HEALTH ADVANCEMENT AND PROMOTION Name of the Student Name: An Author's Note

Running head: HEALTH ADVANCEMENT AND PROMOTION
HEALTH ADVANCEMENT AND PROMOTION
Name of the Student
Name of the university
Author’s note

HEALTH ADVANCEMENT AND PROMOTION1
Table of Contents
Background, Brief Literature and rationale:....................................................................................2
Statement of need............................................................................................................................4
Aims and Objectives:.......................................................................................................................5
Study method...................................................................................................................................6
Sample size and power....................................................................................................................6
Sampling method.............................................................................................................................7
Interventions....................................................................................................................................7
Ethical approval...............................................................................................................................8
Data analysis....................................................................................................................................9
Action plan and the program description.........................................................................................9
Yoga program and duration.......................................................................................................10
Anticipated outcomes and significances........................................................................................11
Strategies to Evaluate Outcomes...................................................................................................12
Proposed Timeline:........................................................................................................................13
Proposed Budget and Justification of the Budget:.........................................................................14
Future implication of Yoga –based intervention program.............................................................14
Staff and the organizational information.......................................................................................15
References......................................................................................................................................16

HEALTH ADVANCEMENT AND PROMOTION2
Yoga based interventions- improving balances of the elderly people in a residential care
unit
Background, Brief Literature and rationale:
Fall related injuries are one of the most significant contributors towards morbidity and
mortality among the elderly. According to Alshammari et al. (2018) fall related injuries are the
second biggest cause of accidental deaths after road accidents. The risks of falling have been
found to be higher among elderly people with problematic gait and balance. Studies have shown
that elderly patients who have poor gait and balance caused due to musculoskeletal disorders,
arthritis, reduction of lower body strength, muscular atrophy, obesity as well as mental health
problems such as dementia, Multiple/Lateral Sclerosis, Parkinson’s disease and Alzheimer’s.
According to the World Health Organization, every year approximately 646,000 people
die every year due to accidental fall related injuries, a majority of whom are elderly people, and
the risks of falls are highest among adults above 65 years of age (who.int, 2018). According to
the Australian Institute of health and Welfare, more than 1000 elderly people (above 65 years
age) die every year in Australia due to fall related injuries and is the cause of 45,000
hospitalizations, representing 54% of all injury related hospitalizations in the country. The
statistics also show that elderly people above the age of 85 years have 40 times the risk of fall
related injuries compared to individuals between 65 to 69 years of age. Moreover, 48% of the fall
related accidents occur at homes and residential setups (aihw.gov.au, 2018). It has been
suggested by many authors that increase in the risks of falling and fall related injuries is
correlated with a reduction in the muscular tone, strength and fitness among the elderly and a
corresponding physical inactivity. Inactivity also leads to muscular degeneration which can
further affect the movement of the people. Moreover due to musculoskeletal disorders and

HEALTH ADVANCEMENT AND PROMOTION3
arthritis, the elderly people might experience painful joints that can significantly inhibit their
movement. Another factor that can also increase the risks of injuries such as fractures due to
accidental falls is osteoporosis which can generally occurs among elderly people and affects their
bone density thereby making them more brittle and prone to breakage. Falls among the elderly
has been related to a reduction in the quality of life and functionality and can impair the ability of
the elderly patients to conduct their activities of daily living, all of which can increase the risks
of depressive symptoms and mental health problems. It can also be added that these fall related
injuries resulted in the expenditure of AUD 498.2 million in Australia (as of 2001) and is
estimated to increase to AUD 1375 million by 2051. This shows how fall related injuries are a
significant stressor on the health and wellbeing of the elderly people as well as lead to a
significant financial burden on both the patients as well as Australian healthcare
(safetyandquality.gov.au, 2009).
According to the Australian Commission on Safety and Quality of care, the main reasons
for fall among the elderly includes postural instability and muscular weakness due to which it is
important to improve the gait and balance of the elderly to reduce the risks of falling
(safetyandquality.gov.au, 2009). Several studies show that interventions such as yoga can
improve the functional gait and balance among the elderly. Studies by Phillips et al. (2016) show
that an eight week yoga session can significantly improve the functional gait of elderly residents
and their health related quality of life. This has also been supported by Youkhana et al. (2015)
who proposed that exercise routines based on yoga can improve the balance and mobility among
individuals over the age of 60 years and thus help in the reduction in the risks of falls among
them. According to the authors, yoga can help to improve muscle strength and joint flexibility
which helps in the improvement of balance and mobility and prevent several co morbidities