Embarrassment experienced by older adults in relation to accidental falls: A concept analysis

Dolan, Hanne; Taylor-Piliae, Ruth E.

doi:10.1016/j.gerinurse.2020.05.007

Cited by 10 publications

(12 citation statements)

References 44 publications

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“…Perceived fall risk in the hospital is multidimensional, because feelings such as dignity, autonomy and embarrassment are associated with fall risk in older adults (McInnes et al, 2011). Embarrassment from either a fall or being labelled at risk for falling can prevent older adults from following fall prevention strategies (Dolan & Taylor‐Piliae, 2020). Older adults have been found to have greater difficulty than younger adults in dealing with emotional distress and when unable to avoid emotional distress, this can lead to decreased emotional well‐being (Birditt, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Embarrassment from either a fall or being labelled at risk for falling can prevent older adults from following fall prevention strategies (Dolan & Taylor-Piliae, 2020). Older adults have been found to have greater difficulty than younger adults in dealing with emotional distress and when unable to avoid emotional distress, this can lead to decreased emotional well-being (Birditt, 2013).…”

Section: Discussionmentioning

confidence: 99%

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Older adults' perceptions of their fall risk in the hospital: An integrative review

Dolan

Slebodnik

Taylor-Piliae

2021

Journal of Clinical Nursing

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Aims and Objectives:The objectives of this review are to determine what is currently known about older adults' perceptions of their own fall risk in the hospital and associated factors and explore how perceived fall risk in the hospital is assessed. Background: Every year, up to one million patients suffer an accidental fall in the hospital. Despite research efforts during the last decade, inpatient fall rates have not significantly decreased, and about one third of inpatient falls result in injuries. Limited evidence suggests that assessing hospitalised patients' perceptions of their fall risk and engaging them in their own fall prevention can reduce inpatient falls. Design: An integrative review. Methods: An electronic literature search was conducted in the Cumulative Index of Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, Embase, Google Scholar, OpenGrey, ProQuest Dissertations & Theses Global, PsycINFO and PubMed. Data extraction and quality assessments were independently performed by two reviewers. PRISMA guidelines were followed for reporting this review. Results: Twenty-two studies met the inclusion criteria. The findings suggest that hospitalised older adults inadequately estimate their own fall risk. Most participants did not perceive themselves as at risk for falling in the hospital. Educational and motivational interventions can change the patients' perceptions of their own fall risk in the hospital and engage them in fall prevention. The desire to remain independent and feeling vulnerable were associated with fall risk, and the relationship with nursing staff may affect how hospitalised patients perceive their own fall risk. Conclusions: Hospitalised adults, and specifically older adults, do not adequately estimate their own fall risk. Factors associated with these perceptions must be further explored to develop assessment tools and interventions to decrease inpatient fall rates. Relevance to clinical practice: Nurses' understanding and assessment of hospitalised adults' perception of their own fall risk is important to consider for reducing inpatient falls.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Older adults' perceptions of their fall risk in the hospital: An integrative review

Dolan

Slebodnik

Taylor-Piliae

2021

Journal of Clinical Nursing

Self Cite

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“…Therefore, there are few studies on the relationship between health management awareness and falls in the elderly. However, in reality, the middle-aged and elderly have a weak sense of self-health management and lack sufficient preventive knowledge [ 3 , 19 ]. Studies have shown that providing health education can effectively reduce the fall rate of the elderly [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

“…Health-related behaviors, such as physical activity and diet, are also closely related to falls [ 17 , 18 ]. Self-management awareness to prevent falls is generally lacking in older adults [ 19 ]. The improvement of self-health management awareness can promote the development of healthy behaviors and increase the utilization of community resources, which will lead to the better prevention of falls [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

The Incidence of Falls and Related Factors among Chinese Elderly Community Residents in Six Provinces

Wang

Chen

Zhang

et al. 2022

IJERPH

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This cross-sectional study classified the factors related to falls among residents ≥ 60 years old in China in order to provide evidence for the prevention of falls in the elderly. A total of 2994 participants were enrolled, and the correlations between social demography, physical health, self-health management awareness, family support, and fall risk were analyzed. Factors influencing falls were classified by location, cause, and the activity during falls. Suffering from osteoarthropathy (OR = 1.761, 95% CI: 1.234–2.513, p < 0.05), depression or anxiety (OR = 1.896, 95% CI: 1.331–2.700, p < 0.001), household size > 2 (OR = 1.806, 95% CI: 1.042–3.130, p < 0.05), and poor self-assessed health (OR = 1.478, 95% CI: 1.107–1.972, p < 0.01) were risk factors. Higher participation in community health programs (OR = 0.522, 95% CI: 0.298–0.912, p < 0.05) and spousal support (OR = 0.909, 95% CI: 0.841–0.981, p < 0.05) were protective factors. Falls were divided into the following categories: stairs/hallway (vision, attention problems), bath/toilet (vision, attention problems, slipping), indoor housework (dizziness, leg weakness), and outdoor activities (attention, surface problems). While acknowledging that the personal physical and mental health of the elderly may lead to falls, community support, accelerated transformation of housing, and the construction of barrier-free environments play an important role in reducing the risk of falls.

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“…Using a concept analysis of descriptions, definitions, attributes, antecedents and consequences of embarrassment extracted from the literature, one study proposed a definition of falls-related embarrassment as ‘the feeling of physical discomfort and exposure in a social situation due to the loss of control and self-esteem, as well as the inconsistency between one’s personal identity as an independent and dignified person and the accidental fall or near fall behaviour that threatens independence and dignity leading to emotional distress’. 11(p. 773)…”

Section: Psychological Themes Associated With Falls In Older Adultsmentioning

confidence: 99%

Falling into an identity crisis: Integrating identity into the assessment and management of falls in older adults

Yong

Wand

2022

Australas Psychiatry

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Objectives This article examines the psychological effects of falls for older adults through the lens of identity and suggests these may be integrated in the assessment and management of older patients within acute care and rehabilitation settings post-fall. An illustrative vignette is described to demonstrate this approach. Conclusion Falls in older adults are complex phenomena which can lead to an identity threat, sometimes manifest as psychological symptoms and poor engagement in post-fall rehabilitation. A psychiatric formulation which incorporates an older person’s self-identity and agency may inform interventions to address psychological and behavioural sequelae of falls.

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Embarrassment experienced by older adults in relation to accidental falls: A concept analysis

Cited by 10 publications

References 44 publications

Older adults' perceptions of their fall risk in the hospital: An integrative review

Older adults' perceptions of their fall risk in the hospital: An integrative review

The Incidence of Falls and Related Factors among Chinese Elderly Community Residents in Six Provinces

Falling into an identity crisis: Integrating identity into the assessment and management of falls in older adults

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