Implementation of the MEDFRAT to decrease falls in community hospital ERs

19/12/2017

Source: Journal of Emergency Nursing, 2017, online

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Date of publication: November 2017

Publication type: Journal article

In a nutshell: This article looked to identify and implement and evidence-based fall-risk assessment tool for use in emergency departments in rural areas. The Memorial Emergency Department Fall-Risk Assessment Tool (MEDFRAT) was programmed into the electronic medical record along with interventions that could be selected for two fall-risk levels. The model was found to be a useful framework in the process of implementing evidence-based changes in a rural population, though ongoing follow-ups will determine if the process results in fewer falls.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

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Evaluation of organisational change to reduce fall and other injuries

19/12/2017

Source: Applied Ergonomics, 2018, Volume 68 p. 42-53

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Date of publication: April 2018

Publication type: Journal article

In a nutshell: Long term care workers are at significant risk for occupation-related injuries. This study sought to evaluate the implementation process of a participatory change programme to reduce risk. Process evaluation revealed idiosyncratic approaches to recruitment and related challenges of reaching staff. Solutions to prioritized hazards were developed and implemented, despite time challenges. The iterative solution development approach was embraced. Program fidelity was considered good despite early program time demands. Post implementation reports revealed sustained hazard identification and solution development.

Length of publication: 11 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


A palliative approach to falls in advanced dementia

19/12/2017

Source: The American Journal of Geriatric Psychiatry, 2017, online

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Date of publication: December 2017

Publication type: Journal article

In a nutshell: Falls are a preventable cause of injury and death in older adults with dementia, and can be a marker of quality of care in long-term care facilities. This clinical review considers the common challenges and pitfalls in both the management of falls and the provision of palliative care in advanced dementia. It concludes that falls in the advanced stage of dementia can be sentinel events indicating the need for a palliative approach to care. Rather than replace falls prevention activities, a palliative approach to falls prompts the selection of dementia stage-appropriate interventions with a focus on symptom management, comfort, and dignity.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow thi slink to find your local NHS Library.


Physical-cognitive training enhances posture during life tasks in older adults

17/10/2017

Source: Experimental Gerontology, 2017, online

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Date of publication: September 2017

Publication type: Journal article

In a nutshell: Physical-cognitive interventions seem promising to improve balance and gait performances and prevent falls in the elderly. Although these beneficial effects, it is still not clear whether these physical-cognitive training modalities leads to more general non-specific adaptations that can be transferred to some measures reflecting every day abilities.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Conceptualizing a dynamic fall risk model including intrinsic risks and exposures

17/10/2017

Source: Journal of the American Medical Directors Association, 2017, Online

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Date of publication: September 2017

Publication type: Journal article

In a nutshell: Falls are a major cause of injury and disability in older people, and can lead to various health and social consequences. Accurately understanding and identifying a person’s fall risk is needed to design and provide individual prevention measures, but current fall-risk models are weak compared to risk models for other specialities. Current models, for example, consider risk factors to be stable over time, not reflecting real-life experience. This study therefore posits a dynamic fall-risk model linking time and context. This may lead to the development of new fall prevention interventions.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Balance and fall risk assessments with mobile phone technology

15/09/2017

Source: Archives of Gerontology and Geriatrics, 2017, online

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Date of publication: August 2017

Publication type: Journal article

In a nutshell: While falls are a major health concern for older adults, preventative measures can help to reduce their incidence and severity; methods for assessing balance and fall risk factors are necessary to implement preventative measures. Mobile applications are being developed to enable seniors, caregivers and clinicians to monitor risks. This systematic review assesses reviews of such apps for their accuracy, reliability and validity. Further research is needed.

Length of publication: 16 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Public Health England publishes resource pack for falls and fracture prevention

15/09/2017

Source: Chartered Society of Physiotherapists

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Date of publication: September 2017

Publication type: News article

In a nutshell: Public Health England has published a resource pack to accompany its falls and fracture consensus statement: supporting commissioning through prevention, published in January; the statement was developed by member organisations of the National Falls Prevention Coordination Group (NFPCG) with Agile, the older people’s physiotherapy network, representing the CSP.

Length of publication: 1 page


Reducing falls can help trusts improve patient experience and reduce costs

17/08/2017

Source: NHS Improvement, 2017

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Date of publication: July 2017

Publication type: Website

In a nutshell: This report from NHS Improvement provides a picture of the scale of inpatient falls and the benefits to the NHS if the rate in hospitals was reduced. It followed the successful completion of their collaboration between 19 trusts to adopt improvement methodologies and creating a learning community to discuss changes. Results include the observation that older patients represent 77% of total falls, but 87% of total costs – reducing this group by around 25-30% could result in annual savings of up to £170m.

Length of publication: 1 page


Development and delivery of an exercise programme for falls prevention

17/08/2017

Source: Physiotherapy, 2017, online

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Date of publication: June 2017

Publication type: Journal article

In a nutshell: This paper describes the development and implementation of an exercise intervention to prevent falls within The Prevention of Fall Injury Trial (PreFIT), which is a large multi-centred randomised controlled trial based in the UK National Health Service (NHS). The exercise programme targets lower limb strength and balance, which are known, modifiable risk factors for falling.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Mid Yorks NHS Trust adopts physio-designed training to prevent falls

17/08/2017

Source: Chartered Society of Physiotherapy, 2017, online

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Date of publication: August 2017

Publication type: News article

In a nutshell: Mid Yorkshire Hospitals NHS Trust has launched falls prevention training for staff which recreates real-life situations in allocated sections of actual wards and clinics.

Length of publication: 1 page


The evolution of a community-wide interprofessional fall prevention partnership

17/07/2017

Source: Journal of Interprofessional Education and Practice, 2017, Vol 8 p. 47-51

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Date of publication: September 2017

Publication type: Journal article

In a nutshell: Despite a focus on interprofessional (IP) approaches to healthcare, many providers, researchers and community programs continue to operate in silos. This is not only inefficient and costly, but also inconducive to knowledge translation. This study aimed to describe how fall prevention was the vehicle for developing a focused community-wide interprofessional partnership. The framework presented may be helpful to other communities/programs focused on developing interprofessional approaches to evidence-based chronic condition management.

Length of publication: 4 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.