Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 55
Use of information technology for falls detection and prevention in the elderly
- Authors:
- ATOYEB Oladele Ademola, STEWART Antony, SAMPSON June
- Journal article citation:
- Ageing International, 40(3), 2015, pp.277-299.
- Publisher:
- Springer
- Place of publication:
- New York
This research aims to clarify the arguments in the body of knowledge on IT use in fall prevention among the elderly, synthesize ideas to assist in the delivery of healthcare to prevent falls in older people and further add to the available body of knowledge. An extensive literature search was carried out and the information retrieved from the literature was synthesised into paragraphs using themes to structure the types of information technology used for falls prevention. The different modalities of IT used in falls prevention at the different places of care for each category were explored and inferences were drawn from the structured themes which summarized the major findings. The research found that there is potential ground for a wider use of the forms of IT used in falls prevention in the elderly in various settings and outlined the factors involved in this usage. With further refinements in larger studies, many of these forms of IT would be better explored and acceptance is likely guaranteed provided they are accessible and affordable. The need for IT use in fall prevention in the elderly is unavoidable with the trend in technology and the associated convenience. More work is needed to further define the effects of IT in falls prevention using larger prospective studies that will be more generalizable. Keywords (Publisher abstract)
Translating falls prevention knowledge to community-dwelling older PLWD: a mixed-method systematic review
- Authors:
- MEYER Claudia, et al
- Journal article citation:
- Gerontologist, 55(4), 2015, pp.560-574.
- Publisher:
- Oxford University Press
Purpose of the Study: This mixed-method systematic review aimed to integrate evidence of falls prevention efficacy with views/experiences of people living with dementia (PLWD). Design and Methods: Eight electronic databases were searched. Inclusion criteria included quantitative or qualitative studies examining knowledge translation of falls prevention strategies in community-dwelling PLWD and/or their caregiver. Study quality was assessed, and findings are narratively described. Results: Six quantitative and five qualitative studies were included. Study quality was mixed. Quantitative studies showed limited evidence of effectiveness on reduction in falls risk, falls and hospitalization rates, nursing home admission, decline in activities of daily living, and adherence to strategies. Qualitative themes showed inclusion of caregiver and health professionals as key to programme success, but many factors influence participation. Implications: Synthesising the findings generated a new understanding of falls prevention for this high-risk group. A focus upon health professional and caregiver involvement and accommodation of individual preferences may result in increased engagement with falls prevention strategies. (Edited publisher abstract)
Do prescribed medicines affect falls risk?
- Author:
- PARKIN Angela
- Journal article citation:
- Nursing Times, 111(25), 2015, p.25.
- Publisher:
- Nursing Times
Falls and fall related injuries are a common problem for older people. This article comments on evidence from a Swedish population-based, case-controlled study (See related link from the European Journal of Public Health), which has reconsidered the risk of falls associated with commonly prescribed medicines. (Edited publisher abstract)
The impact of a home-based walking programme on falls in older people: the Easy Steps randomised controlled trial
- Authors:
- VOUKELATOS Alexander, et al
- Journal article citation:
- Age and Ageing, 44(3), 2015, pp.377-383.
- Publisher:
- Oxford University Press
Background: Walking is the most popular form of exercise in older people but the impact of walking on falls is unclear. This study investigated the impact of a 48-week walking programme on falls in older people. Methods: Three hundred and eighty-six physically inactive people aged 65+ years living in the community were randomised into an intervention or control group. The intervention group received a self-paced, 48-week walking programme that involved three mailed printed manuals and telephone coaching. Coinciding with the walking programme manual control group participants received health information unrelated to falls. Monthly falls calendars were used to monitor falls (primary outcome) over 48 weeks. Secondary outcomes were self-reported quality of life, falls efficacy, exercise and walking levels. Mobility, leg strength and choice stepping reaction time were measured in a sub-sample (n = 178) of participants. Results: There was no difference in fall rates between the intervention and control groups in the follow-up period (IRR = 0.88, 95% CI: 0.60–1.29). By the end of the study, intervention group participants spent significantly more time exercising in general, and specifically walking for exercise (median 1.69 versus 0.75 h/week, P < 0.001). Conclusion: Our finding that a walking programme is ineffective in preventing falls supports previous research and questions the suitability of recommending walking as a fall prevention strategy for older people. Walking, however, increases physical activity levels in previously inactive older people. (Edited publisher abstract)
Hidden citizens: how can we identify the most lonely older adults?
- Authors:
- GOODMAN Anna, SWIFT Hannah J., ADAMS Adrian
- Publisher:
- Campaign to End Loneliness
- Publication year:
- 2015
- Pagination:
- 37
- Place of publication:
- London
This report summarises the findings from the Hidden Citizens project, providing insights regarding the pathways into and out of loneliness and examples of how interventions and services identify the loneliest older adults. The project was conducted in two parts. First, a meta-review was conducted to explore the features of loneliness, its underlying mechanisms and how intervention programs identify and recruit their participants. The findings of the meta-review informed the second part of the project in which a number of interviews and focus groups with older people, service commissioners, service organisation CEO’s, managers and practitioners were conducted. This report also contains specific recommendations for policy makers, service providers and service commissioners on how to improve services and service provision, and identifies avenues for future research to explore. It shows that the experience of loneliness is likely to be a culmination of one or more factors, or set of circumstances, which include: membership of different social groups; personality; psychological response; environmental factors; life events, traumas and transitions; and personal circumstances. The report sets out recommendations considering ways to identify people experiencing loneliness across three different levels: the population, organisational and individual level. (Edited publisher abstract)
Prevention research and practice
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Place of publication:
- London
This online resource provides details of emerging practice and research in the provision of prevention services in adult social care. It has been commissioned by the Department of Health to support and inform commissioners of prevention services in local authorities and clinical commissioning groups (CCGs) in England. Contents includes prevention service examples submitted by commissioners and providers across England; references to recent research and associated resources derived from SCIE's Social Care Online database; and short film on prevention in adult social care introducing the resource. (Edited publisher abstract)
Telecare: outcomes and cost effectiveness
- Authors:
- BEAZLEY Mike, CONNER Kim, O'HARA John
- Publisher:
- Care Performance Partners
- Publication year:
- 2015
- Pagination:
- 16
Summarise the collated findings from evaluations of telecare services in 41 local authorities in England, covering 3,303 telecare users during the period 2010-2014. The results suggest that telecare can help support better outcomes for people using services and for local commissioners, by reducing avoidable admissions to hospitals, supporting safe hospital discharge, deferring or avoiding admissions to care homes, and extending independent living. It found where telecare was targeted to meet a need identified as part of an assessment and care plan, it was often effective and in some cases resulted in cost savings. The average annual saving for the 3,303 people evaluated was £1,151 per person for adult social care. However, telecare provided through councils for ‘prevention’ or ‘reassurance’ purposes represented an additional cost for equipment and for monitoring. (Edited publisher abstract)
Financial abuse: evidence review
- Authors:
- DAVIDSON Susan, ROSSALL Phil
- Publisher:
- Age UK
- Publication year:
- 2015
- Pagination:
- 31
- Place of publication:
- London
This report summarises what research says about the financial abuse of older people. It looks at who is at risk, who the perpetrators are, the impacts, and the barriers against recognition and action on financial abuse. It also looks at the problems faced by people with dementia and carers when managing money, and the impact of cultural values on determining behaviour. The challenges and possible preventative measures for professionals who work with older people, not only in financial institutions but also health and care staff, are also covered. The appendices list suggested measures for the prevention and detection of financial abuse (Edited publisher abstract)
The meaning of the experience of anticipating falling
- Authors:
- SHAW James A., CONNELLY Denise M., MCWILLIAM Carol L.
- Journal article citation:
- Ageing and Society, 35(9), 2015, pp.2011-2025.
- Publisher:
- Cambridge University Press
Falling in later life continues to be a critical issue in gerontology research, health professional practice and ageing health policy. However, much research in the area of fall risk and fall prevention neglects the meaning of the experiences of older people themselves. This humanistic interpretive phenomenological study explored the meaning of the experience of anticipating falling from the perspective of older people in order to foster a more person-focused approach to fall risk assessment and fall prevention. Individual semi-structured interviews were conducted with nine participants over the age of 65 living independently in the community. Follow-up interviews with two key informants were completed to inform the emerging interpretations. For older participants residing in the community, the experience of anticipating falling meant confronting their embodied lived-identity in the context of ageing. Experiential learning shaped how participants understood the meaning of falling, which constituted tacit, pathic knowledge of vulnerability and anxiety with respect to falling. Findings emphasise the importance of critically reflecting on the social experience of anticipating falling to develop effective and relevant fall prevention interventions, programmes and policies. A lifeworld-led approach to fall risk assessment and fall prevention resonates with these findings, and may encourage health-care providers to adopt a sustained focus on embodied lived-identity and quality of life when engaging older people in fall prevention activities. (Publisher abstract)
Moving healthcare closer to home: summary
- Author:
- MONITOR
- Publisher:
- Monitor
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- London
Summarises the findings of a project examining examples where provision of non-elective care moved from an acute hospital to the community. The Five Year Forward View has encouraged efforts to deliver more healthcare out of acute hospitals and closer to home, with the aim of providing better care for patients, cutting the number of unplanned bed days in hospitals and reducing net costs. Drawing on the lessons from a set of case studies, this analysis shows that: well-designed schemes to move healthcare closer to home can deliver benefits in the long term; it is difficult, however, to cut costs across a local health economy in the short run; and better data and improved pricing would help. The paper is part of a suite of materials developed to support providers and commissioners making decisions about schemes to move healthcare currently provided in acute hospitals to community-based settings. (Edited publisher abstract)