Home modification to reduce falls at a health district level: modeling health gain, health inequalities and health costs

17/10/2017

Source: PLOSOne

Follow this link for the abstract

Date of publication: 14th September 2017

Publication type: Journal article

In a nutshell: There is some evidence that home safety assessment and modification (HSAM) is effective in reducing falls in older people. But there are various knowledge gaps, including around cost-effectiveness and also the impacts at a health district-level.

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.

 

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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.


Self-powered fall detection system using pressure sensing triboelectric nanogenerators

17/10/2017

Source: Nano Energy, 2017, Vol. 41 p. 139-147

Follow this link for the abstract

Date of publication: November 2017

Publication type: Journal article

In a nutshell: Fall detection is becoming more important as the number of older people in society increases. People may fall at home where there is little timely help available, and falls themselves can cause injuries. Most fall detection technologies are inconvenient to wear, and visual or movement-based ones can be expensive and difficult to install. This study proposes a falls-detection system based on a pressure-sensing triboelectric nanogenerator array, which is cost-effective and ambient-based. It achieves a classification accuracy of 95.75% in identifying actual falls, and can be immediately installed due to low costs.

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.


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.


Public Health England publishes resource pack for falls and fracture prevention

15/09/2017

Source: Chartered Society of Physiotherapists

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Date of publication: September 2017

Publication type: News article

In a nutshell: Public Health England has published a resource pack to accompany its falls and fracture consensus statement: supporting commissioning through prevention, published in January; the statement was developed by member organisations of the National Falls Prevention Coordination Group (NFPCG) with Agile, the older people’s physiotherapy network, representing the CSP.

Length of publication: 1 page


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

Follow this link for the abstract

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.


Effects of an ICT-based fall-prevention system in community-dwelling older adults

16/06/2017

Source: International Journal of Human-Computer Studies, 2017, Vol 106 p. 10-25

Follow this link for the abstract

Date of publication: October 2017

Publication type: Journal article

In a nutshell: A sedentary lifestyle and low levels of physical activity are major factors in fall risk for older adults. ICT-based interventions could possibly counteract the risk for this group, as studies show that such interventions significantly reduce it. However, this population is heterogeneous, and several factors (such as gender, age, fitness and others) may influence the use of these systems. This study analyses the iStoppFalls system, testing effectiveness and usage indicators, among other things.

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.


Falls and fractures: consensus statement

17/03/2017

Source: Government website, 2017

Follow this link for the document

Date of publication: January 2017

Publication type: Guidance

In a nutshell: Public Health England have published new guidance on falls and fractures around supporting commissioning for prevention. It outlines approaches to interventions and activities helping to prevent falls and fractures to improve health outcomes for older people


The degree of misjudgment between perceived and actual gait ability

19/12/2016

Source: Gait & posture, 2017, Vol 51 p. 275-280

Follow this link for the abstract

Date of publication: January 2017

Publication type: Journal article

In a nutshell: Carrying out motor tasks successfully means a person’s perception of their physical abilities must be integrated with a perception of the task itself. Geriatric decline in physical and cognitive abilities may lead to misjudgements and possibly errors leading to loss of balance. This study aimed to quantify how much older adults misjudge their actual gait ability. Better abilities did not appear to be associated with better judgement – in fact, a range of misjudgements showed. This could provide insight into the interplay between cognition and physical abilities, and add value towards fall prevention and promotion of healthy ageing.

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.


Alzheimer’s Disease Increases Fall-related Bone Fracture Hospitalization in Elderly Chinese

17/11/2016

Source: International Journal of Gerontology, 2016, online

Follow this link for the abstract

Date of publication: October 2016

Publicati0n type: Journal article

In a nutshell: Fall and fracture risks are higher for older adults with Alzheimer’s disease (AD) than for older adults without dementia. This study investigated AD relating to hospitalization due to fall-related bone fracture in elderly Chinese patients. The proportion of patients in the AD group hospitalized because of fall-related bone fracture was significantly higher than in the control group. AD may increase the incidence of hospitalization due to falls and bone fracture. Our findings suggest that preventing falls in AD patients may reduce the number of hospitalized AD patients.

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.


Reducing older people’s falls in the general practice ProAct65+ trial

15/08/2016

Source: Archives of Gerontology and Geriatrics, 2016, Volume 67 p. 46-54

Follow this link for the abstract

Date of publication: November-December 2016

Publication type: Journal article

In a nutshell: Falls are common in older people in the UK and NHS costs associated with these falls are high. Systematic reviews suggest that home exercise and group-based interventions focusing on progressively challenging balance and increasing strength, can reduce up to 42% of falls in those with a history. ProAct65+ was a large RCT which investigated the effectiveness of a home exercise programme and a group-based exercise programme compared to usual care. Home exercise appeared less effective than group exercise, but the latter also became less effective after 24 months if the exercise did not continue.

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.


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.


A comprehensive fracture prevention strategy in older adults

21/06/2016

Source: European Geriatric Medicine, 2016, online

Follow this link for the abstract

Date of publication: May 2016

Publiaction type: Journal article

In a nutshell: Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest group on falls and fracture prevention of the European union geriatric medicine society (EUGMS), outlines its views on the main points in the current debate in relation to the primary and secondary prevention of falls, the diagnosis and treatment of bone fragility, and the place of combined falls and fracture liaison services for fracture prevention in older people.

Length of publication: 1 page

Somwe 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 predictive models for fear of falling from posturography parameters

21/06/2016

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

Follow this link for the abstract

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.