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The effect of recreational activities on falls and aggressive behaviour among residents of a dementia care home
- Authors:
- JENNINGS-PARKES Mollie, NYMAN Samuel R.
- Journal article citation:
- Generations Review, 27(1), 2017, pp.19-29.
- Publisher:
- British Society of Gerontology
The aim of this study was to evaluate whether existing provision of recreational activities would reduce the incidence of falls and aggressive behaviour. Over a two-month period, residents of a UK dementia care home were provided with recreational activities on some evenings (activity evenings) and no recreational activities on other evenings (control evenings), as per usual care. Activities provided included music sessions, board games, singing, entertainment and light exercise. Anonymised case reports were retrospectively examined by a researcher to compare the incidence of falls and aggressive behaviour on thirty evenings when recreational activities were provided and thirty evenings when recreational activities were not provided. The findings from the research contradicted previous findings and suggested that there was no effect of providing recreational activities on aggressive behaviour but an increase in the incidence of falls. Possible explanations for the contrast in findings could be because the activities were group-based and not specific to the individual needs of residents. A sub-analysis also suggested that falls may only be increased among those that chose not to engage in the activities provided, meaning that additional care is required for those who disengage from group-based activities. (Edited publisher abstract)
Phenomenology and the meaning of lived experience: anticipating falling
- Authors:
- SHAW J.A., CONNELLY D.M., McWILLIAM C.L.
- Journal article citation:
- Generations Review, 22(2), April 2012, Online only
- Publisher:
- British Society of Gerontology
Individual semi-structured interviews were conducted with nine older adults living independently in the community to explore the meaning of the experience of anticipating falling from a hermeneutic perspective (focusing on interpretation). The findings suggest that maintaining a sense of personal identity is of the utmost importance for older people. Participants in the study found a balance between physical “safety” through efforts to prevent falls and portraying self-image in order to enable themselves to continually strive for quality of life. Service providers need to understand that some risk taking is likely in order to maintain a sense of identity and quality of life. The study aimed to provide insight into the psycho-social considerations that should be considered when delivering fall prevention services to older adults.
Taking control after fall induced hip fracture
- Authors:
- McMILLAN Laura, et al
- Journal article citation:
- Generations Review, 21(2), April 2011, Online only
- Publisher:
- British Society of Gerontology
Semi-structured interviews were carried out with 19 older people aged between 67-89 years who had sustained a fall-induced hip fracture, and had been discharged home. Using grounded theory, a core category of ‘taking control’ emerged. The three stages that people moved through in the process of taking control after hip fracture were: ‘going under’, ‘keeping afloat’ and ‘gaining ground’. Nautical metaphors emphasise the precarious and unstable conditions of life after hip fracture, as well as conceptualising the physical and emotional struggles that people faced in ‘balancing’ help and risk. The study stresses the role that healthcare professionals have in facilitating restoration of control and increasing self efficacy.
Prevention of patient falls in a university hospital
- Author:
- ALSENANY Samira
- Journal article citation:
- Generations Review, 20(2), April 2010, Online only
- Publisher:
- British Society of Gerontology
This study looks at the problem of falls in a University Hospital in Jeddah, Saudi Arabia, based on a review of 104 accident reports over a three-year period (2003-2005). It was designed to uncover factors related to accidents and to use the findings as a basis for reducing the frequency of preventable injuries and accidental falls. All patients studied had an incident report completed by a member of the nursing staff and a physician. To prevent falls, a systematic therapeutic approach to patients who have fallen is necessary, and close attention must be paid to identifying and reducing risk factors for falls among frail older persons who have not yet fallen.