How to reduce falls: essential reading

17/05/2017

Source: Nursing Times

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Date of publication: 4th April 2017

 Publication type: Editorial 

In a nutshell: One in two women and one in five men over the age of 50 experience fractures, mostly as a result of low bone density.

 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.

 


Slow processing speed predicts falls in older adults with a falls history: 1-year prospective cohort study

17/05/2017

Source: Journal of the American Geriatrics Society 

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Date of publication: 8 April 2017

 Publication type: Journal article

In a nutshell: A previous fall is a strong predictor of future falls. Recent epidemiologic data suggest that deficits in processing speed predict future injurious falls. Our primary objective was to determine a parsimonious predictive model of future falls among older adults who experienced ≥1 fall in the past 12 months based on the following categories: counts of (1) total, (2) indoor, (3) outdoor or (4) non-injurious falls; (5) one mild or severe injury fall (yes vs no); (6) an injurious instead of a non-injurious fall; and (7) an outdoor instead of an indoor fall.

 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.

 


A hierarchical model for recognizing alarming states in a batteryless sensor alarm intervention for preventing falls in older people

17/05/2017

Source: Pervasive and Mobile Computing

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Date of publication: 10th April 2017

 Publication type: Journal article

In a nutshell: Falls are common among older people, especially in hospitals and nursing homes. The combination of pervasive sensing and statistical learning methods is creating new possibilities for automatic monitoring of activities of hospitalized older people to provide targeted and timely supervision by clinical staff to reduce falls. In this paper we introduce a hierarchical conditional random fields model to predict alarming states (being out of the bed or chair) from a passive wearable embodiment of a sensor worn over garment to provide an intervention mechanism to reduce falls. Our approach predicts alarm states in real time and avoids the use of empirically determined heuristics methods alone or in combination with machine learning based models, or multiple cascaded classifiers for generating alarms from activity prediction streams. Instead, the proposed hierarchical approach predicts alarms based on learned relationships between alarms, sensor information and predicted low-level activities. We evaluate the performance of the approach with 14 healthy older people and 26 hospitalized older patients and demonstrate similar or better performance than machine learning based approaches combined with heuristics based methods.

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.

 


Depressive symptomatology and fall risk among community-dwelling older adults

18/04/2017

Source: Social Science & Medicine, 2017, Vol 178 p. 206-213

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Date of publication: April 2017

Publication type: Journal article

In a nutshell: Falls are common among older adults and may be related to depressive symptoms (DS). With advancing age, there is an onset of chronic conditions, sensory impairments, and activity limitations that are associated with falls and with depressive disorders. Prior cross-sectional studies have observed significant associations between DS and subsequent falls as well as between fractures and subsequent clinical depression and DS. Using sophisticated methods and a large U.S. sample, this study found larger magnitudes of effect in the DS-falls relationship than in prior studies—highlighting the risk of falls for older adults with DS.

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.


Preventing falls in hospital

21/02/2017

Source: Nursing Standard

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Date of publication: 4 January 2017 vol. 31 iss. 19

 Publication type: Journal article

In a nutshell: Falls are the most frequent adverse event reported in hospitals, usually affecting older patients. Every year, more than 240,000 falls are reported in acute hospitals and mental health trusts in England and Wales, equivalent to more than 600 per day, according to the Royal College of Physicians (RCP). But research shows that when nurses, doctors and therapists work together, falls can be reduced by 20-30%.

 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.

 


Relationship between falls and complementary and alternative medicine use among community-dwelling older adults

27/01/2017

Source: The Journal of Alternative and Complementary Medicine

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Date of publication: 14 December 2016

 Publication type: Journal article

In a nutshell: The objective of this study was to examine the potential relationship between different forms of complementary and alternative medicine (CAM) use and falls among older adults in New York City.

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 in older adults

19/12/2016

Source: Medicine 

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Date of publication: 24th November 2016

 Publication type: Journal article

In a nutshell: This article is a concise reference that reviews the most recent evidence and covers the medical competencies on falls outlined in the Curriculum for General Internal Medicine (Acute) of the Federation of Royal Colleges of Physicians of the UK.

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.

 


Timed Up and Go predicts functional decline in older patients presenting to the emergency department following minor trauma

17/11/2016

Source: Age and Ageing

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Date of publication: October 19, 2016

 Publication type: Journal article

In a nutshell: This article aims to evaluate the relationship between the Timed Up and Go (TUG) and frailty, functional decline and falls in community dwelling elders that present to the ED following minor trauma.

 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.

 


Body mass index, falls, and injurious falls among U.S. adults

19/10/2016

Source: Preventive Medicine, 2016, Vol 91 p. 217-223

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Date of publication: October 2016

Publication type: Journal article

In a nutshell: Falls are an important health concern because they are associated with loss of independence and disability, particularly among women. This study determined the age- and sex-specific prevalence of injurious falls among adults in the United States and examined the impact of obesity on fall risk. Not only are mid-life women at high risk for falls, but the class II/III obesity is a risk factor for injurious falls. Targeting mid-life women for fall and injury prevention is an important aim for practitioners, particularly given unique correlates of falling for this group.

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.


Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls

21/06/2016

Source: Journal of Health Services Research and Policy

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Date of publication: 2016, Vol. 21(3) pps. 147–155

Publication type: Journal article

In a nutshell: A wide range of patient benefits have been attributed to single room hospital accommodation including a reduction in adverse patient safety events. However, studies have been limited to the US with limited evidence from elsewhere. The aim of this study was to assess the impact on safety outcomes of the move to a newly built all single room acute hospital.

 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.

 

 


Poor vision and dangerous falls plague many U.S. seniors

23/05/2016

Source: HealthDay

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Date of publication: 5th May 2016

Publication type: News item

In a nutshell: A study in America reveals that seniors with vision impairment are at a greater risk of falls.

Length of publication: One page


Development of an implementation plan for the 6-PACK falls prevention programme as part of a randomised controlled trial: protocol for a series of preimplementation studies

14/03/2016

Source: Injury Prevention

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Date of publication: 1 March 2016

Publication type: Journal article

In a nutshell: This paper describes the protocol for the preimplementation studies that aimed to identify moderators of the effective use of the 6-PACK programme to inform the development of an implementation plan to be applied in the RCT.

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.

 


Older adult falls seen by emergency medical service providers: a prevention opportunity

16/02/2016

Source: American Journal of Preventive Medicine 

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Date of publication: 4 February 2016

Publication type: Journal article 

In a nutshell: A study to determine where falls occurred and the circumstances under which patients were transported by EMS, and to identify future fall prevention opportunities.

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.

 

 


Developing networks between residential aged care facilities as a result of engagement in a falls prevention project: an action research study

18/01/2016

Source: Contemporary Nurse

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Date of publication: 18 December 2015

Publication type: Journal article

In a nutshell: This article explores outcomes associated with network formation between two residential aged care facilities as part of an action research approach to reducing falls.

Length of publication: 29 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.