A Holistic Approach to Developing Fall-Prevention Programs for Community-Dwelling Older Adults

Keller, M. Jean

doi:10.1080/01924780903295960

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…Each year approximately one-third of older people fall, and the chance of falling increase with age (1)(2)(3)(4)(5)(6). Despite decades of research on fall prevention, falls among older adults impose substantial personal and societal burden (2,7,8). Prevention and management of falls in older people has become a key public health priority in many westernised countries (2,(9)(10)(11)(12)(13)(14) because falling cause considerable disability, loss of independence and premature mortality (15,16).…”

Section: Introductionmentioning

confidence: 99%

Fall risk factors in community-dwelling elderly people

Bergland

2012

Nor J Epidemiol

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Falls are a common and serious problem for older adults. Approximately one-third of older communitydwelling people fall at least once a year. The main purpose of this paper is to present risk factors for fall in older people living at home. The databases used for identifying documentation of risk factors are Cinahl, Eric, ISI Web of Science, Cochrane Medline, Psycinfo and dissertation. Many psychosocial and medical conditions and impairment of sensorimotor function, balance and gait have been shown in large epidemiological studies to be strongly associated with falls. Several of the risk factors are interrelated. The intrinsic-extrinsic distinction seem to be an oversimplification. A better understanding of falls is usually obtained when examining the person in association with the environmental factors. Advanced age, history of falls, ADL limitations, impaired gait and mobility, visual impairment, reduced sensation, muscular weakness, poor reaction time, impaired cognition, diseases as stroke, use of psychoactive medication and use of many medications are risk factors shown to be strongly associated with falls. This means recommendation of multifactorial fall risk assessment must incorporate a range of physiological and mental tests in addition to assessing balance and gait as well as taking multiple chronic diseases and medications into account. These finding underscore the importance of multidimensional fall intervention with special focus on modifiable risk factors.

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Section: Introductionmentioning

confidence: 99%

Fall risk factors in community-dwelling elderly people

Bergland

2012

Nor J Epidemiol

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“…Additionally, extrinsic risk factors are those elements that are external to individuals and include environmental hazards such as poor lighting or wet surfaces, which may cause older adults to fall (Keller, 2009). Another often overlooked extrinsic risk factor for falls among older people is medication, both prescribed and over the counter.…”

Section: The Importance Of Fall-prevention Programsmentioning

confidence: 97%

N'Balance: A Community-Based Fall-Prevention Intervention With Older Adults—Lessons Learned

Headley

Payne

Keller

2013

Activities, Adaptation & Aging

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The Relationship Between Falls and Psychological Well-Being in a Brazilian Community Sample

Morsch

Shenk

Bós

2014

J Cross Cult Gerontol

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In Brazil and in the United States, one in three older adults fall each year. Falling can lead to devastating outcomes for older adults, their families and health care systems. Research has identified many risk factors for falls, including physical and environmental hazards. However, less research has addressed the relationship between psychological well-being and falls, when the focus has usually been fear of falling and depression. Using a secondary dataset we tested the relationship between psychological well-being and falls in community dwelling older adults from the state of Rio Grande do Sul, Brazil. Analysis was conducted using logistic regression. Findings show that most of the psychological well-being variables are predictors of falls. Advanced age and not feeling calm and relaxed were the variables that showed more chances involved with falling. These research findings are important to increase the existing knowledge about falls in Brazil and provide information for professionals working in fall prevention.

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A Holistic Approach to Developing Fall-Prevention Programs for Community-Dwelling Older Adults

Cited by 3 publications

References 27 publications

Fall risk factors in community-dwelling elderly people

Fall risk factors in community-dwelling elderly people

N'Balance: A Community-Based Fall-Prevention Intervention With Older Adults—Lessons Learned

The Relationship Between Falls and Psychological Well-Being in a Brazilian Community Sample

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