Towards an Integrated Falls Response Service for Aotearoa New Zealand: Occupational Therapy and Paramedicine in Community Care

Abstract

AIM: This article extends on a previously published scoping review by describing the what and the how of a specialised, culturally responsive, joint early falls response service practice between occupational therapy and paramedics that could enhance falls management and prevention for older adults in Aotearoa New Zealand. METHODS: The research replicated a previous literature search, with critical refinements in search terms and criteria, to identify new or previously overlooked research. Research included was pulled apart to describe an overall model that could be utilised for a local context. RESULTS: Fourteen studies focussing on how occupational therapists and paramedics work together were used. Articles discussed rapid response, early response and hybrid models of service to assess patients and effectively prevent recurrent falls. Articles also included studies on effective falls management and prevention involving occupational therapists following a fall. Grey literature sourced included government reports and healthcare evaluations. These sources informed key considerations for developing a falls response service in Aotearoa New Zealand. CONCLUSION: Investing in a rapid response, interprofessional service would enhance quality of life while easing pressure on emergency and long-term care. Cost-effective, community-based solutions present opportunities to support independence, dignity and wellbeing for an ageing population.