Discussion of fall prevention approaches with older adult patients

05/03/2018

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

Follow this link for the abstract

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.

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Implementation of the MEDFRAT to decrease falls in community hospital ERs

19/12/2017

Source: Journal of Emergency Nursing, 2017, online

Follow this link for the abstract

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

Follow this link for the abstract

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.


Conceptualizing a dynamic fall risk model including intrinsic risks and exposures

17/10/2017

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

Follow this link for the abstract

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.


Strategies to prevent falls and injuries among older adults

15/09/2017

Source: Nursing Clinics of North America, 2017, Volume 52 no 3 p. 489-497

Follow this link for the abstract

Date of publication: September 2017

Publication type: Journal article

In a nutshell: Falls in older adults are the leading cause of injuries, and community-dwelling older adults should have an annual fall risk screening/assessment. This article looks at both clinical and community-based strategies from several different evidence-based programs to raise awareness in older adults in the community about falls, about increasing strength and balance, and to address the fear of falling.

Length of publication: 8 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.


Balance and fall risk assessments with mobile phone technology

15/09/2017

Source: Archives of Gerontology and Geriatrics, 2017, online

Follow this link for the abstract

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.


Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety)

14/07/2017

Source: The Joint Commission Journal on Quality and Patient Safety, 2017, online

Follow this link for the abstract

Date of publication: June 2017

Publication type: Journal article

In a nutshell: Patient falls during an acute hospitalization cause injury, reduced mobility, and increased costs. The laminated paper Fall TIPS Toolkit (Fall TIPS) provides clinical decision support at the bedside by linking each patient’s fall risk assessment with evidence-based interventions. Strategies were needed to integrate this evidence into clinical practice.

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.


An integrative review of pediatric fall risk assessment tools

18/04/2017

Source: Journal of Pediatric Nursing, 2017, online

Follow this link for the abstract

Date of publication: March 2017

Publication type: Journal article

In a nutshell: Patient fall prevention begins with accurate risk assessment. However, sustained improvements in prevention and quality of care include use of validated fall risk assessment tools (FRATs) to identify patients at highest risk. Adult FRATs are often used to create tools for pediatric patients. However, adult FRATs do not adequately assess risk in children, and pediatric FRATs have not been found to be reliable and valid across institutions and diverse populations. This review highlights the importance of choosing a FRAT based on an institution’s identified risk factors and validating the tool for one’s own patient population.

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.


A CPD article improved Rose Gallacher’s knowledge of falls risk assessment tools for older

17/03/2017

Source: Nursing Standard

Follow this link for the abstract

Date of publication: February 2017 vol. 31 iss. 26

 Publication type: Journal article 

In a nutshell: A CPD article improved Rose Gallacher’s (who is a staff nurse at the Royal Alexandra Hospital, Paisley) knowledge of falls risk assessment tools for older patients.

 Length of publication: One 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.