The Fraser Coast Falls Prevention Service is helping to keep Hervey Bay seniors on their feet

Central Queensland, Wide Bay, Sunshine Coast PHN have published a media release about their new falls prevention initiative, which incorporates the Active at Home program to improve strength and balance of seniors in their region.

An exciting new café-based healthcare concept is helping Hervey Bay seniors, who have recently experienced a fall, regain their confidence and strength so they can get back, and stay, on their feet.
An initiative of the Fraser Coast Falls Prevention Service, the Lifestyle Café, which incorporates the Active at Home program, launched at the Hervey Bay Neighbourhood Centre this month for seniors
over 65 and Aboriginal and Torres Strait Islander people over 50.

The Fraser Coast Falls Prevention Service is a collaboration between Central Queensland Wide Bay Sunshine Coast PHN, Wide Bay Hospital and Health Service, Queensland Ambulance Service and
Hervey Bay Neighbourhood Centre.

The PHN’s Manager for Older Person’s Health, Paige Martinez, said injuries resulting from falls are the major cause of death, hospitalisation, and emergency department presentations for those in the
target group.

“We’ve worked with our partners in the Fraser Coast Falls Prevention Service to co-design an initiative which incorporates a social aspect and establishes a pathway to reduce the risk of falls,” Ms
Martinez said.

Education programs that are purely falls prevention focussed tend to have a negative connotation- with the Lifestyle Cafe we are working from a wellness focus incorporating the Active at Home strength and balance program with other health & wellbeing activities. This means social connection opportunties through afternoon tea, group-based programs like choir singing or craft, and various entertainment each week.

Participants are referred into the Lifestyle Cafe via the newly established, WBHHS-led falls pathway by eligible referrers including WBHHS emergency departments, QAS or their general practitioner.
More than a quarter of people living on the Fraser Coast are aged over 65.

WBHHS Chief Executive Debbie Carroll said the purpose of the weekly, three-hour Lifestyle Café is to provide the Active at Home program in an informal setting and fills a gap in the community.
“This program gives older people who are at risk of falling access to the Active at Home strength and balance program, as well community support and social connection in one venue, with no cost to the participant,” Ms Carroll said.

“WBHHS is grateful to all of the partners who have made this collaborative venture possible and looks forward to the future development of the service.”

Participants who attended the recent launch of the Lifestyle Cafe with Active at Home said they enjoyed the friendly, relaxed and professional atmosphere and were keen to return for the full 12-week strength and balance program, alongside a cup of tea and some entertainment.

The PHN are proud to have further partnered with Carinity and Bolton Clarke to ensure quality delivery of the Lifestyle Café with Active at Home on an ongoing basis for at least the next 12 months.

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Bridgette’s new skills add variety and better support for Active at Home program participants

Centrecare support worker Bridgette Singh

IT was an intensive day of learning for Bridgette Singh when she completed the Active at Home training and assessment, but the Centacare support worker found every minute valuable.
She was among the first to take part in the new face-to-face training format and completed the training and assessments in one day, rather than self-paced online.

“It was great that we could actually go into the training rooms at Sports House, next to Suncorp Stadium,” she says. “We had a really good instructor who was very insightful but kept it light with a bit of humour, so it was always interesting.”

She’s now looking forward to using her new skills to improve the lives of her clients and has already identified four she believes will benefit from the program.

“One recently had three falls which left her really nervous and unsteady. Building up the strength in her legs and core will not only help her balance but will help her feel more confident,” she says. “It’s a gradual thing but I’m hoping this will give her the confidence to get moving again as it broke her heart to lose her mobility.”

The training means that Bridgette can broaden her skills beyond personal care, domestic assistance and social support and have the reward of seeing someone again be able to get up out of their chair and do a simple task like make a cup of tea.

She learnt different techniques to assess clients on their balance and mobility, and can now identify where they are at, so together they can set goals and monitor progress.

“It is good to understand people’s different ways of doing movements and at all different levels,” she says.

“We learnt how it can benefit our clients and to help them set goals so they feel like they have accomplished something, even if it is as small as walking a few metres more or walking a little more quickly.”

Aspiration to make work even more rewarding

A former airport security officer, Bridgette had to put aside her ambitions of becoming a support worker when life intervened.

After completing her Certificate III in Individual Support through TAFE, she was employed by Centacare and hasn’t looked back.

“Support work was something I wanted to do when I was younger but then I met my husband and we had a family and I had to work around the kids,” she says. “I had to wait for the opportunity to go and study and do what I wanted. I love it. It’s the best job I have ever had.”

And now the Active at Home program has added another string to her bow and, more importantly, is making her work even more rewarding.

Evidence based Active at Home program

Active at Home is an evidence-based program which includes basic strength and balance exercises, such as holding a kitchen bench while going up and down on tiptoes, or side stepping.
“These are not big movements but ones that, once you have the process, make a difference,” Bridgette says. “It’s about confidence as much as fitness and that’s where we play a big role. We can be positive and encouraging while providing a safety net.”

The first part of the course was about movement and things that could cause pain or stress, followed by explanations of the benefits and how it can improve and empower life and how to be a good instructor – the fundamentals of how to exercise correctly and safely.

It also covered how to support and encourage clients, which Bridgette believes plays a big part in success.

“We learnt how to talk them through the exercises and explain that we can start with small steps and then maybe just add one this week and two next week. These are not big exercises but getting the little things across.”

Exercises are simple and aimed at improving daily life – how to go from sit to stand, the basics of walking in a straight line, using things around you to keep you upright and stable such as running a hand along the wall.

These techniques start with little movements to gain stability and progress to doing it without the wall for support.

“It’s great when they realise they have done it on their own and say ‘I can do this’,” Bridgette says.
She recommends the course to all support workers, as it adds variety to the job and gives the reward of seeing clients reach their goals and get more out of daily life.

“The program gets people up and energised and they can develop the confidence to do more things for themselves. By regaining mobility, they regain independence and can really live life.”

Onfit Training College (RTO 32107) have been contracted by Active at Home for the delivery of the Nationally Accredited Unit of Competency: SISXCAI002 – Assist with activity sessions. Active at Home assist with the student recruitment & enrolment of students, on behalf of Onfit Training College.

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Active at Home helps keep Mary’s life in balance

RAISING eight children was enough to keep Mary Cairns active throughout her life. Now, at the age of 91, she uses the Active at Home 12-week exercise program to improve her balance and stay nimble.

Mary is about to complete her first 12-week program and is keen to sign up for her second. She has found that the supervised 30-minute sessions, held in her home each week, have helped improve her balance.

And, she says proudly, her daughter has noticed that she is walking a lot better too.

Exercise improves strength and balance

An exercise program had never really been part of Mary’s life but, as she now lives alone, she recognised the need stay mobile and as independent as possible.

“I was more or less an indoor person and not in the habit of exercising. I had eight children to run around after, so not much time to think about it,” she says. “I feel it’s going really well.”

Of the eight strength and balance exercises aimed at improving walking speed, balance and general mobility, Mary likes the leg extensions best, but also finds using an elastic ‘theraband’ helps with her stiff shoulder.

“I can’t do the ones against the wall because I have a frozen shoulder and I don’t really like standing on tip toes,” she says. “But I feel much better for doing the course. It gets me out of bed in the morning.”

Although she leads a busy life and spends a lot of time with her daughter, Mary enjoys spending extra time with her Centacare support worker, who takes her through her personalised program every Friday morning.

Mary was introduced to Active at Home through Centacare Melody Street hub, where she enjoys social connection and a range of activities on Mondays and Wednesdays. She also participates in a group balance class at the hub on Wednesdays.

Photo caption: Mary Cairns arrives at Centacare Melody Street hub.

When Centacare Service Delivery Manager Bernadine Webster gave Mary some information on the program and showed her a video clip explaining what it was about, Mary only had one decision to make – when she could fit it into her busy week!

Mary helps with the housework on Tuesdays, and on Thursdays goes to the hairdresser, supermarket and lunch. This left Friday morning for her exercise program.

She hasn’t looked back since joining Active at Home and has found the exercises complement her Wednesday balance class. After all, keeping active is key to keeping her independence.

“I’d be lost if I couldn’t use my legs,” she says. “As long as I stay at the level I’m at now, I’m happy.”


In-home exercise program “ticks all the boxes”, says Centacare support worker

AFTER a long and successful career managing big supermarkets, Mary Rose was in her 50s when a friend suggested she consider a career in aged care. Now, three years later, she has stepped it up a notch as a fully trained Active at Home exercise program instructor.

Active at Home is a 12-week exercise program designed to help older people increase strength, balance and stamina. The program is undertaken in the clients’ home (alongside a support worker) for 30 minutes each week.

As a Centacare support worker, Mary enjoys helping clients to remain living safely and independently at home. She gives them a hand with their cleaning, takes them shopping and on excursions and, these days, can add personal trainer to that list.

At least that is how her clients describe their weekly half-hour sessions. Mary sees herself more as a training buddy, as she does the exercises with them, preferring to show, not tell.

When the opportunity to become a certified Active at Home instructor came up, Mary didn’t hesitate. By January she had completed her assessments and was certified and ready to go.

“I found it really interesting and I love the outcome,” she says. “While I was doing the course, I began discussing the program and what I would be doing with my clients. They volunteered.”

Practical exercise helps improve mobility

Once her clients had received their doctor’s clearance, Mary assessed their fitness levels and introduced them to a series of activities, tailored to their needs and activity level.

Mary encourages her clients to do some daily exercise in between their 30-minute sessions, simple things like standing on tiptoes from time to time or doing leg extensions while sitting on the lounge.

The exercises are basic and practical, such as getting up and down from a chair – the everyday things that are about retaining lifestyle through mobility and independence.

“These are exercises that you can do at any time of day to improve balance and general wellbeing,” Mary says, explaining that her clients, “see me as their personal trainer and really look forward to it. Some are even wearing gym gear or a pair of joggers.”

But, unlike the demands of the stereotypical personal trainer, Mary understands individual limitations. Regardless, she has found Active at Home participants are choosing to challenge themselves to do better each week.

“It’s about motivation rather than setting unachievable goals,” she says. “They set their own challenges and I’m finding that they want to do a bit better each week and are exercising on their own quite a lot.”

Monitoring exercise progress

Mary documents her client’s progress and encourages them to keep a journal of their own.

Mary’s first recruits are now graduating and following an assessment, will decide if they wish to continue for another three months.

So far, they are keen, excited about the exercise and having a weekly visitor in their home.

“There is nothing but positives in the Active at Home program, which ticks all the boxes,” she says. “I’m so glad I got involved and was able to do it.”

Active at Home Resources

We now have handy fact sheets available to assist all Active at Home administrators and support workers with the delivery of Active at Home to clients.

Check out all these resources and more by going to Membership Resources

Why stay active in your own home?

Research on healthy ageing has proven that exercise is always beneficial for older people, regardless of age, health or physical ability.

However as you get older, it can become harder to exercise for a variety of reasons including illness, injury, frailty, finances and transport. That’s why the new in-home care program ‘Active at Home’ has been developed. Active at Home has been proven to make a difference to the wellbeing and health of older Australians, from the comfort of their own home.

Delivered by accredited support workers, participants who have already under taken the Active at Home program report that;

  • Their physical performance improved on average by 20%.
  • It improved their confidence and overall wellbeing along with their balance, strength and flexibility.
  • Their quality of life has become better as they are able to independently complete the tasks they desire.
  • Participants report that the program has given them the ability to get out of the house more frequently.
  • They found Active at Home helped them to practice regularly, and incorporate activity into their everyday life.

Even a little exercise can go a long way, and you are never too old or unsteady to reap the benefits. The Active at Home program includes the following types of exercise, all of which help people to continue to undertake their daily tasks independently and confidently:

  • Strength exercise – This assists in building muscle and bone, allowing participants to remain capable of performing daily activities and continue building strength in the process.
  • Aerobic exercise – This helps to keep your lungs and heart in optimal health.
  • Balance exercise – Avoid falls and make it easier to change direction. Keep confident as you move from sitting to standing.
  • Flexibility exercise – Protect your joints and allow for a good range of motion. Helps to complete daily activities such as getting dressed, walking upstairs and keep your muscles in balance.

Don’t let ageing limit your ability to continue daily tasks independently and confidently. Active at Home was developed to help keep you on your feet and regain any lost mobility, balance, strength and confidence.