Article

Evidence-based protocol fall prevention for older adults

The University of Iowa College of Nursing, Iowa City, USA.
Journal of Gerontological Nursing (Impact Factor: 0.62). 12/2005; 31(11):9-14. DOI: 10.3928/0098-9134-20051101-05
Source: PubMed
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    • "How does society today perceive security and what are the external and inner sources of security for older people? Most research has assessed the different kinds of risk that older people may face while receiving care, for example, the risk of falling (Lyons 2005), problems with medication (Frazier 2005), risk of injuries, risk of infections (Tew et al. 2005), risk in relation to diseases (Tokish et al. 2004) and so forth. Surprisingly, qualitative studies on sense of security seem to be missing. "
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    ABSTRACT: This paper is a report of a study exploring possible external and inner sources of the sense of security felt by older people aged 65 and 75. Background.  The concept of 'security' has been parsimoniously defined and explored, especially as pertains to older people, and previous research has primarily focused on risks in relation to individuals' declining health and functional ability. In 2005, population-based cross-sectional surveys were carried out in 15 municipalities in Västerbotten, Sweden and 18 municipalities in Ostrobothnia, Finland. A 15-page questionnaire (84 questions) was distributed, with the final total response rate reaching 68· % (n = 3370): 1825 Swedish-speaking Swedes, 926 Swedish-speaking Finns and 621 Finnish-speaking Finns. The statistical analysis was three-stage, including nominal stepwise regressions. Older people who indicate that they are 'very secure' are more likely to consider life meaningful and are able to master various life crises. Moreover, they possess confidence in economic institutions and are more likely to feel economically secure. Weak trust in family and friends or neighbours and decreased functional ability seem to indicate a subjective feeling of 'insecurity'. Caregivers in health care should focus more on supporting older persons' meaningfulness in life and how their feelings of security can be strengthened by trusting relationships and activities. In nursing, there should be more focus on developing knowledge of inner health resources, including positive life orientation and meaningfulness in life.
    Journal of Advanced Nursing 06/2011; 67(6):1305-16. DOI:10.1111/j.1365-2648.2010.05562.x · 1.69 Impact Factor
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    • "A number of researchers [12,14-16] claimed that elderly women had a higher risk of sustaining an injurious fall but the findings of Fletcher and Hirdes [17] said otherwise. Research also indicated that individuals with a history of fall tended to suffer from recurrent falls [18] and were three times more likely to incur falls in the future [12]. "
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    ABSTRACT: Falls are an issue of great public health concern. This study focuses on outdoor falls within an urban community in Hong Kong. Urban environmental hazards are often place-specific and dependent upon the built features, landscape characteristics, and habitual activities. Therefore, falls must be examined with respect to local situations. This paper uses spatial analysis methods to map fall occurrences and examine possible environmental attributes of falls in an urban community of Hong Kong. The Nearest neighbour hierarchical (Nnh) and Standard Deviational Ellipse (SDE) techniques can offer additional insights about the circumstances and environmental factors that contribute to falls. The results affirm the multi-factorial nature of falls at specific locations and for selected groups of the population. The techniques to detect hot spots of falls yield meaningful results that enable the identification of high risk locations. The combined use of descriptive and spatial analyses can be beneficial to policy makers because different preventive measures can be devised based on the types of environmental risk factors identified. The analyses are also important preludes to establishing research hypotheses for more focused studies.
    International Journal of Health Geographics 02/2009; 8:14. DOI:10.1186/1476-072X-8-14 · 2.62 Impact Factor
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    ABSTRACT: Falls affect older people in every healthcare setting, causing significant morbidity and mortality. With the aging population, we can expect rates of falling to increase. Nurses and nursing administrators are challenged to prevent injuries and address this multifactorial problem, and nurses are on the front lines of care and in a position to make a difference. Evidence-based measures have been identified, but implementation and management of falls continue to be difficult. Nursing administrators need a clear understanding of the dynamics of falling and the current evidence for their particular setting to ensure that their nurses have the tools to implement appropriate programs and interventions.
    Nursing administration quarterly 34(2):147-55. DOI:10.1097/NAQ.0b013e3181d9185f
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