist has been tailored and implemented for the Ponca Tribe community     
b. The assessment identifies fall risk factors and determines needs     
c. Over 75% of older adults in the Ponca Tribe area have had a home safety assessment performed     
d. The Ponca Tribe of Oklahoma Injury Prevention Program, maintains a successful partnership with the Conoco Retirees Association.  Through this partnership, 20 handicap ramps have been built for the Ponca Tribe of Oklahoma Elders.     
e. The Ponca Tribe of Oklahoma Injury Prevention Program, maintains a successful partnership with Oklahoma ABLE Tech to qualify applicants for free installation of smoke alarms and alert equipment in their home.

2. Promote Balance, Strength, and Mobility     
a. Tai Chi: Moving for Better Balance program was offered by the Oklahoma State University     
b. Two 12-Week Silver sneaker exercise classes have been implemented     
c. A functional assessment adapted from the Centers of Disease Control (CDC) STEADI material is performed to measure client’s strength, endurance, balance, and mobility

3. Promote Annual Vision Checks     
a. White Eagle Health Center optometrist provides eye exams and refers eligible clients to the IPP Coordinator if there is a need for eyeglass assistance     
b. IPP referral forms are available and given to eligible clients once a need is identified by WEHC optometrist Total # of eye glasses provided for those referred:   
      
     a YR 1- 70 Clients         
     b YR 2 – 48 Clients         
     c YR 3 – 41 Clients (As of March 2018)

4. Medications Review
Medication educational brochure, “Using Medications Safely” provided by the Oklahoma Healthy Aging Initiative are provided to clients during: 
   
a. Home visits     
b. Community Health Fairs     
c. IPP Presentations, and Fall Prevention Events     
d. White Eagle Heath Center Pharmacist, reviews medication during each medication refill



Fall Prevention may include:

  1. Grab Bars
  2. Hand Rails
  3. Night Lights
  4. Flashlights
  5. Toilet seat risers
  6. Shower chairs
  7. Eye Glass assistance
  8. Canes
  9. Safety Treads or Bath Mats
  10. Non-slip rugs
  11. **Handicap ramps maybe offered from an additional program
  12. **Fire Alarms may be installed by Able Tech


 

Jocy Jackson receives award from National Indian Health Board for exemplary service

Jocy Jackson from Ponca Tribe of Oklahoma has been awarded a 2017 Local Impact Award for her contributions to improving American Indian and Alaskan Native health at the local level. The award is given on behalf of the National Indian Health Board to recognize excellence, achievement, and contributions above and beyond the call of service. Jocy will be recognized at the Annual Heroes in Native Health Awards Gala on Sept. 27 in Bellevue, Washington.