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.

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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

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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.


Preoperative Falls Predict Postoperative Falls, Functional Decline, and Surgical Complications

19/10/2016

Source: EBioMedicine, 2016, online

Follow this link for the abstract

Date of publication: August 2016

Publication type: Journal article

In a nutshell: Falls are common and linked to morbidity. This study’s objectives were to characterize postoperative falls, and determine whether preoperative falls independently predicted postoperative falls (primary outcome), functional dependence, quality of life, complications, and readmission. It concluded that falls are common after surgery, and preoperative falls herald postoperative falls and other adverse outcomes. A history of preoperative falls should be routinely ascertained.

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.


Adaptive gait responses to an impending fall during treadmill walking

19/10/2016

Source: Gait and Posture, 2016, online

Follow this link for the abstract

Date of publication: September 2016

Publication type: Journal article

In a nutshell: Humans have been shown to adapt their gait when aware of potential slip risks when walking, though it is unknown if these adaptations also happen on a treadmill. This study sought investigate this possibility. It found that humans do adapt their gait when aware of possible risks compared to normal walking, by taking shorter steps and flattening their feet on impact, as well as repositioning their body centre. This could provide insights into dynamic stability control when individuals anticipate potential slip risk when treadmill walking.

Length of publication: 23 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.


Reducing inpatient falls in a 100% single room elderly care environment: evaluation of the impact of a systematic nurse training programme on falls risk assessment (FRA)

15/09/2016

Source: BMJ Quality Improvement Reports 

Follow this link for the abstract 

Date of publication: 29th July 2016

 Publication type: Journal article

In a nutshell: The aim of the project is to reduce the incidence of IF and associated adverse clinical outcomes in a hospital with 100% single rooms.

 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.

 


Falls risk assessment in older patients in hospital

15/09/2016

Source: Nursing Standard 

Follow this link for the abstract 

Date of publication: July 2016 Vol. 30 Iss. 48 pps. 53-63

 Publication type: Journal article

In a nutshell: Falls are the most frequent adverse event reported in hospitals, usually affecting older patients. All hospitals in NHS organisations develop risk prevention policies that include falls risk assessment. Falls risk assessment involves the use of risk screening tools, aimed at identifying patients at increased risk of falls, and risk assessment tools, which identify a patient’s risk factors for falls. Various risk screening tools have been used in clinical practice, but no single tool is able to identify all patients at risk of falls or to accurately exclude all those who are not at risk of falls. Guidelines recommend that patients aged 65 years and over who are admitted to hospital should be considered at high risk of falls and that a multifactorial falls risk assessment should be performed. Therefore, falls risk assessment tools should be used to identify the risk factors for each inpatient aged 65 years or over, in order to determine the most appropriate care plan for falls prevention and to maximise patient mobility and independence.

 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.

 


The characteristics of walking strategy in elderly patients with diabetes

21/06/2016

Source: International Journal of Nursing Sciences, 2016, online

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Date of publication: May 2016

Publication type: Journal article

In a nutshell: This study explored the walking strategy by monitoring the characteristics of centre of pressure (COP) of gait in the elderly with type2 diabetes. It puts forward the walking strategy according to the abnormal COP trajectory. Since elderly people with diabetes have a high risk of falling, the rehabilitation nursing should be strengthened to include the training of enhancing proprioception to prevent these patients with type 2 diabetes from falling.

Length of publication: 1 page

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


Developing predictive models for fear of falling from posturography parameters

21/06/2016

Source: International Journal of Industrial Ergonomics, 2016, Vol 54 p. 131-138

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Date of Publication: July 2016

Publication type:Journal article

In a nutshell: Falls pose an important problem for older adults. Balance training is one of the main prevention strategies, but there is a lack of objective measurement methods that would allow the effectiveness of the treatments employed to be assessed. This study aimed to analyse the relationship between posturographic parameters and risk factors associated with falling, including the fear of falling (FoF). Posturography can be used as an assessment tool to analyse the effects of those treatments aimed at preventing falls.

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.


Prevention of falls in older people living in the community

23/05/2016

Source: The BMJ

Follow this link for the abstract 

Date of publication: 28 April 2016

Publication type: Journal article

In a nutshell: This review integrates current knowledge on assessment and management strategies to prevent falls in older people living in the community, and summarizes known risk factors for falls in this population and presents assessment strategies that can be used to assess the risk of falls. It discusses the management of risks and interventions to reduce falls among older people in the community, as well as future directions and promising approaches.

Length of publication: 13 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.

 

 


Serious investigation launched after patient dies after falling at Colchester General Hospital

14/03/2016

Source: Clacton Gazette

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Date of publication: 24th February 2016

Publication type: News article

In a nutshell: An investigation is being launched at Colchester Hospital after the death of an elderly patient. It is understood that the patient had not received a falls risk assessment after being admitted to hospital.

Length of publication: One page