Falls and functional capacity in the oldest old dwelling in the community

Brito, Thaís Alves; Fernandes, Marcos Henrique; Coqueiro, Raildo da Silva; Jesus, Cleber Souza de

doi:10.1590/s0104-07072013000100006

Cited by 21 publications

(24 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The presence of fear of falling in the elderly can cause serious emotional, psychological, medical and social changes such as reduced or limited functional activity, loss of autonomy and independence concerning the performance of daily living activities, reduced social activities as well as the feeling of weakness and insecurity 6,7 . Moreover, a very old person, after the fall, may limit his/her everyday activities because of the fear of another fall and reduce the activities recommended as a protective measure by his/her family and health workers.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for fear of falling in the elderly in Serbia

Ivanović¹,

Trgovčević²

2018

VOJNOSANIT PREGL

View full text Add to dashboard Cite

Background/Aim. After a fall, the elderly can develop a fear of falling which can be more frequent and more serious problem than the fall itself because it represents the main factor limiting an older person in his/her everyday functioning. The aim of this study was to identify and examine, in a more detailed way, risk factors for developing fear of falling triggered by the history of their falls over the previous year in the elderly in Serbia who live in houses or apartments. Methods. The cross-sectional study was conducted on 400 people, mean age 75.04 years (min. 65, max. 94), randomly selected from the register of patients in the Primary Health Center of Niš (164 men and 236 women), in the period January-June 2014. Socio-demographic questionnaire-Elderly Fall Screening Test (EFST), Multi-Factor Questionnaire Falls (MFQ) and Falls Efficacy Scale International (FESI) were used in this study. Results. After applying the multivariate binary logistic regression, it was found that significant predictors for developing fear of falling were as follows: female gender (OR = 2.599; p = 0.009), age 75-79 years (OR = 4.637; p = 0.009) and over 80 years (OR = 3.830; p = 0.001), increase in household members (OR = 1.206; p = 0.033), people who estimate their health as average (OR = 0.268; p < 0.001) and good (OR = 0.059; p < 0.001), number of falls higher than 2 (OR = 2.761; p = 0.003), presence of injuries during the fall (OR = 2.483; p = 0.028), periodical and repeating situations of "near-fall" (OR = 3.830; p = 0.001), limited activity (OR = 2.124; p = 0.007) problems with sight (OR = 3.006; p < 0.001), cognitive problems (OR = 2.296; p = 0.005) and problems with balance (OR = 3.809; p < 0.001). Conclusion. The results of this study can be used for planning promotional programs for falls and a fear of falling prevention, as well as prevention of their consequences.

show abstract

Section: Introductionmentioning

confidence: 99%

Risk factors for fear of falling in the elderly in Serbia

Ivanović¹,

Trgovčević²

2018

VOJNOSANIT PREGL

View full text Add to dashboard Cite

show abstract

“…[1][2] Fall episodes are associated with high costs with regard to both individual quality of life and social welfare. 3 With estimated incidence of 32.5% to 68% in long-term care (LTC) institutions, falls are an issue for institutionalized elderly people, who show significantly higher incidence of the problem than the elderly people living in communities.…”

Section: Introductionmentioning

confidence: 99%

“…This is a critical point, considering that elderly people present distinct features when compared to the general population: they have biological, psychological, cultural, socioeconomic and epidemiological peculiarities that must be studied separately. 2 In Portugal, information regarding individual and collective work practices and communication, recording and surveillance of patients after fall episodes is not available. A literature survey reveals that there is no scale to assess team practices and behaviors when it comes to managing fall risks.…”

Section: Introductionmentioning

confidence: 99%

Práticas Das Equipas Na Prevenção De Queda Nos Idosos Institucionalizados: Construção E Validação De Escala

Baixinho

Dixe

2017

Texto contexto - enferm.

View full text Add to dashboard Cite

Objective: determine and elaborate the psychometric characteristics of nursing team practices and develop a behavior scale for fall risk management in institutionalized elderly people.Method: the scale was designed based on a literature review and observation of the work of the teams in a long-term care institution for the elderly. The content of the scale was analyzed and the concordance index of the 14 initial items was checked by nine experts. The scale was applied to a sample of 152 caregivers from six long-term care institutions for the elderly. The research conformed to ethical principles. The anonymity of the participants and the confidentiality of the data were ensured.Results: after the determination of the psychometric characteristics, it was observed that the unidimensional scale had six items, with a Cronbach's alpha of 0.918 and a score ranging from 6 to 30 points. Analysis of the results revealed that information about risk factors and team discussions regarding preventive measures are not always present, allowing specific team members to value different measures, which impairs continuity of the care and individualization of the measures before the assessed risk.Conclusion: the scale shows suitable psychometric features and can be used in investigation and clinical practice to assess the practices and behaviors of nursing teams in fall risk management in institutionalized elderly patients. DESCRIPTORS:Falls. Elderly people. Caregivers. Risk management. Psychometry. Behavioral assessment scale. PRÁTICAS DAS EQUIPAS NA PREVENÇÃO DE QUEDA NOS IDOSOS INSTITUCIONALIZADOS: CONSTRUÇÃO E VALIDAÇÃO DE ESCALA RESUMOObjetivo: construir e determinar as características psicométricas da escala de práticas e comportamentos das equipes na gestão do risco de queda dos idosos institucionalizados.Método: a escala foi desenhada com base na revisão da literatura e na observação do trabalho das equipes numa instituição de longa permanência para idosos. Foi realizada a análise de conteúdo e a verificação do índice de concordância dos 14 itens iniciais por nove juízes. A escala foi aplicada a uma amostra de 152 cuidadores de seis instituições de longa permanência para idosos. A investigação respeitou os princípios éticos. Garantiu-se o anonimato e a confidencialidade dos dados.Resultados: após a determinação das caraterísticas psicométricas, verificámos que a escala, unidimensional, ficou constituída por seis itens, com um Alfa de Cronbach de 0,918, pontua entre 6 e 30 pontos. A análise dos resultados permite constatar que a informação sobre os fatores de risco e a discussão em equipe sobre as medidas preventivas nem sempre são mantidas, possibilitando que elementos diferentes da equipe possam valorizar medidas diferentes, o que não garante a continuidade de cuidados e a individualização das medidas face ao risco avaliado.Conclusão: a escala tem boas características psicométricas, podendo ser usada na investigação e na prática clínica para avaliar as práticas e os comportamentos das equipes na gestão do risco de q...

show abstract

“…There must be a model that meets the care model, beyond the interests of the marketplace, which consists of the organization of actions to intervene in the health-disease process, articulating physical, technological and human resources in an attempt to achieve the resolution of health problems in a collective manner. (26)(27)(28) It is necessary to rethink the responsibilities of the institutions facing the actual demands of the society and of the professionals in various areas of care for the elderly, families and communities, in order to introduce changes in the care model and social support equipment.…”

Section: Discussionmentioning

confidence: 99%

Biopsychosocial aspects and the complexity of care of hospitalized elderly

Gutierrez

Silva

Shimizu³

2014

Acta paul. enferm.

View full text Add to dashboard Cite

Objective: To investigate the biopsychosocial aspects and aspects of the health system of hospitalized elderly and to classify their degree of care complexity. Methods: This was a quantitative study whose convenience sample consisted of 279 elderly. The Interdisciplinary Medicine Instrument (INTERMED) method was used, a tool that identified biopsychosocial aspects and conditions of the health system and classified the complexity of the patient. The data were submitted to descriptive analysis. Results: The prevailing profile was of elderly women, retired, white, with low educational levels, married and satisfied with their life conditions. The mean age was 72.3 years. The biological domain was the most compromised. As for the complexity of care, 34.8% of the patients required multiprofessional care. Conclusion: The elderly had high care complexity, with the biological and health system domains being the most compromised. ResumoObjetivos: Conhecer os aspectos biopsicossociais e as condições do sistema de saúde de idosos hospitalizados e classificar o grau de complexidade assistencial. Métodos: Trata-se de estudo quantitativo, cuja amostra por conveniência foi constituída por 279 idosos. Utilizou-se o método Interdisciplinary Medicine Instrument (INTERMED), ferramenta que identifica aspectos biopsicossociais e condições do sistema de saúde e classifica a complexidade do paciente. Os dados foram submetidos à análise descritiva. Resultados: Predominou idosos do gênero feminino, aposentados, de cor branca, baixa escolaridade, casados e satisfeitos com as condições de saúde. A média de idade foi 72,3 anos. O domínio biológico foi o mais comprometido. Quanto à complexidade assistencial, 34,8 % dos pacientes requerem assistência multiprofissional. Conclusão: Os idosos apresentaram elevada complexidade assistencial, com maior comprometimento nos domínios biológico e sistema de saúde.

show abstract

Falls and functional capacity in the oldest old dwelling in the community

Cited by 21 publications

References 26 publications

Risk factors for fear of falling in the elderly in Serbia

Risk factors for fear of falling in the elderly in Serbia

Práticas Das Equipas Na Prevenção De Queda Nos Idosos Institucionalizados: Construção E Validação De Escala

Biopsychosocial aspects and the complexity of care of hospitalized elderly

Contact Info

Product

Resources

About