Fall Prevention Month 2019, Activity implementation: Spot the Hazards that can Lead to a Fall

Fall Prevention Month 2019, Activity implementation: Spot the Hazards that can Lead to a Fall



welcome everyone to our webinar fall prevention months 2019 activity implementation webinar with an activity spotlight on spot the hazards that can lead to a fall facilitated by the fall prevention community of practice my name is Mary Lang and I am the project coordinator at the Ontario neuro trauma foundation O&F sponsors fall Prevention Month and the fall prevention communities of practices online platforms the loop and loop junior before we begin I'd like to give you a rundown on the zoom meeting platform your screen may look a little bit different depending on the type of computer you are using if your zoom application is opened in full screen you can double click or press the escape button on your keyboard to exit the full screen there should also be a button on the top right corner that says exit full screen on this side you can on this slide you can see that I've circled in red where the exit full-screen button can be found the webinar technology consists of two parts audio and visual both visuals and audio are provided through your computer monitor and speakers to test your audio settings look for the audio settings or join audio button in the bottom left corner of your screen this will provide options for testing your computer microphone and speakers to adjust your audio settings click the audio Settings button on the bottom left corner if you look at the center of your screen you will see the following buttons that allow you to access the chat box raise hand and QA features on zoom the chat box allows you to send messages to the webinar presenters you will only be able to see Chad's sent by the panelists you can use the raise hand button if you want the presenter to connect with you the chat box you can also submit questions through the Q&A box you will only be able to view the questions you have asked and all questions posed by other participants during the Q&A sessions we will be reading the questions aloud to the group and they will be answered over the audio line by the presenters if you need to leave a webinar at any time click the red leave meeting button in the bottom right corner of your screen if you have any questions about the technology during the presentation please type them into the chat box for and use the Q&A feature alternatively you can email me at Mariel at ons org and I'll work with you to resolve technical issues as soon as possible the webinar is being recorded and a youtube link will be sent out to all participants in about one week along with the presentation slides this slide it provides a view webinar outline for today I'll start by giving you a walkthrough of the updated fall prevention month website and welcome questions from the audience I'll then introduce Daphne Kent who will be presenting her spotlight activity if you have any topic related questions during the presentation please type them into the chat box during the Q&A that questions will be allowed to read aloud to the group I will now be navigating to my browser where I will be providing a walkthrough of the updated fall prevention month website so everybody should be able to see my screen now I'm using a Chrome browser and this is the fall prevention month homepage you'll see at the very top of the homepage we have a section for adults in a section for children if we scroll down you'll be able to see our main call to action message in regards to fall prevention month and some popular resources at the bottom here if we continue to scroll down the screen you'll be able to see links to our communities of practice and this is really where you can be involved in preventing Falls all year long by joining Google Luke jr. if you haven't heard of Luke or literature before feel free to navigate onto our website and click on these logos and they will navigate you to our communities of practice and from here I'm going to we're going to scroll back up to the top and we're going to take a look at our main menu bar at the top of our screen so if you see here we have a search box and this is going to search every page on the fall prevention month website and so I will provide demonstration of that shortly under about you can read a little bit more about the campaign you can read about how you can get involved our mailing list refers to our newsletter so I highly recommend that everybody signs up for updates we'll be sending emails every every week or so leading up to the campaign and then more regularly throughout the month of November highlighting some different tools and resources that you can find on our website and how you can use them for for what you would like to do during November for fall prevention month if you would like to get in contact with us you can click the contact button and you will you will see our contact information here we also welcome you to stay connected we're very active on social media throughout November so please follow and retweet us on Twitter and follow and like and share our Facebook page from here we're going to take a little bit more of a look at the different components of power fall prevention month campaign of being the adult side of the campaign and the children side so if you are working with older adults or if you are planning an activity or an event for older adults or for your staff who might be working with older adults you can navigate to our to the adult section of our campaign and from here we've divided the website into two sections the additional resource signing you can read a little bit of a description of it here as well provides you with resources on a variety of topics related to fall prevention this is really a place where we have resources from other organizations so they link outside of the fall prevention month website and if we click the view resources button we'll be able to see that you can find information for adults and caregivers practitioner resources statistics and infographics so for example if I click on practitioner resources you'll be able to see that it's further broken down into different categories so here are a variety of guides guidelines and reports we can continue to scroll down and here are some portals and different community of practices and resource centers and finally some programs again these all link to external websites and we would like you to know that this is by no means an extensive inventory of fall prevention month resources we try to keep them very high level and identify evidence-based resources that could be helpful during fall prevention month you'll note that as you navigate through this site you will see up here what is called breadcrumbs so it will show you exactly where you are on the website so you can see that right now I'm under adults additional resources for adults practitioner resources if I would like to navigate back to our adults page I would just click on the adults page here and it will bring me back to my home page for the adults campaign for those who are looking for different activities or promotional materials we have these under the take action section so we're gonna click with you resources and from here there's again another description of the two categories promotional resources is where you can find different resources to promote the fall prevention of the campaign or resources to help you create your own content so for example if you are hosting an event and you would like to create a poster and you can use this template which will help you build your own poster we have a fact bank where you can pull some fall prevention month stats and use them in your content etc and this is where we also have some external tips on promoting measurement in the media so I'm going to navigate back to my take action section of the adult campaign and look at ideas for activities and so this is where you can find sample activities that you could host for fall prevention month again they are also categorized by by various basic various categories so we have active living and activities that you can host for your professionals and for your staff and continuing education promotion and awareness of fall prevention month and social activities and games that you can conduct either with your staff or with older adults that would like to fall prevention and so from here I'm going to actually navigate to you under education activities for professionals and staff the hazards and rooms that can lead to Falls and this is actually the activity that Daphne will be discussing with us very shortly please know it's available in English and French and so before we allow Daphne to discuss her activity I'm going to welcome any questions from our participants so if you have a question feel free to click on the Q&A box on zoom' or you can also I you can also type your question into the chat box and while we wait for your questions I'm just going to pull up this slide again and I'm going to be introducing our our presenter Josh the Daphne has worked in her current role since 2011 she's a regional resource and health educator providing support across the continuum of care Daphne cheers and is a member of an extensive list of file reduction advisory committees and has been instrumental in the implementation of numerous fall prevention projects programs and resources that exists today she is partnering she's a partnering member for the fall prevention month with focus on activities within the website and is these Saskatchewan representatives for for the fall prevention creative practice her roles vary from participating in fall prevention research critical incidence reviews education to staff students families and communities as well as a resource as well as resource development strategic planning and policy development her goal is to empower others on the implementation of a safety culture that infests fall prevention into everything we do based in best practice while balancing dignity of risk and client centered care and so I'm not seeing any questions as of yet in regards to the fall prevention Month website I still welcome participants of the webinar to some any questions that they might have in terms of the navigation and we I can address them at the end of Daphne's presentation so without further ado please take it away – yeah I'll remind you to unmute your line and I will get your slice you betcha thank you so welcome everybody to this introduction series highlighting the toolkit and now more specifically inactivity I've been a part of fall prevention month for you few years now and I've uploaded and implemented many of the activities on here this one however is one of my favorites that is well basically because it's a pretty basic concept that you can use adapt expand on and make it suit your needs and environment it was really effective here in Saskatoon area for raising awareness and engaging others in taking action to prevent Falls since we all have a role to play the examples that I will be sharing are from experiences last year that we had here in former SHR as part of the Saskatchewan Health Authority in both acute care and long-term care settings and I wanted to give a shout out to Parker center in Saskatoon for allowing me to share their creative rendition of this mock environmental hazards room experience so I hope that this gives you guys some useful tips and ideas on how that you can experience this activity as well new slide go ahead Mariel and so logistically there are some important things that you need to consider firstly who are you going to collaborate with and partner with to make this happen do you have a fall prevention team or a group of colleagues that you can that can help support this do you have a volunteer base that maybe can help it's great to have a mix of disciplines and different backgrounds that can help contribute however I recognize that we have – we do our best to make things happen with what we have we collaborated with nursing students in our acute care location and this worked awesome for setup promotion of the activity and as well as engagement we did have a small committee that we divided up some of the tasks to make it more manageable and it's really at this point that you need to understand who is going to support the planning so that you can can determine the scope of the event and delve deeper into such things as location capacity size of the event and timing you then need to decide is this going to be a standalone thing that does not require anybody to monitor it this may be open 24/7 to anybody and everyone or is this going to be just a couple hours and a a or more ongoing a few times in a week whatever you decide you'll need to make sure that you have the manpower for the setup the sustainability for the duration and then again for the takedown next slide so in saying that you you also have to understand that this activity is really about raising awareness of risk factors and engagement for everyone so we decided early on in the acute location to have it open the the more the merrier Park Ridge Center it was geared to staff as a means as here to staff as a mean to engage them in a hands-on type of way so it can be geared to the public as well in the community if you have the means to do so the more that we can get the public to understand the risks of the environment and to recognize their inherent risk factors the better for prevention of all ages next slide please so location is a big consideration it's something that I'm working on and hope to expand in our Saskatoon area because the feedback that we had was so positive logistically things that we need to consider is the use of the space so can people access the area easily in our location last year it was somewhat hidden it was off the beaten path because our choices were somewhat limited so then we needed to consider how are we going to get people there so we had it in a nursing education room and it was far away but it was a perfect spot in regards to space so things when we were considering that was was it a safe location we didn't want to create falls risk by having it too small and we were conscious that if many people came at once we wouldn't be able to accommodate we had to ensure that we were mitigating risk so we had to consider you know the space and clutter could people get by and maneuver easily if they had walk aids that it wasn't in a busy location so there was not too much going on and we also had to ensure that there was things like ample lighting you know that there was an opportunity for doors to be too heavy to close on people because we have had some of those things happen at events previously we also did learn that minimizing the noise level made a big difference for the attendees that were from the public just as well as for interaction um we considered if there was more opportunity for some interaction and that was part of that consideration is could there be some one-on-one time or some affiliate of facilitated time for questions and information and additional learnings and then was there space for resources and displays to be set out this letter group to consider how many can go through at one time do we set it up to be open or people can go through just leisurely or should we have it more focused and facilitated we experienced it both ways and both are effective so it's entirely up to you how you guys want to do it we did get great feedback because of the facilitation piece because it provided opportunity for sharing and stories in long-term in the long-term care home the room was set up and there was question and answer with an answer key and this was perfect – especially when it can't be manned and when you want to have it open for a longer stretch of time so I did like the experience of having a person to sort of set the stage it worked really good for groups I'm going through it one time it provided me an opportunity to point things out when people weren't understanding the clues or the risks we had some engineers go through and one happened to be an engineer whose mother had experienced a fall we had housekeeping we had administrators we had administrative staff we had patients family you name and it was such a broad experience of so many different people and that's really what we had wanted we're now considering other spaces such as PT departments rehab settings maybe a vacate a vacant seniors apartment or a room in a personal care home and if you have access to two furniture a space could be sectioned off in like a community setting such as a mall and you could have outlined some hazards of the room and a home that way so really you just have to be creative next slide please so when we are also thinking about location we were struggling with timing and the things that we needed to consider for that so it really does depend on the location you really want to get more bang for your buck so things to consider is you know is it a day of the week that that things are on so are you competing with anything is it on a weekend or a Monday when maybe staff are gone but it may provide opportunity for more public to attend is there potentially a more busy day of the week or time of day in the area that you might set this up that in the community there were certainly times of days when we recognize that people get out more which for us is typically bitten in the morning and then then people stop coming it starts trickling off in the afternoon so can you do this at a time when there's going to be more people present or perhaps pair it with something different another another activity and have this as an adjunct we wanted to reach staff at a couple times in the day for example shift change in our acute location because we could only get the space for a day in part at Park Ridge Center they had the opportunity to run it over several days so that they could could reach many different shifts which was also a great way to have more people attend next slide please so cost of course setup and cost cost is always a huge issue for us because really I don't have access to additional funds so it had to be really low cost or no cost for us this does take a little bit more creativity and those partners in that collaboration so any kind of promotion that there might be it could cost money and there's also cost of printing if you don't have access I certainly searched out ways to find free advertisement in some of the free papers and on our website I posted the events so really it really did not cost me anything but it was really targeted we used local resources that I did print and I used some of the prints from the tool kit but you can print as much or as little as you need and it really can be kept to a minimum where we did spend a bit of money was on food because everyone loves food I know that Park Ridge had a great idea and they provided ice cream to those staff that completed completed it we provided a fall prevention cake and the students in acute care cut up the fall prevention cake and it was provided in the promotion of how we advertised and made the announcements to engage people to come so many people came on their lunch breaks or coffee breaks and because they knew there was going to be food there another cost that we had was in regards to prizes for participating and so we did get some donations and we provided Tim cards for those that filled out the questionnaire but you can also get some of those donations provided as well so the last thing for cost really is set up of props and what you'll huge used to stage the room we created a list and we used what each of us on the committee had from our work and from our home so really we didn't incur any expense on that but you know it depends what environment that you'll be in next slide please so what you'll need again it will really depend on the scope of your event in the environment and where you plan to do this and what risk factors you really want to highlight yes you don't have something this is this picture I found quite cute from Parker center you know they created a coffee spill so you know that was a pretty creative non costly way to make a risk factor but some other ideas to get you started might consist of we got some empty pill bottles donated from a pharmacy we got some old glasses donated from some of our family members we had walking aids that were you know old sort of broken from some of the old therapy departments we brought slippery sheets we brought floppy carpets there's toys cords improper clothes and proper footwear so in the community you know just to add into that you know some stepping stools and some ladders some corded tools to point out those type of house hazards as well next slide please we took it one step further also in both of our areas and we decided to make it more meaningful by creating a scenario so this is just an example of what we did here you can certainly adapt that to your own area it did add an alum and extra element so for the staff to really have to think about what that person's risk factors are we did provide some of the assessments that they use such as TLR and we did you know add in some extra inherent biological risks just to get people thinking about you know were they wearing hearing aids what kind of medications were they on were they hydrated what was the bed height at you know was their bed rails what kind of clothing and then Park Ridge actually added in an answer key so that they could actually check their answers when they didn't have somebody to facilitate it as I said earlier I was there to be able to sort of give some prompts to get people really thinking next slide so the reason why we did the scenario as well as we really wanted people to understand it's about the person in the environment and we wanted people to tie in the links of how the risk factors interact so you know having a bedside table that's far away from from the bed and having the bed up or having the glasses on the nightstand so that they aren't actually wearing them next slide to you some other suggested ideas in the in the clinical area I just put on here at the end I would love to hear from any of you in regards to additional ideas that you guys may have that we can all build upon this activity for us for this year but yeah like some of them that I had mentioned earlier as a bed at an awkward height you know even the wrong type of mobility equipment for that person brakes not on etc next slide how you would do it in the community setting wood would not be much much much different there certainly are some risk factors that are unique you know using some pet toys this is a picture of my grandma's living room when she was alive and you know she certainly had hazards within her living room such as the scatter rugs and the toys and cords and things that are need to be definitely put at a different level where she could reach them so that you can reduce them getting on those step ladders so again love to hear your ideas for the home setting as well next slide please so this is just an example that I wanted to provide of some of the questions that we did ask on the sheet that people could fill out you really can adapt these questions and use examples for your area that you're working in but it really did provide thoughts and conversation in regards to what people's ideas were so I do feel it's a good idea to have something that you can provide that makes them actual actually think about what they're looking at next slide and I loved this idea so this idea came from Park Ridge Center in a form of engaging their staff is that they created a fall scene investigation CSI like and it really did for people to come and intrigue and getting people to participate so it just puts a fun spin on getting staff and people involved I know that they had had staff from all over the building that attended their events – with some pretty good success so you know be creative and try implementing some of these extras next slide please so another addition that we did in the acute setting is we added to the experience by allowing people to experience different risk factors and we do have this as part of the toolkit so you know it gave people a different lens of experiencing that room so providing them ideas that simulate different risk factors so we provided goggles that could show different eye impairments such as cardiac cataracts diabetic retinopathy and they could see the room from their eyes we also you could also provide like hearing blockers or here bud ear buds with distorted sounds or provide painful feet by putting some rocks in your shoes whatever else that you can come up with and have them you know go through at once with their lens and then try to give them a different experience if time permits just to take it one step further next slide so the other thing that you can add in is just provide you know additional resources it's always great to pair an activity with something else so this was one of the printable displays from fall prevention month last year that was provided on the toolkit and so that was up on the wall you can also do it in display form as well and just have resources and opportunities for people to you know take some things away there is some great activities on the in the tool kit you know word searches word scrambles that you can provide to intrigued people more and understanding risk factors so print a few off if it's feasible and you can add that into your environment next slide peace they're from ocean peace I did talk a little bit we did circulate posters in advance we had them in elevators on units we had them in a newsletter and I did personally circulate to managers and directors at least in you know a Health Region setting but certainly you can promote it you know in your channels we did promote over the intercom and like I said the food thing works we had to provide very clear instructions on how to get to our location in the acute care setting and we did have student Porter's that would provide the cake and literally walk people and guide them to the room since it was out of the way so really it's about a combination of promotion word-of-mouth signage and engaging personally I did email a bunch of people that we were hosting that weren't part of the health regen just to try to add in that we had engagement from the community and patients and families as well because we want to make sure that we have those things as part of the promotion we did promote that we were going to have prizes and so that was one thing that we did that we did do that helps as well I didn't add this in here but I do think it's really important lastly to add that we did do a short evaluation from those that participated and it was interesting because all of the evaluations were very very positive that we should do it again but I did have one response that did that did find I think it would be valuable if I provided more tips on what the general public could do to prevent Falls so yes we showed the risks but we should have added and considered providing some posters or some information on tips so I definitely took that into consideration and we'll certainly try to add something more around that element this year and so now yeah I'm going to open it up and would love to hear from you about your ideas or any suggestions and any questions that you may have but thanks so much for listening thank you so much doc me for your presentation we're opening it right now to all participants I just have any questions you can use the Q&A feature on zoom' it should be in the bottom center of your screen or at the top at the black men bar you should be able to see a option feel free to type in your question there or you can also use the webinar chat box to type your question I will read them aloud and then Daphne or myself can answer their question I'm just gonna go back quickly to our fall prevention Month website because I want to take a look at Daphne's activity on the website so everybody can see what they're actually going to get when they come on here and Daphne I just see a question it's just popped up in the chat how much have the Falls decreased after the campaign where this is statistics before and after so I'm not sure Debra if this is a question for down here for the punishment campaign itself but that unfortunately that information is not possible for us to capture we have annual reports that pretty much report on our activities throughout the campaign so if you navigate under about and click on fall prevention month you'll be able to see it some information about our our mission and vision and sorry it's not actually under regiment it's on previous campaigns so you'll be able to see our annual reports throughout the years and we've highlighted some major accomplishments right underneath if you don't want to read the full report but we we report on different web analytics so the reach of our campaign but in terms of looking at actual Falls because it's a national campaign that's that's not very feasible for us unfortunately I hope that answers your question Deborah if you have if you'd like to elaborate you can feel free to type in the chat box for the Q&A again another question has come into the into the Q&A how are we measuring the effectiveness of these measures that's a really great question on the campaign is pretty young we've only been around for I think this is our fifth year but in terms of the effectiveness we've been trying a couple different things in the past if some of you recall we did have a calendar so we would actually try and report on the actual initiatives and activities that people are doing in in the month of November in and around the month of November to prevent Falls we've also tried to collect qualitative data through focus groups so actually interviewing people who are hosting activities to see exactly what they're doing and what kind of impact they've had within their communities Deborah's elaborate elaborated I think this is for you Daphne have you encouraged specific equipment high-low bed seating devices etc mara can you read it just me to me one more time sorry sure have you encouraged specific equipment and I think she's providing examples when she says high-low beds seating devices um it was much more generic than that and I think that that was one of the feedback that was provided was that we need to provide more in relation to what things we should be using you know we were pointing out in this one the activities that were that were risky Bertha's provided is so that people were aware of the risks we didn't add on you know how to make it better I certainly talked about those things when I facilitated but in order for takeaways for people to take we provided the resources that they could see and feel but we didn't actually take it the one step further and provide a whole bunch of literature on you know styles of bed best equipment to use no we didn't do that also it's very individualized as well so we didn't want me ended up I think we had at the one location we had something like a hundred and forty seven people throughout the day so it was larger than we had first anticipated to sort of be more specific in regards to tools did that answer your question yes I believe so mr. pres thank you so I believe I believe that has Thank You Daphne a Beulah has asked how can you reduce risk of Falls at night among dementia population I think that question yeah yeah no no that's for sure so a few things and I certainly you know don't have all the answers to that but you know you can actually get things like and it would be more specific in regards to the person of course but things like night lights you can get glow tape to guide you know spaces so that people can see I'm not sure what your location is like but it also really does depend on the person and in their environment and what their risk factors would be at night if their sundowning if they have hydration issues or toileting issues so be more specific in regards to the person but we certainly do you know have know that there's perceptual type diff difficulties at night and challenges with lighting and so you need to make sure that people can actually see and and and do that when they do get up at night so I hope that answers your question but I could more specifically talk to you about you know additional risk factors for people if you want to have that conversation offline great Thank You Daphne I just want to ask Helen Gagne who is one of our panelists would she like to speak okay there you go yeah I just did the unmute those you are in the area of Oakville there is a presentation that's happening on the topic of lightning the way to independence using appropriate lights for better sleep activity cycle and falls prevention for individuals living with dementia so we could provide that link after if you are interested in will probably post it on loop as well so it was just in line with that answer Thank You Helena is that only open for Ontario area um so it seems to be a face-to-face situation I don't see a means of recording this event which is unfortunate and and what I'm thinking of at this point if that is the case it might be a person that we want to do a webinar on this very topic absolutely thank you perfect thank you Hellenic you could find the link and send it through the webinar chat to all participants everybody will be able to see it and will be able to access the link will do great we did have another question about fall prevention posters and if those are accessible on the website we are still working to upload all of our promotional materials on the site so if you can see on my page here I've navigated under adults promotional materials and here you'll see the branded media package and if we scroll down here this will have this has a lot of other promotional materials you'll see that there's a postcard that you can use to either print or share digitally in two different sizes the poster is still being finalized so this is our old poster from last year but I'll just show to you as an example so it is um it was available in a word document and it's just a very basic poster that you can edit and you can add your own local resources or statistics about and then it has our fall prevention month website so I hope that answers that question an anonymous question has come in and I believe this one is for you Daphne again side rails are often seen as a restraint and thus eliminated from beds when doing am care turning the patient could put the patient at risk in my opinion it also doesn't allow a patient to be an active participant in their care ie helping them to turn feeling safe when that is elevated from am care etc your thoughts on this broad rule regarding no bed rails um okay well that's not really to do with the topic today however and bedrails is something that's very very individual and I think it's based on that person's assessment there are tools out there that can allow you to understand you know the harm versus the benefit of the rails and it sounds like you've indicated that this person might use those for turning and positioning however there are cases where people go over bed rails get entrapped in bed rails and actually have very harmful incidences from rails themselves so looking at the person and understanding if the rails are harmful or beneficial and in many cases the rails can cause more harm but of course you would want to have them in place if the person actually uses them and requires them and actually has been part of the conversation that wants them many people actually feel cost claustrophobic with rails and it also is very different on the setting so there may be different considerations from an acute care setting versus a long-term care setting for the fact that in acute care people are going through something acutely ill and they may have some sort of acute challenge and a long-term care home it's their home and we need to take those things into consideration as well as what safety measures are in place so if their opportunity to have a very very low bed that the person has a fall match on the floor and in place and could not harm by coming out of the bed so if you want access to the pathway that we use here please message me offline and I will share that with you yeah I see that there's another question on a similar topic about bed rails on the chat box and I would just like to say that these questions as definite as mentioned is not directly related to the topic of this webinar but you are more than welcome to go onto loop because I know we have a number of different discussions that have existed on this topic except precisely and you can also look into our knowledge center to find additional resources if you're looking for some of either research around that topic one thing I would like to navigate to on our website is Daphne's activity that and this is where you can find it and so you'll notice that there is a bit of a description here and I just wanted to show everybody what they would get when they actually download the activity so you'll see that there are instructions it's not as detailed as how Daphne has has explained it for this webinar but we will have the webinar reporting and her slides available on the page on this fall prevention month page as well but it does have some pretty brief instructions so that anybody could print this out read it and implement the activity she has suggested ideas for different settings she's just suggest you can even take pictures we do have some examples here with some of the images that Daphne has shown in her presentation okay there is another question in the Q&A sorry asking if fall prevention posters can be available on the website and we do have some as I mentioned our promotions promotional materials are still in the works however if you are looking to if you are looking to host an event and you would like to create your own poster to put it within your within your setting you can use this build your own event poster so if I click here and if you're working with adults you can click this and this will actually download a word document and once you open it up here you'll see that you're able to edit the document but it does provide a really nice colorful engaging template with the image here and this is where you can actually edit your event name the date time the event location and you can edit everything here you can even put your logo in there so that's just one resource that we have on our website they can help you advertise your activity Francis asked will all resources be information be available in both English and French that's a great question we have select resources that are available in French we do try and translate as much of the promotional materials that we create as we can in French and however so most of the activities are submitted to us by others who have conducted the same activity for fall prevention month so unfortunately due to some funding constraints we can't translate absolutely everything if you are looking for a taxes website in French you can do so here and you will see that the the activities will be it will only show you the ones that are available in French okay so I am being aware the time it is 12:45 right now I wanted to thank Daphne for sharing all of her information about her really great activity and really walking us through step by step in providing everybody with some additional information and you know trying to get creative with how to implement this activity they were really really great some really great ideas that she provided and so I also just wanted to promote some of our future webinars that will be happening next month as well on July 9th we will be hearing from amber chic and Margaret Thomas on safe winter walking and on Thursday July 16th we'll be hearing from a very similar activity geared towards parents and children I will be pasting the where you can register for the webinars in the chat box so you should be able to see that there you can click those links to register if you would like to listen in to those webinars as well I will also be providing the same walkthrough for the website at the start of the webinar so if you have any questions about the the website you can also ask during this webinar is this cool thank you very much to everybody who participated thank you get exactly for presenting and please don't close your browser just yet once this webinar what this webinar is done you'll be redirected to you a zoom page and invited participate in a short survey you'll please click be blue continue button on your browser and you'll be redirected to our brief webinar evaluation survey we always appreciate it if you could provide us feedback so we can continue to offer high quality look webinars like the one you just experienced thank you all and have a wonderful day see you next time

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