Neurovascular assessment post femoral nerve block: implications on fall prevention

17/06/2013

Source: International Journal of Orthopaedic and Trauma Nursing, 2013, 17(2) p. 99-105

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Date of publication: May 2013

Publication type: Journal article

In a nutshell: Femoral Nerve Blocks have become widely used to reduce pain after joint replacement surgery, and are directly linked to a reduction in drug-related side-effects. However, ineffectual assessment of residual nerve blocks can result in patients falling or having a near miss. The paper re-examines the assessment tool used and recognises potential interventions that might ensure patient safety.

Length of publication: 6 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.

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Gait disorders in Parkinson’s disease: Assessment and Management

16/05/2013

Source: International Journal of Gerontology, online 2013

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Date of publication: April 2013

Publication type: Journal article

In a nutshell: Gait disorder is one of the main features of Parkinson’s disease and is a major cause of morbidity in the elderly. Wireless monitoring systems have recently become good for collecting data over the longer term outside of the laboratory, which means that abnormal gaits can be more easily identified. This aids in indicating advanced stages of disease, which can be a precursor for falls and injuries. Preventions such as assistive devices can prevent falls. A multi-disciplinary team approach is therefore essential when treating elderly people with Parkinson’s.

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.


Exercise interventions for older people living in the community

18/03/2013

Source: British Journal of Sports Medicine, 2013, Online

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Date of publication: January 2013

Publication type: Journal article

In a nutshell: This is an updated version of a Cochrane Systematic Review. The original provided evidence that preventive interventions such as exercise programmes, cataract surgery and psychoactive medicine withdrawal can reduce the rate of falls in older people. This updated version aimed to assess the effects of interventions and focused on comparing these interventions with controls interventions such as usual care and placebos.

Length of publication: 2 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.


Investment to prevent falls

15/02/2013

Source: This is Cornwall

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Date of publication: January 2013

Publication type: Website

In a nutshell: NHS Kernow, the CCG for Cornwall and the Isles of Scilly, is investing money in new programmes for balance and stability control to reduce the risk of falls in those who have spent a long period in hospital. Volunteers are being trained to help people at greater risk of falling to avoid potentially devastating injuries.

Length of publication: 1 page


Map of falls and fracture prevention

17/01/2013

Source: ProFaNE

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Date of publication: December 2012

Publication type: Website

In a nutshell: This is a downloadable PDF that lists all the resources and areas of interest to do with preventing falls and fractures. The map is not complete, and the authors welcome any additional information that can be added to it.

Length of publication: 1 page


Identifying older people at high risk of future falls

14/12/2012

Source: Emergency Medicine Journal

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Date of publication: Online November 2012

Publication type: Journal article

In a nutshell: A simple, two item screening tool has been developed in Australia, measuring people over 70 years old with a history of falls for their physical status, medical and fall history and use of community services. The tool can accurately discriminate between fallers and non-fallers, and could possibly identify high-risk individuals who may benefit from further help after discharge.

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.


Study: trips, not slips, should be focus of falls prevention

06/12/2012

Source: Nursing Times, 19th October 2012

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Date of publication: October 2012

Publication type: Journal article

In a nutshell: Canadian researchers have said that care home staff must be aware of potential hazards in the home environment that older people could catch on and trip over, such as chair and table legs. Slipping accounted for just 3% of falls analysed, whereas trips accounted for a quarter. The majority (41%) came from incorrect weight shifting, where the person’s body weight shifted making their centre of gravity outside their base of support.

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.


Effects of a multifactorial falls prevention program for stroke victims

18/10/2012

Source: Archives of Physical Medicine and Rehabilitation, 2012, 93 (9), p. 1648-1655

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Date of publication: September 2012

Publication type: Journal article

In a nutshell: This trial investigated if a multifactorial falls prevention program would reduce falls in stroke victims, and whether the program would leads to improvements in gait, balance, strength and fall-related efficacy. It found there to be no significant difference in fall rate, and no improvements were found.

Length of publication: 7 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.