Community-based health efforts for the prevention of falls in the elderly

Hanley, Alan; Silke, Charlotte; Murphy, John

doi:10.2147/cia.s9489

Cited by 33 publications

(34 citation statements)

References 77 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As the seriously mentally ill were more likely to be receiving these medications it is possible that this accounts for some of the differences between the groups. The finding that falls were significantly more common in the seriously mentally ill (OAS 32.2%, PRISM 18.6%, p<0.0001) also suggests that this survivor cohort of mentally ill patients will now have to face the consequences of aging, such as falls, which represent a major contributor to morbidity in the elderly (35) and indeed may be particularly vulnerable to them (36–38). Even after adjusting for demographics and comorbidities including alcohol use and substance abuse, the seriously mentally ill group was significantly likely to experience falls (OR 2.16, CI 1.52–3.08, p<0.002).…”

Section: Discussionmentioning

confidence: 96%

Comorbidity Profile and Healthcare Utilization in Elderly Patients with Serious Mental Illnesses

Hendrie¹,

Lindgren²,

Hay³

et al. 2013

The American Journal of Geriatric Psychiatry

View full text Add to dashboard Cite

Objectives Patients with serious mental illness are living longer. Yet there remain few studies that focus on health care utilization and its relationship to comorbidities in these elderly mentally ill patients. Design Comparative study. Information on demographics, comorbidities and health care utilization were taken from an electronic medical record system. Setting Wishard Health Services senior care and community mental health clinics. Participants Patients age 65 years and over-255 patients with serious mental illness (schizophrenia, major recurrent depression and bipolar illness) attending a mental health clinic and a representative sample of 533 non-demented patients without serious mental illness attending primary care clinics. Results Patients having serious mental illness had significantly higher rates of medical emergency room visits (p=0.0027) and significantly longer lengths of medical hospitalizations (p<0.0001) than did the primary care control group. The frequency of medical comorbidities such as diabetes, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, thyroid disease, and cancer were not significantly different between the groups. Hypertension was lower in the mentally ill group (p<0.0001). Reported falls (p<0.0001), diagnoses of substance abuse (p=0.02), and alcoholism (p=0.0016) were higher in the seriously mentally ill. The differences in health care utilization between the groups remained significant after adjusting for comorbidity levels, lifestyle factors, and attending primary care. Conclusions Our findings of higher rates of emergency care, longer hospitalizations, and increased frequency of falls, substance abuse, and alcoholism suggest the elderly seriously mentally ill remain a vulnerable population requiring an integrated model of health care.

show abstract

Section: Discussionmentioning

confidence: 96%

Comorbidity Profile and Healthcare Utilization in Elderly Patients with Serious Mental Illnesses

Hendrie¹,

Lindgren²,

Hay³

et al. 2013

The American Journal of Geriatric Psychiatry

View full text Add to dashboard Cite

show abstract

“…This problem also results in high costs of social resources and the reduction of quality of life [50]. Generally speaking, one of the most common ways to prevent falls is improving body balance and mobility.…”

Section: Discussionmentioning

confidence: 99%

Eight Forms of Moving Meditation for Preventing Falls in Community-Dwelling Middle-Aged and Older Adults

Chang

Lin

et al. 2013

Complement Med Res

View full text Add to dashboard Cite

Background: In numerous countries worldwide, fall prevention among older adults is a major public health issue. For older adults, regular participation in moderate physical activity or exercise lowers the risks of falls. However, scant information is available regarding the prevention strategies that the most at-risk groups may undertake. The purpose of this study is to examine the effects of a fall prevention strategy, eight forms of moving meditation (EFMM), on community-dwelling middle-aged and older adults in Taiwan. Methods: This was a quasi-experimental study; 84 participants were recruited from Taipei in Taiwan. For 12 weeks, participants in the experimental group performed 30-min EFMM 3 times per week. The measurements included a Functional Reach Test (FRT), Timed Get-up-and-Go Test (TGUG), and a One-Leg Stance Test (OLST) with eyes both opened and closed. All were conducted at the baseline and 12 weeks after intervention. Results: The participants who performed EFMM showed a significant and positive performance on FRT, TGUG, and OLST with eyes opened and eyes closed compared to those in the control group. Conclusion: The results suggest that EFMM is an effective strategy for enhancing balance and functional mobility and preventing falls among community-dwelling middle-aged and older adults.

show abstract

“…Within this older population, fall-related injuries account for about $19 billion in annual medical costs (Hanley et al, 2011). Falls are also a hazard in occupational settings.…”

Section: Introductionmentioning

confidence: 99%

Arm reactions in response to an unexpected slip—Impact of aging

Merrill

Chambers

Cham

2017

Journal of Biomechanics

View full text Add to dashboard Cite

Slips and falls represent a serious public safety concern in older adults, with the segment of the United States population over the age of 65 accounting for about three quarters of all fall related deaths. The majority of falls in older adults are due to trips and slips. The objective of this study was to investigate how age affects arm reactions generated in response to unexpected slips. Thirty-three participants divided into two age groups (16 young, 17 old) participated in this study. Participants were exposed to two conditions: known dry walking (baseline) and an unexpected slip initiated when stepping onto a glycerol-contaminated floor. The upper extremity parameters of interest included the timing and amplitude of the shoulder flexion moment generated in response to the slip as well as the resulting angular kinematics (trajectories). The analysis of the kinetic data revealed a delayed shoulder flexion reaction to slips in older adults compared to their young counterparts, as well as a greater flexion moment magnitude. Knowledge of such upper body reaction mechanisms to unexpected slips may help to improve balance recovery training in older adults, as well as aid in the implementation of environmental modifications, e.g. handrails, to reduce falls-related injuries.

show abstract

Community-based health efforts for the prevention of falls in the elderly

Cited by 33 publications

References 77 publications

Comorbidity Profile and Healthcare Utilization in Elderly Patients with Serious Mental Illnesses

Comorbidity Profile and Healthcare Utilization in Elderly Patients with Serious Mental Illnesses

Eight Forms of Moving Meditation for Preventing Falls in Community-Dwelling Middle-Aged and Older Adults

Arm reactions in response to an unexpected slip—Impact of aging

Contact Info

Product

Resources

About