Modifying the Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department for Telehealth

eGAPcare: Modifying the Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department for Telehealth

The goal of this clinical trial is to determine the feasibility of eGAPcare, a telehealth modification of the GAPcare fall prevention intervention, in older adults in a community emergency department. The main questions it aims to answer are:

• Can telehealth physical therapy and pharmacy consultations be conducted in a community emergency department?
• Does the telehealth modification of GAPcare decrease recurrent falls at 6 months? Participants will
• Receive telehealth physical therapy and pharmacy consultation while in the emergency department
• Participate in follow-up visits over the phone for 6 months following the initial emergency department visit
• Complete study questionnaires delivered by study staff.

Inclusion Criteria:

• Community-dwelling adult (non-institutionalized) 65 years-old or older presenting to ED after a fall
• Fall not due to syncope or external force (i.e., struck by car or assault)
• Fall not due to serious illness (i.e., stroke, acute myocardial infarction)
• Will be discharged to home/assisted living/rehabilitation at completion of ED visit (i.e., not admitted)
• Proxy available to give informed consent if patient lacks capacity

Exclusion Criteria:

• Unable to give informed consent due to intoxication or acute change in mental status
• Presence of injuries that prevent mobilization (i.e., pelvic or lower extremity fractures)