The fear of falls in the caregivers of institutionalized elders

Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos; Henriques, Maria Adriana; Marques-Vieira, Cristina María Alves; Sousa, Luís

doi:10.1590/1983-1447.2021.20200258

Cited by 4 publications

(3 citation statements)

References 19 publications

(78 reference statements)

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“…This result may be influenced by the fact that formal caregivers feel greater responsibility for the safety of people with cognitive decline. A study that aimed to understand how the fear of falling arises and manifests itself in the caregivers of institutionalized older adults observed that in terms of preserving the safety of the older adults, both caregivers and health professionals expressed greater concern about the safety of those who were afraid of falling, and those who were frailer, more dependent, or presented cognitive decline [24]. This finding supports the need to strengthen the guidelines and support provided to carry out activities of daily living.…”

Section: Discussionmentioning

confidence: 79%

Falls and Preventive Practices among Institutionalized Older People

Baixinho¹,

Madeira

Alves

et al. 2022

IJERPH

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The present study about falls among the older adult population essentially explores bio-physiological factors. In light of the complexity of the factors that cause these accidents, it is important to identify the safety and self-care practices of institutionalized older adults and their relationship with falls in order to introduce prevention measures and personalized cognitive–behavioral strategies. The objective of this study was to: (a) determine the frequency of falls and their recurrence among institutionalized older adults, and (b) to associate the occurrence of falls among institutionalized adults with or without cognitive impairment to communication and safety practices. This was a quantitative, correlational, and longitudinal study with 204 institutionalized older adults living in two long-term care facilities in Portugal. The Scale of Practices and Behaviors for Institutionalized Elderly to Prevent Falls was administered to the sample. The prevalence of falls at a 12-month follow-up was 41.6%, of which 38.3% were recurring episodes. Older adults with cognitive decline showed lower mean scores for safety practices. Further research with larger samples should explore the relationships between communication and safety practices and falls, their recurrence, and fear of new falls.

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Section: Discussionmentioning

confidence: 79%

Falls and Preventive Practices among Institutionalized Older People

Baixinho¹,

Madeira

Alves

et al. 2022

IJERPH

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“…It is considered that the evaluative index created by items we identified in this study will be more sensitive to caregivers’ fear of care recipient falls. It has been suggested that caregivers’ fear is influenced not only by the physical function of care recipients but also by many other factors, such as caregivers’ experiences and psychological status [12,16]. Because the evaluation items we extracted include these factors, it is possible to clearly assess caregivers’ fear of falls.…”

Section: Discussionmentioning

confidence: 99%

Proposal of index to evaluate caregivers’ fear of care recipient falls

Kakehi¹,

Tamura²,

Zenta³

et al. 2022

International Journal of Rehabilitation Research

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This study aimed to identify evaluation items that can be used to create an index to evaluate caregivers’ fear of care recipient falls. A three-round Delphi method was conducted with medical professionals engaged in discharge support for patients with fall-related fractures. In the first round, a working group brainstormed evaluation items. In the second and third rounds, opinions of medical professionals were quantified and evaluation items were refined. The Delphi method showed convergence of opinion with Kendall’s W of 0.561 in the third round. Of the 109 evaluation items pooled in the first round, the consensus was reached on the importance of 19 items and one more item was additionally included. The 20 items may be useful for creating an index that sensitively measures caregivers’ fear of care recipient falls.

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“…The factors that predispose to its occurrence comprise intrinsic conditions (a natural or pathological process of aging ( 4 ) and extrinsic factors, such as the environment where the elderly move, which is the most frequent cause of falls ( 2 , 5 ) . Improper environmental conditions constitute potential hazards for falls, such as inadequate lighting, slippery surfaces, environments with obstacles, and loose carpets ( 6 ) .…”

Section: Introductionmentioning

confidence: 99%

Interactive gerontechnology for fall prevention in the elderly: a descriptive study

et al. 2023

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Objectives: to develop interactive gerontechnology for the prevention of falls in the elderly at home. Methods: an exploratory and descriptive study that consisted of gerontechnology development and evaluation by experts and the target audience. For evaluation, researchers used the Agreement Index (AI), considering values greater than 80%. Results: the three-dimensional virtual scale model was elaborated through the SketchUp program, with the distribution of rooms and floors, constituting Prototype 1 (P1). Fifty-four judges evaluated the P1, and all presented agreement above the established, with a minimum AI of 88% and a maximum of 100%, producing Prototype 2 (P2). Thirty elderly participants from a philanthropic institution evaluated Prototype 2. On all items, AI ranged from 83% a 100%, resulting in the final version. Conclusions: the product of this research reveals itself as an innovative and scientifically based tool aimed at preventing falls in the elderly.

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The fear of falls in the caregivers of institutionalized elders

Cited by 4 publications

References 19 publications

Falls and Preventive Practices among Institutionalized Older People

Falls and Preventive Practices among Institutionalized Older People

Proposal of index to evaluate caregivers’ fear of care recipient falls

Interactive gerontechnology for fall prevention in the elderly: a descriptive study

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