Implementing Tai Chi Exercise in Long-Term Care to Reduce Falls

Abstract

Background: Falls are a frequent occurrence in older adults in long-term care facilities. Local Problem: At our long-term care facility, the percentage of patients who fell increased from 45% in 2021 to 68% in 2022, indicating a need for an evidence-based solution. Methods: We used an evidence-based quality improvement framework to pilot a tai chi exercise program. Interventions: Residents were invited to participate in the Tai Ji Quan: Moving for Better Balance program for 12 weeks. Classes were 30 minutes long and included a 5-minute warm-up and 5-minute cooldown. Results: Seventy-five residents participated in the tai chi program. There was a significant 32.3% reduction in falls (P =.001). Residents' fall risk scores decreased 14% (P < .001). Conclusions: Implementing a tai chi exercise project may affect falls and decrease the overall fall risk.