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

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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

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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


Perceptions of urban Australian general practitioners about falls risk screening, falls risk assessment, and referral practices for falls prevention: An exploratory cross sectional survey study

14/03/2016

Source: Australian Health Review

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Date of publication: 9th February 2016

Publication type: Journal article

In a nutshell: The aim of this study was to explore the perceptions of Australian GPs about falls risk screening, assessment and their referral practices with older people living in the community, and to identify any barriers or facilitators to implementing evidence-based falls prevention practice.

Length of publication: unknown

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.

 

 


Fall risk assessment: retrospective analysis of Morse Fall Scale scores

14/03/2016

Source: Applied Nursing Research, 2016, Vol 31 p. 34-40

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Date of publication: August 2016

Publication type: Journal article

In a nutshell: The Morse Fall Scale is used in several care settings for fall risk assessment and supports the implementation of preventive nursing interventions. This study aims to analyse its scores to compare patient characteristics, diagnoses and lengths of stay, looking at elderly female patients in Portugal. There were no statistical differences in Morse Fall Scale score between the first and the last assessment.

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.


Muscle weakness is related to slip-initiated falls among community-dwelling older adults

18/01/2016

Source: Journal of Biomechanics, 2015, online

Follow this link for the abstract

Date of publication: December 2015

Publication type: Journal article

In a nutshell: The purpose of this study was twofold: firstly to investigate the relationship between muscle weakness and slip-related falls among community-dwelling older adults, and secondly to determine optimal cut-off values with respect to the knee strength capacity which can be used to identify individuals at high risk of falls. Muscle strength was tested on the right knee, and then volunteers were moved to a treadmill where a slip was induced after five minutes of walking while using a harness. Results suggested that muscle weakness contributes to falls initiated by a slip during gait.

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.


Strength or power, which is more important to prevent slip-related falls?

15/10/2015

Source: Human Movement Science, 2015, Vol 44  p. 192-200

Follow this link for the abstract

Date of publication: December 2015

Publication type: Journal article

In a nutshell: Both muscle strength and muscle power have been related to falls in older adults, and this study aimed to identify which is more important in preventing slip-related falls. Younger adults were chosen to participate in the study. Findings suggested that power could be more closely related to a slip fall. The findings could be used to provide guidance to identify individuals at increased risk of falling and design effective prevention training paradigms aimed at maximising muscle power among older adults and those with disabilities.

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.