Guidelines for Managing Falls Among Elderly People

Simpson, Janet M; Harrington, R.; Marsh, Nicola

doi:10.1016/s0031-9406(05)66020-8

Cited by 28 publications

(23 citation statements)

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“…15 A full explanation and practical demonstration of therapy techniques was given to ensure that therapists participating in the trial understood the key differences between the two interventions. Individual exercises for EBT and CT groups were clearly described in these protocols, which adhered to national guidelines recommended by the Chartered Society of Physiotherapy.…”

Section: Interventionsmentioning

confidence: 99%

A Randomized Controlled Trial of an Enhanced Balance Training Program to Improve Mobility and Reduce Falls in Elderly Patients

Steadman

Donaldson

Kalra³

2003

J American Geriatrics Society

157

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Section: Interventionsmentioning

confidence: 99%

A Randomized Controlled Trial of an Enhanced Balance Training Program to Improve Mobility and Reduce Falls in Elderly Patients

Steadman

Donaldson

Kalra³

2003

J American Geriatrics Society

157

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“…Practice guidelines have been previously published for the prevention and management of falls in older adults: one practice guideline for the emergency room management of falls [4], one for long-term care [5], and one directed at physiotherapists, occupational therapists and nurses [6]. During the preparation of the final draft of our paper, two additional guidelines were published [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Simpson et al [6] presented in 1998 guidelines for physiotherapists, occupational therapists and nurses for management following a fall based on the first authors own study of falls. The supporting evidence which consists of the results of a systematic review (1995) and eight studies is minimal.…”

mentioning

confidence: 99%

Evidence-Based Guidelines for the Secondary Prevention of Falls in Older Adults

Moreland

Richardson²,

Chan³

et al. 2003

Gerontology

204

151

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Background: Falls are a significant problem for older adults. Individuals who have sustained a fall come to the attention of health care providers and are at risk of further falls. To promote the highest quality of care and reduce variation in care, a practice guideline is needed. Summarization of evidence regarding falls may be useful to researchers in this field. Objectives: To provide evidence-based guidelines of assessment and treatment to prevent falls in older adults and to provide researchers with tables of risk factor studies and randomized controlled trials of falls prevention. Methods: A template for the development of practice guidelines from the Agency for Health Care Policy and Research was used. Evidence for risk factors was accepted from prospective studies with more than 80% follow-up. Potentially modifiable risk factors were selected and a schema for evaluating the importance of each risk factor was used. Evidence for interventions was examined from randomized controlled trials and strength of the evidence was graded. Recommendations for aspects of care where judgment was required were made by panel consensus. Results: Information was drawn from 46 risk factor studies and 37 randomized controlled trials to develop a practice guideline consisting of assessment items and recommended interventions for community-dwelling and institution-dwelling older adults separately. For clinicians, a check list is provided. Summary tables of the results of studies are given to substantiate the recommendations. Conclusions: For community-dwelling older adults, there is strong evidence for multi-factorial specific risk assessment and targeted treatment. Balance exercises are recommended for all individuals who have had a fall and there is evidence for a program of home physiotherapy for women over 80 years of age regardless of risk factor status. For institutional settings, the establishment of a falls program for safety checks, ongoing staff education and monitoring is substantiated by research. Residents who have fallen need to be assessed for specific risk factors and clinical indicators to determine relevant management options.

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“…Quality indicators should be developed collaboratively on the basis of national and/or local guidelines with the occupational therapists that deliver the service and the users of the service. A possible quality indicator for occupational therapists working with older people, based on national guidelines (Simpson et al 1998), could be: 'All older people at risk of falling will receive education about environmental hazards from an occupational therapist prior to discharge.' When agreed, quality indicators should feature in job descriptions and be discussed regularly in clinical supervision and appraisal sessions.…”

Section: Early Recognition Of Poor Performancementioning

confidence: 99%

To Serve Better: Addressing Poor Performance in Occupational Therapy

Bannigan¹

2000

British Journal of Occupational Therapy

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A health care professional is not always ‘the right person, doing the right thing, in the right way, in the right place, at the right time and with the right result’ (Mead, quoted in Potter 2000, p3). In some renowned cases, health care professionals' interventions have resulted in the deaths of patients. For this reason and others, such as unacceptable variation in practice, poor performance is one of the six aspects of clinical governance, which is an integrated quality framework (Sealey 1999). Clinical governance, although a National Health Service development, has implications for all occupational therapists, whatever setting they work in. This discussion paper presents the concept of poor performance in the context of performance management, which is a mechanism for the early identification and the remedying of poor performance. Early recognition, feedback on performance, decisive intervention and effective self-regulation are the headings used to frame this discussion. The implications for occupational therapists nationally, locally and personally are also explored. The central theme is that identifying and dealing with poor performance is every occupational therapist's personal responsibility.

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Guidelines for Managing Falls Among Elderly People

Cited by 28 publications

References 0 publications

A Randomized Controlled Trial of an Enhanced Balance Training Program to Improve Mobility and Reduce Falls in Elderly Patients

A Randomized Controlled Trial of an Enhanced Balance Training Program to Improve Mobility and Reduce Falls in Elderly Patients

Evidence-Based Guidelines for the Secondary Prevention of Falls in Older Adults

To Serve Better: Addressing Poor Performance in Occupational Therapy

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