Falls in long-term care institutions for elderly people: protocol validation

Abstract

Objectives: To validate the content of a fall management risk protocol in long-term institutions for elderly people. Methods: Methodological, quanti-qualitative study using the Delphi technique. The tool, based on the literature, was sent electronically to obtain consensus among the 14 experts that meet the defi ned inclusion criteria. Results: The 27 indicators of the protocol are organized in three dimensions: prepare for the institutionalization (IRA=.88); manage the risk of falls throughout the institutionalization (IRA=.9); and lead the communication and formation (IRA=1), with a CVI=.91. Two rounds were performed to get a consensus superior to 80% in every item. Conclusion: The values obtained in the reliability test (>0.8) show that the protocol can be used to meet the intended goal. The next step is the clinic validation of the protocol with residents of long-term care institutions for elderly people. Descriptors: Accidental Falls; Aged; Accident Prevention; Nursing; Institutionalization. RESUMO Objetivos: Validar o conteúdo de um protocolo para a gestão do risco de queda em Instituições de Longa Permanência para Idosos. Método: Estudo metodológico, de abordagem quantiqualitativa, utilizando a técnica de Delphi. O instrumento, construído com base na literatura, foi enviado por via electrónica, para obter consenso entre os 14 peritos que respeitam os critérios de inclusão defi nidos. Resultados: Os 27 indicadores do protocolo estão organizados em três dimensões: Preparar a Institucionalização (IRA=,88); Gerir o Risco de Queda ao longo da Institucionalização (IRA=,9) e Liderar a comunicação e formação (IRA=1), com um CVI=,91. Foram efetuadas duas rodadas para se obter consenso superior a 80% em todos os itens. Conclusão: Os valores obtidos no teste de fi dedignidade (>0,8) atestam que o protocolo pode ser utilizado para atingir o fi m que se pretende. A próxima etapa é a validação clínica do protocolo com idosos residentes em Instituições de Longa Permanência para Idosos. Descritores: Acidentes por Quedas; Idosos; Prevenção de Acidentes; Enfermagem; Institucionalização. RESUMEN Objetivos: Validar el contenido de un protocolo para gestión de riesgo de caídas en Residencias Geriátricas. Método: Estudio metodológico, de abordaje cualicuantitativo, utilizando técnica de Delphi. El instrumento elaborado con base en la literatura fue enviado por vía electrónica para obtener consenso entre los 14 peritos que observan los criterios de inclusión defi nidos. Resultados: Los 27 indicadores del protocolo están organizados en tres dimensiones: Preparar la Institucionalización (IRA=,88); Gerenciar el Riesgo de Caída durante la institucionalización (IRA=,9); y Liderar la comunicación y formación (IRA=1), con un CVI=,91. Fueron efectuadas dos rondas para obtener consenso superior al 80% en todos los ítems. Conclusión: Los valores obtenidos en el test de fi delidad (>0,8) certifi can que el protocolo puede utilizarse para alcanzar el fi n pretendido. La siguiente etapa será la validación clínica del protocolo con ...

Transitional care to caregivers of dependent older people: an integrative literature review

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Integration of the Mobile Robot and Internet of Things to Monitor Older People

“…Such a physiological condition corroborates a loss of functional reserve, due to the neuromuscular impairment that affects the loss of muscle, bone and postural balance to people with advanced age. These situations favour the incidence of falls, which is also affected by the presence of chronic diseases, visual and auditory deficits, polypharmaceuticals and, as the leading cause, as accidents related to the physical environment [1,37]. The loss of the elderly can affect the loss of autonomy and the ability to perform instrumental activities of daily living, caused by fractures, immobility and psychological disorder, in the face of fear of falling again and risk of death [2].…”

“…Although the institutions have trained professionals to monitor the elderly and assistants in their food activities, there is still some difficulty in monitoring and avoiding how much risk there is. Therefore, single monitoring is recommended for the implementation of strategies, through an autonomous system of support to the caregiver, which understands the activities of the elderly and decides which services are offered in different situations and when to notify or deal with any incident in the service health, an end to control quickly and effectively as consequences of the fall and prevention or decline of post-fall functionality [1,7 ]. In the context of this research, prominent applications for the elderly were presented the novel non-invasive monitoring system for fall detection in older people who live alone [38] and the design of a low-cost device that automatically detects micturition events [39].…”

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