Discussion of fall prevention approaches with older adult patients

05/03/2018

Source: Preventive Medicine Reports, 2018, Vol 9 p. 149-152

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Date of publication: March 2018

Publication type: Journal article

In a nutshell: Falls are the leading cause of fatal and non-fatal injuries among older adults. The American and British Geriatric Societies recommend a fall risk assessment to identify risk factors and guide interventions to prevent these falls. This study describes the self-reported discussion of fall prevention approaches used by primary care providers (PCPs) who treat older adults. Self-reported discussion of any fall prevention approaches was 89.3%. Controlling for provider and practice characteristics, there were significant differences by provider type. Fall prevention suggestions vary by type of PCP. Dissemination of geriatric guidelines should include all PCPs who routinely see older adults.

Length of publication: 3 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.


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.


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