Fall Prevention for Older Adults Receiving Home Healthcare

Bamgbade, Sarah; Dearmon, Valorie

doi:10.1097/nhh.0000000000000333

Cited by 11 publications

(16 citation statements)

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“…Researchers also reported negative components of physical safety such as failing health and the increased likelihood of minor or major accidents. Older people living at home were often reported as being frail, vulnerable and had multiple pathologies (Madigan, ; Mahler & Sarvimäki, ) which led to concern about falling (Bamgbade & Dearmon, ; Beauvais & Beauvais, ; Chase, Mann, Wasek, & Arbesman, ; Kamei et al, ), for example having a poor understanding of the risk of falling when bending or lifting (Erkal, ) and falls leading to burns in the kitchen (Ibrahim & Davies, ).…”

Section: Resultsmentioning

confidence: 99%

“…Their main wish was to be able to live in their own homes for as long as possible even though this meant changes to their home and their lives (Dahlin‐Ivanoff et al, ; Porter & Lasiter, ). Many older people were willing to accept the need for extra safety precautions in their home, but others did not which hindered the development of safety at home (Bamgbade & Dearmon, ). The perceived safety of older people was categorised as: (a) active living; (b) coping at home; (c) managed living; and (d) the existence of disease (Figure ).…”

Section: Resultsmentioning

confidence: 99%

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Safety of older people at home: An integrative literature review

Kivimäki

Stolt

Charalambous

et al. 2019

Int J Older People Nursing

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Aim: The aim of this review was to examine the relevant health literature, to describe safety in the homes of older and older people's perceptions and understanding of their safety at home based on current literature. Background: Safety is a multifaceted, basic need of older people living at home. Many studies are hospital focused and few focus on safety at home. Research on the safety of older people at home appears to be under-researched. Methods: MEDLINE, CINAHL, Scopus and Web of Science databases from the earliest to August 2017 were investigated. The integrative literature review was conducted in December 2017. The full text of the remaining n = 93 papers was then screened for relevance by inclusion and exclusion criteria which reduced the number by 59 to n = 34.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Safety of older people at home: An integrative literature review

Kivimäki

Stolt

Charalambous

et al. 2019

Int J Older People Nursing

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“…A pool of 136 published articles [ 1 , 5 , 7 , 8 , 14 – 39 , 44 – 64 , 65 – 147 ] and 4 checklists from the grey literature [ 148 – 151 ] were included in the first stage of this scoping review. The 136 published articles represented 126 unique studies—nine studies had multiple citations.…”

Section: Methodsmentioning

confidence: 99%

“…From these documents, 42 unique checklists were identified and included in the second stage of this review [ 8 , 15 – 17 , 20 – 23 , 34 , 44 , 49 , 51 , 53 , 58 , 66 , 69 , 72 , 79 , 82 , 86 , 87 , 98 , 102 , 108 , 110 – 112 , 115 , 121 , 124 , 126 , 132 , 135 , 137 , 139 , 140 , 144 , 148 – 152 ].…”

Section: Methodsmentioning

confidence: 99%

A need to improve the assessment of environmental hazards for falls on stairs and in bathrooms: results of a scoping review

Blanchet

Edwards

2018

BMC Geriatr

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BackgroundFalls occurring on stairs or in bathrooms are associated with a high risk of injuries among older adults. Home environmental assessments are frequently used to guide fall-prevention interventions. The aims of this review were to describe how, where, by whom, and for whom environmental hazard checklists are used, and to examine the characteristics of environmental hazard assessment checklists with specific attention to features of bathrooms and stairs/steps assessed in them.MethodsStudies published before January 5, 2018, were identified using several databases. Publications reporting the use and/or evaluation of environmental hazard checklists were eligible if they assessed bathrooms or stairs/steps in homes of older adults (≥65 years). Content analysis was conducted on publications that provided a complete list of specific environmental hazards assessed. Checklist items related to bathrooms and stairs/steps were extracted and categorized as structural or non-structural and as objective or subjective.Results1119 studies were appraised. A pool of 136 published articles and 4 checklists from the grey literature were included in this scoping review. Content analysis was conducted on 42 unique checklists. There was no widely used checklist and no obvious consensus definition of either environmental hazards overall or of single hazards listed in checklists. Checklists varied greatly with respect to what rooms were assessed, whether or not outdoor stair/steps hazards were assessed, and how responses were coded. Few checklists examined person-environment fit. The majority of checklists were not oriented towards structural hazards in bathrooms. Although the majority of checklists assessing stair/steps hazards evaluated structural hazards, most features assessed were not related to the construction geometry of stairs/steps. Objective features of bathrooms and stairs/steps that would deem them safe were rarely specified. Rather, adequacy of their characteristics was mostly subjectively determined by the evaluator with little or no guidance or training.ConclusionThe lack of standard definitions and objective criteria for assessing environmental hazards for falls is limiting meaningful cross-study comparisons and slowing advances in this field. To inform population health interventions aimed at preventing falls, such as building code regulations or municipal housing by-laws, it is essential to include objectively-assessed structural hazards in environmental checklists.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0958-1) contains supplementary material, which is available to authorized users.

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“…Although a number of viable fall prevention programs have shown promise [12][13][14][15][16][17], none of these interventions applied plain language methodology specifically addressing low health literacy. Education about falls, specifically fall prevention, should include materials developed with low health literacy in mind [5].…”

Section: Discussionmentioning

confidence: 99%

Health Literacy and Older Adults: Fall Prevention and Health Literacy in a Midwestern State

Chesser

Woods

Reyes

et al. 2018

JARH

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Falls continue to be a health concern for older adults. Gender and age are key predictors of falls, particularly for those with low health literacy. Data were collected by a State Health Department using the state-led supplemental question option for the Centers for Disease Control and Prevention (CDC) Behavior Risk Factor Surveillance System (BRFSS) survey. Specifically, trend data for respondents were examined by gender, geographic location and health literacy rate. Results indicated the highest mean number falls occurred with men for those within the metropolitan statistical area (MSA) city code, lowest in suburban areas. Females reported to have a higher estimated mean number of falls and injuries than males. For males, the number of falls and injuries tended to decrease with higher health literacy. The findings support the importance of addressing fall prevention for older adults. Long term implications for improving fall prevention and health literacy for older adults include impact on individual outcomes.

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Fall Prevention for Older Adults Receiving Home Healthcare

Cited by 11 publications

References 0 publications

Safety of older people at home: An integrative literature review

Safety of older people at home: An integrative literature review

A need to improve the assessment of environmental hazards for falls on stairs and in bathrooms: results of a scoping review

Health Literacy and Older Adults: Fall Prevention and Health Literacy in a Midwestern State

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