Search results for ‘Subject term:"falls"’ Sort:
Results 21 - 30 of 418
Preventing falls: how to monitor risk and intervene
- Author:
- -
- Journal article citation:
- Nursing and Residential Care, 13(2), February 2011, pp.82-84.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
Highlights what care homes can do to prevent falls in their older residents. The article looks at possible risks and preventive interventions such as physical exercise.
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
Occupational therapy for older adults: investments for progress
- Author:
- BORELL Lena
- Journal article citation:
- British Journal of Occupational Therapy, 71(11), November 2008, pp.482-486.
- Publisher:
- Sage
This keynote address given at the Council of Occupational Therapists for the European Countries' (COTEC's) 8th European Congress of Occupational Therapy, Hamburg, 22-25 May 2008, discusses what occupational therapy can contribute to a society with a large number of older people. The address highlights falls prevention; the use of 'doing-with' assistants; improvements in everyday technology use;
Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90
- Authors:
- FLEMING Jane, BRAYNE Carol
- Journal article citation:
- British Medical Journal, 29.11.08, 2008, pp.1279-1282.
- Publisher:
- British Medical Association
... aged over 90 (n=110), surviving participants of the Cambridge City over-75s Cohort, a population based sample. In one year’s intensive follow-up, 54% (144/265) of fall reports described the participant as being found on the floor and 82% (217/265) of falls occurred when the person was alone. Of the 60% who fell, 80% (53/66) were unable to get up after at least one fall and 30% (20/66) had lain available but were not used in most cases of falls that led to lying on the floor for a long time. Comments from older people and carers showed the complexity of issues around the use of call alarms, including perceptions of irrelevance, concerns about independence, and practical difficulties. Lying on the floor for a long time after falling is more common among the "oldest old" than previously thought
How balance can overcome barriers
- Author:
- CARTER Kathy
- Journal article citation:
- Quality in Ageing, 9(1), March 2008, pp.41-44.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Balance is key to improving the quality of life for older patients. This article looks at barriers to participation which exist in different forms in all areas of fitness and exercise, and are of an emotional or practical nature. The article also highlights the BalanceMaster machine, a piece of equipment that helps with balance and confidence.
Fear of falling and activity avoidance in a national sample of older adults in the United States
- Authors:
- BERTERA Elizabeth, BERTERA Robert L.
- Journal article citation:
- Health and Social Work, 33(1), February 2008, pp.54-62.
- Publisher:
- Oxford University Press
This study assesses the relationship between fear of falling and avoidance of nine everyday activities critical to independence among community-dwelling older adults in the United States. Secondary data analysis was performed with National Survey of Self-Care and Aging interview data from 3,474 respondents age 65 years or older. Falls were reported by 24 percent of respondents, fear of falling was reported by 22 percent of respondents, and both increased with age. Fear of falling was the most important factor in predicting activity avoidance among older adults; the number of falls experienced increases the impact that fear of falling has on activity avoidance. Other factors were as follows: needing help with activities of daily living and the number of prescriptions taken. Assessments of older
Change of approach needed in fracture prevention
- Author:
- HAIRON Nerys
- Journal article citation:
- Nursing Times, 29.1.08, 2008, pp.23-24.
- Publisher:
- Nursing Times
New research suggests that the NHS approach to fracture prevention should shift its focus from osteoporosis to preventing falls. The analysis says that falling is the strongest single risk factor for fracture. This article summarises the research findings and also highlights NICE (2004) guidance on assessing and preventing falls in older people.
An investigation of the number and cost of assistive devices used by older people who had fallen and called a 999 ambulance
- Authors:
- LOGAN P. A., et al
- Journal article citation:
- British Journal of Occupational Therapy, 70(11), November 2007, pp.475-478.
- Publisher:
- Sage
Some assistive devices, such as walking frames and bath boards, are provided by health and social services, but some are bought by people through shops, the internet and magazines or second hand. Using a face-to-face interview, the number and cost of assistive devices bought by people who had fallen and called a 999 ambulance were investigated. Two hundred and four older people (mean age 83 years, 72/35% men) who had fallen and called an emergency ambulance were interviewed at home by a research occupational therapist. A structured questionnaire about the cost and use of assistive devices was completed. Functional ability was measured using the Barthel Index and the Nottingham Extended Activities of Daily Living Scale. One hundred and ten people (54%) had bought their own devices, spending a median of £700 each. People with multiple sclerosis, cancer, heart conditions and Parkinson's disease had spent over twice as much as those with osteoarthritis, stroke, diabetes and dementia. Many older people buy their own assistive devices at a considerable cost to themselves. As social services direct payments allow people to manage their own care packages, more people will be buying direct and may be looking for advice from occupational therapists.