Older people and falls: health status, quality of life, lifestyle, care networks, prevention and views on service use following a recent fall

Roe, Brenda; Howell, Fiona; Riniotis, Konstantinos; Beech, Roger; Crome, Peter; Ong, Bie Nio

doi:10.1111/j.1365-2702.2008.02747.x

Cited by 90 publications

(100 citation statements)

References 35 publications

(41 reference statements)

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“…Most studies about falls are focused on the elderly 1,[18][19][20][21][22][23][24] . Data from the Centers of Disease Control report an investment of about US$ 24,900,000 in only 20 years to study and prevent falls among the elderly in the United States of America 19 .…”

Section: Discussionmentioning

confidence: 99%

“…Data from the Centers of Disease Control report an investment of about US$ 24,900,000 in only 20 years to study and prevent falls among the elderly in the United States of America 19 . Several studies assess the risk of falling among the elderly, as well as its prevention [20][21][22][23][24] . Most falls among the elderly take place at home and relapse is a problem 23 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lesões graves em vítimas de queda da própria altura

Parreira¹,

Vianna²,

Cardoso³

et al. 2010

Rev. Assoc. Med. Bras.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lesões graves em vítimas de queda da própria altura

Parreira¹,

Vianna²,

Cardoso³

et al. 2010

Rev. Assoc. Med. Bras.

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“…4,5 Other studies highlight changes in behavior and ways of life of older adults, for example, avoiding going up and down stairs, walking slowly, using orthotic support when necessary, correctly using medications, not drinking alcohol, crossing the street at pedestrian crossing points and wearing corrective lenses. 2,6 Studies in developed countries have advanced in the production of knowledge on fall prevention practices among older adults and have investigated the adherence and engagement of these people in fall prevention programs. [6][7][8] A systematic review, which investigated the adherence of older adults to fall prevention interventions, found that their participation varied according to the type of activity.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with fall prevention practices in older adults

Gaspar¹,

Azevedo²,

Reiners³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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Objective: To analyze the prevalence of fall prevention practices in older adults and the associated factors. Methods: A cross-sectional, analytical study with 557 older adults that were attending family health units. Data were collected using structured interviews. The dependent variable was the fall prevention practice. The associations were estimated through Poisson regression with robust variation. Results: The prevalence of fall prevention practices was 35.7%. After adjustments, the variables associated with the outcome were: gender (p = 0.003), very good/good self-assessment of health (p = 0.035), regular self-assessment of health (p = 0.012) and education (p = 0.039). Conclusion: The prevalence of fall prevention practices found was higher among older adult men with self-reported very good/good and regular health and with 5 or more years of study. This study contributes to assist the nurse in the planning of interventions to prevent falls in older adults. resumen Objetivo: Analizar la prevalencia de prácticas preventivas de caídas en ancianos, y los factores asociados. Métodos: Estudio transversal con 557 ancianos atendidos en las Unidades de Salud de la Familia. El muestreo fue probabilística estratificada proporcional. Los datos fueron colectados por medio de entrevista. La variable dependiente es la práctica preventiva de caída.Las asociaciones fueron estimadas por medio de la regresión de Poisson con variancia robusta. Resultados: La prevalencia de prácticas preventivas de caídas fue del 35,7%. Después de los ajustes, las variables que se asociaron al término fueron: género (p = 0,003); autoevaluación de salud excelente/buena (p = 0,035), regular (p = 0,012); y escolaridad (p = 0,039). Conclusión: La prevalencia de prácticas preventivas encontradas fue mayor entre los ancianos del sexo masculino, con autoevaluación de salud excelente/buena y regular, y con cinco años de estudio o más. Esta investigación contribuye en la planificación de intervenciones del enfermero para la prevención de caídas en los ancianos.Palabras clave: Accidentes por caídas; Prevención de Accidentes; Prevención de enfermedades; Acceptación de la atención de salud. EEAN.edu.br 2

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“…The impacts of falls are wide-ranging, including weakening health, reduced social networks/ activities and overall quality of life (Roe et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Falls assessment and prevention in older people: an evaluation of the Crisis Response Service

Pyer

Campbell

Ward

et al. 2015

Journal of Paramedic Practice

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The elderly population of the world is growing with increasing trends of older people falling and accessing emergency services. The Crisis Response Falls Service in Northamptonshire (UK) was designed to identify health and social care needs, promote independence and limit the impact of falls. This paper presents the findings of an evaluation of the service. A mixed-method approach was applied, drawing on the views of service users (via a survey and telephone interviews) and reviewing existing East Midlands Ambulance Service (EMAS) data with routinely collected data from the service.A decrease in the numbers of patients conveyed to hospital following a fall was observed. Best estimates of financial calculations suggest savings. High levels of patient satisfaction were achieved; patients felt treated with dignity and staff were considered friendly, approachable and well-informed. First responder services can provide positive impacts for those who fall in the community. The development and impact of the CRS shows the importance of evidence-based client centred training to inform the approaches taken to supporting those who fall, and the impact of a strong values based approach on the experiences of patients. KeywordsParamedic, falls, elderly, patient experience, patient satisfaction, allied health personnel. Key points1) The elderly population of the world is growing with increasing trends of older people falling and accessing emergency services.2) Falls have a range of impacts for communities and individuals, including fractures, traumatic brain injury, hospitalisation or premature death.3) Having an understanding of falls and the circumstances leading to them is invaluable for identifying a targeted, proactive response from commissioners and front line staff.4) It is important that the views of older people are taken into account and that they are afforded choices in interventions, ensuring that they maintain independence and competence.5) This study has begun to illustrate the range of impacts that interagency collaboration can have in supporting older people who fall, alongside the importance of effective training and a values based approach.3

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Older people and falls: health status, quality of life, lifestyle, care networks, prevention and views on service use following a recent fall

Abstract: Falls prevention initiatives and services should work with local communities, agencies and informal carers to ensure equitable access and provision of information, resources and care to meet the needs of older people at risk or who have fallen.

Cited by 90 publications

References 35 publications

Lesões graves em vítimas de queda da própria altura

Lesões graves em vítimas de queda da própria altura

Factors associated with fall prevention practices in older adults

Falls assessment and prevention in older people: an evaluation of the Crisis Response Service

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