Search results for ‘Subject term:"falls"’ Sort:
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Utilization of the seniors falls investigation methodology to identify system-wide causes of falls in community-dwelling seniors
- Authors:
- ZECEVIC Aleksandra A., et al
- Journal article citation:
- Gerontologist, 49(5), October 2009, pp.685-696.
- Publisher:
- Oxford University Press
The aim of this study was to look at safety deficiencies found during fifteen investigations of falls among older people living in a naturally occurring retirement community in Ontario. Rather than viewing each case study from the more traditional person-centred perspective, a six step systems approach, the Senior Falls Investigation Methodology (SFIM), adapted from a technique commonly used for industrial or transportation accidents, was developed by the authors to identify common patterns of safety deficiencies and causes. The falls were found to be the result of latently unsafe conditions, decisions and actions over a diverse set off circumstances, which if not identified and removed could cause falls for other older people in the future. Compelling evidence was generated that causes of falling
Bedrails, falls and injury: evidence or opinion? A review of their use and effects
- Author:
- HEALY Frances
- Journal article citation:
- Nursing Times, 7.7.09, 2009, pp.20-24.
- Publisher:
- Nursing Times
This article examines the evidence on the effect of bedrails on falls and injury, based on a recent systematic literature review. It also discusses why so many opinion pieces on bedrails adopt an extremely negative perspective. Patients' opinions on bedrails, ethical considerations and implications for practice are also explored.
A systematic review of the effectiveness of Tai Chi on fall reduction among the elderly
- Authors:
- LOW Serena, et al
- Journal article citation:
- Archives of Gerontology and Geriatrics, 48(3), May 2009, pp.325-331.
- Publisher:
- Elsevier
The seven randomised controlled trials in this review indicate that Tai Chi has the potential to reduce falls, or the risk of falls, among the elderly provided that they are relatively young and are not classed as frail. The searches, although not limited by language, did not reveal any non-English studies although the authors are aware from an earlier review that such studies are likely
Falls and catastrophic thoughts about falls predict mobility restriction in community-dwelling older people: a structural equation modelling approach
- Authors:
- DELBAERE Kim, et al
- Journal article citation:
- Aging and Mental Health, 13(4), July 2009, pp.587-592.
- Publisher:
- Taylor and Francis
How and when concerns about falls emerge is not yet completely known, because these concerns are present in both people with and without a falls history. The aim of this study was to investigate the role of catastrophic beliefs about falls and previous falls in the development of concerns about falls and resulting mobility restrictions (MR). Within a cross-sectional design, 896 older people living independently in the community in the Netherlands completed a battery of questionnaires. Self-report data was gathered on previous falls, catastrophic beliefs about consequences of a fall (Catastrophizing About Falls Scale), concerns about falls (modified Falls Efficacy Scale) and mobility restrictions during daily life (Sickness Impact Profile 68). Using structural equation modelling, it was found that the number of falls in the previous year was not directly related to mobility restrictions in daily life, but via an increase of concerns about falls. Also catastrophic beliefs about the consequences of falls were related to concerns about falls and to mobility restrictions. Goodness-of-fit indices revealed that the presented model had an acceptable fit. Alternative models resulted in lesser-fit indices. Both previous falls and catastrophic beliefs about falls are unique and independent predictors of concerns about falls and, subsequently, of mobility restrictions. A cognitive-behavioural perspective upon mobility restrictions may provide important additional components for treatment and prevention of excessive concerns about falls in older people.
Posttraumatic stress disorder in older people after a fall
- Authors:
- CHUNG Man Cheung, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(9), September 2009, pp.955-964.
- Publisher:
- Wiley
... collected at baseline included falls-related data, activity problems, fear of falling, PTSD symptoms, anxiety and depression, and at follow-up PTSD symptoms, anxiety and depression, the receipt of rehabilitation and further falls. In hospital, of 40 participants whose fall had occurred over 1 month previously 35% had full acute PTSD and 17.5% had partial acute PTSD. At follow-up full or partial chronic
Falls risk prediction tools for hospital inpatients: do they work?
- Authors:
- OLIVER David, HEALEY Frances
- Journal article citation:
- Nursing Times, 24.2.09, 2009, pp.18-21.
- Publisher:
- Nursing Times
A fall is the most commonly reported safety incident in inpatients and occurs in all adult clinical areas. There is a growing interest in prevention strategies and, as part of this, in risk assessment tools. These may be useful if the aim is to flag up common risk factors or causes of falls and prompt interventions that are actually delivered. However, although tools may raise awareness and focus
The effects of eight-week balance training or weight training for the elderly on fear of falling measures and social activity levels
- Authors:
- KIM Sukwon, LOCKHART Thurmon, ROBERTO Karen
- Journal article citation:
- Quality in Ageing, 10(4), December 2009, pp.37-48.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Falls are a result of complex integration of physical, psychological and social factors among older adults. The purpose of this study was to examine whether the influence of participating in an 8-week physical training (i.e. balance or weight training) would influence older adults’ psychosocial functioning, particularly the fear of falling and participation in social activities. Eighteen older interaction levels did not improve in any of the 3 groups, although all the participants exhibited improvements in being socially independent. The results suggested that being physically active as well as being socially active could results in being less fearful of falls, more confident of leaving residency, being more independent, and being more active.
Should we encourage our client to move?
- Author:
- -
- Journal article citation:
- Community Care, 5.11.09, 2009, pp.28-29.
- Publisher:
- Reed Business Information
Social workers advise on a case in which a woman with mental and physical health problems is at risk of falling in her current accommodation.
Falls and fractures: exercise training to prevent falls
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 20p., bibliog.
- Place of publication:
- London
... and independence of older people. This paper covers: ageing, decreasing fitness and effects on balance; exercise and physical activity that prevents falls; exercise and physical activity that prevent fractures; is all exercise good for all fallers?; reducing the risk of falling during exercise; exercise referral routes.
Analysis of recurrent events: a systematic review of randomised controlled trials of interventions to prevent falls
- Authors:
- DONALDSON Meghan G., et al
- Journal article citation:
- Age and Ageing, 38(2), March 2009, pp.151-155.
- Publisher:
- Oxford University Press
... and Weissfield) marginal model. Fewer than a third of the papers used one of these methods, and fewer than 15% used the mean cumulative function to represent falls data graphically. The authors recommend that researchers and clinicians in the field should consult statisticians with expertise in recurrent event methodology, and that guidance should be developed by bodies such as CONSORT.