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.


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.


Knowledge, behavioural practices, and experiences of outdoor fallers: implications for prevention programs

16/06/2017

Source: Archives of Gerontology and Geriatrics, 2017, Vol 72 p. 19-24

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Date of publication: September-October 2017

Publication type: Journal article

In a nutshell: Falls prevention has been well-studied, but the focus is usually on indoor falls rather than outdoor. Older adults’ knowledge of outdoor risk factors and fall prevention practices have not been examined. This study sought to fill that gap and inform the development of a prevention program by exploring experiences of older adults.

Length of publication: 5 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.


Long-term effectiveness of a multifactorial program in Bavarian nursing homes

16/06/2017

Source: Journal of the American Medical Directors Association, 2017, Vol 18, no 6, p. 552.e7-552.e17

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Date of publication: June 2017

Publication type: Journal article

In a nutshell: Femoral fractures are frequently consequences of falls in nursing homes and are associated with considerable costs and unfavorable outcomes such as immobility and mortality. The purpose of this study was to examine the long-term effectiveness of a multifactorial fall and fracture prevention program in nursing homes in terms of reducing femoral fractures.

Length of publication: 10 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.


Parkinsonian signs are a risk factor for falls

17/05/2017

Source: Gait & Posture, 2017 p. 1-5

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Date of publication: June 2017

Publication type: Journal article

In a nutshell: This cohort study looked at how likely people with Parkinson’s disease were to fall compared to those without, as Parkinsonian symptoms are common in older adults and are associated with increased rates of dementia and mortality. Even adjusting for age, cognitive function and co-morbidities, those with signs were still 38% more likely to fall than those without, and those falls were also more likely to lead to injury. Parkinsonian signs are a significant and independent risk factor for falls, and early detection is essential to implement fall prevention programmes.

Length of publication: 5 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.


Effects of vibration training in reducing risk of slip-related falls among young adults with obesity

17/05/2017

Source: Journal of Biomechanics, 2017, online

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Date of publication: April 2017

Publication type: Journal article

In a nutshell: This study examined the effects of controlled whole-body vibration training on reducing risk of slip-related falls in obese people. Twenty-three young adults with obesity were randomly assigned into either the vibration or placebo group. Both groups were also exposed to a standardized slip induced by a treadmill during gait prior to and following the training. Dynamic stability and fall incidences responding to the slip were also assessed. The results indicated that vibration training significantly increased the muscle strength and improved dynamic stability control at recovery touchdown after the slip occurrence. Vibration-based training could be a promising alternative or additional modality to active exercise-based fall prevention programs for people with obesity.

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.


Acceptability of the 6-PACK falls prevention program: a pre-implementation study in hospitals participating in a cluster randomized controlled trial

17/03/2017

Source: PLOS One

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Date of publication: 15 February 2017

 Publication type:

In a nutshell: There is limited evidence to support the effectiveness of falls prevention interventions in the acute hospital setting. The 6-PACK falls prevention program includes a fall-risk tool; ‘falls alert’ signs; supervision of patients in the bathroom; ensuring patients’ walking aids are within reach; toileting regimes; low-low beds; and bed/chair alarms. This study explored the acceptability of the 6-PACK program from the perspective of nurses and senior staff prior to its implementation in a randomised controlled trial.

 Length of publication: 15 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.

 


An occupational therapy fall reduction home visit program for community-dwelling older adults in Hong Kong after an emergency department visit for a fall

19/12/2016

Source: Journal of the American Geriatrics Society

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Date of publication: 17 November 2016

Publication type: Journal article

In a nutshell: The purpose of this article is to investigate the effects of an occupational therapy fall reduction home visit program for older adults admitted to the emergency department (ED) for fall and discharged directly home.

 Length of publication: 9 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.

 


Predictive Factors for Inpatient Falls among Children with Cerebral Palsy

19/10/2016

Source: Journal of Pediatric Nursing, 2016, online

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Date of publication: September 2016

Publication type: Journal article

In a nutshell: Inpatient falls are of significant concern. The aim of this prospective study was to determine the predictors of inpatient falls among children with cerebral palsy in a rehabilitation hospital. A total of 93 patients with cerebral palsy were assessed based on a variety of tests. The study found that children with cerebral palsy may experience inpatient falls, but further studies are required in order to develop prevention programs. For patients diagnosed with cerebral palsy, these results may help identify possible inpatient fallers on hospital admission.

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.


Predictive factors for inpatient falls among children with cerebral palsy

19/10/2016

Source: Journal of Pediatric Nursing, 2016, online

Follow this link for the abstract

Date of publication: September 2016

Publication type: Journal article

In a nutshell: This prospective study looked into the predictors of inpatient falls among children with cerebral palsy in a rehabilitation hospital. It found that behavioural problems (according to the mother’s statement), inability to maintain a long sitting position, ability to balance unsupported on knees, a history of frequent falls and a negative Thomas test were likely to increase the risk of falls. These results may help identify possible inpatient fallers on hospital admission, though further studies are required to develop prevention programmes.

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.


Implementing exercise programs to prevent falls: systematic descriptive review

15/08/2016

Source: Injury Epidemiology

Follow this link for the abstract

Date of publication: July 2016 Vol. 3 Iss. 16

Publication type: Journal article

In a nutshell: The United States Preventive Services Task Force recommends exercise to prevent falls in community-dwelling adults aged ≥ 65 years at increased fall risk. However, little is known about how best to implement exercise programs in routine care when a patient’s need for exercise is identified within the healthcare system.

Length of publication: 18 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.

 


CSP members urged to make their mark on falls prevention initiative

15/08/2016

Source: Chartered Society of Physiotherapy

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Date of publication: 28th July 2016

 Publication type: News item

In a nutshell: The Royal Society for the Prevention of Accidents (RoSPA) will name 10 local authority teams in early September that it will work with on falls prevention.

 Length of publication: One page


Falls prevention team wins HSJ award

25/07/2016

Source: Chartered Society of Physiotherapy

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Date of publication: 27th June 2016

Publication type: News article

In a nutshell: A physiotherapy-led falls prevention team in South London has won an award for a project that helps older people to stay fit and remain in their own homes.

Length of publication: One page