Preventing Falls in Older People: Impact of an Intervention to Reduce Environmental Hazards in the Home

Stevens, Margaret; Holman, C. DʼArcy J.; Bennett, Nicole

doi:10.1046/j.1532-5415.2001.4911235.x

Cited by 139 publications

(99 citation statements)

References 30 publications

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“…These data agree with national and international litera- ture. International literature shows that 30% of people older than 65 years of age fall at least once a year, and half of these people experience recurrent falls after the first event (7)(8)(9)(10) .…”

Section: Discussionmentioning

confidence: 99%

Perfil dos idosos que sofreram trauma em Londrina - Paraná

Biazin

Rodrigues

2009

Rev. esc. enferm. USP

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Portuguese / English: www.scielo.br/reeusp RESUMO O objetivo foi caracterizar os idosos que sofreram trauma e foram internados nos três hospitais terciários, da cidade de Londrina -Paraná. Pesquisa quantitativa através de um estudo observacional, transversal, com 121 idosos de 60 a 74 anos e seus cuidadores, realizada durante um período de seis meses, por meio de entrevistas e visita domiciliar. Os resultados evidenciaram que a maioria dos idosos era do sexo masculino, com média de idade de 67,7 anos. Os traumas sofridos foram: 62,0% quedas, 25,6% acidentes de transporte e 10,4% outras causas. Como conseqüência ao trauma houveram de uma a três lesões, e 11 idosos (9,1%), foram a óbito. A queda foi a principal causa de trauma, a qual pode ser evitada observando os fatores intrínse-cos e os extrínsecos que a predispõem, com o intuito de estabelecer estratégias de prevenção desse tipo de trauma. DESCRITORESIdoso. Acidentes por quedas. Ferimentos e lesões. ABSTRACTThe objective of this study is to characterize elderly victims of traumas admitted to three tertiary hospitals in Londrina, Paraná State. This quantitative-based research lasted six months and was carried out by means of an observational and cross-sectional study of 121 elderly people (60 to 74 years old) and their caregivers at the patients' homes, by the use of interviews. Results indicated that the majority of the elderly patients were males, with average age of 67.7 years. The suffered traumas were distributed as follows: 62.0% by falls; 25.6% by transport accidents; and 10.4% by other sources. As a consequence of the trauma, the elderly patient had from one to three injuries and 11 (9.1%) died. Falls were the major source of traumas. This event can be avoided by the observations of predisposing intrinsic and extrinsic factors, aiming at establishing prevention strategies to this type of trauma. KEY WORDSAged. Accidental falls. Wounds and injuries. RESUMENEl objetivo fue caracterizar a los ancianos que sufrieron traumas y fueron internados en los tres hospitales terciarios, de la ciudad de Londrina, Paraná. Investigación cuantitativa a través de un estudio observacional, transversal, realizado en 121 ancianos de 60 a 74 años y sus cuidadores, realizada durante un período de seis meses, por medio de entrevistas y visitas a domicilio. Los resultados colocaron en evidencia que la mayoría de los ancianos era de sexo masculino, con promedio de edad de 67,7 años. Los traumas sufridos fueron: 62,0% caídas, 25,6% accidentes de transporte y 10,4% otras causas. Como consecuencia del trauma tuvieron de una a tres lesiones y 11 ancianos (9,1%), murieron. La caída fue la principal causa del trauma, la cual puede ser evitada observando los factores intrínsecos y los extrínsecos que la predisponen, con la finalidad de establecer estrategias de prevención para este tipo de trauma. DESCRIPTORES

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Section: Discussionmentioning

confidence: 99%

Perfil dos idosos que sofreram trauma em Londrina - Paraná

Biazin

Rodrigues

2009

Rev. esc. enferm. USP

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“…Scholars suggest that certain aspects of the environment and the settings to which older people are daily exposed increase their risk of falls (Letts et al 2010;Stevens et al 2001). The results of a retrospective study in Australia indicate that older persons who live in houses with more environmental hazards (e.g.…”

Section: The Risk Of Injuries In Older Adults' Housesmentioning

confidence: 99%

“…In addition, physical attributes of older adults' houses (e.g. slippery floors, insufficient illumination) have long been associated with injuries among the older adults (Letts et al 2010;Stevens et al 2001); therefore, it could be expected that some environments are riskier than others for older adults.…”

Section: The Conceptual Frameworkmentioning

confidence: 99%

“…Northridge et al (1995) described that in the USA, certain home hazards such as clutter and hall rug problems are crucial factors in predicting falls among healthy, active older adults. Carrying heavy or bulky objects, walking on slippery floors, and living with poor lighting may increase the risk of falls (Stevens et al 2001). Carter et al (2000) illustrated that the kitchen is the place where most non-fall injuries (31%), including burns, knocks, cuts, and bumps, take place, whereas fall-related injuries happen most frequently (20%) in the bedroom.…”

Section: The Risk Of Injuries In Older Adults' Housesmentioning

confidence: 99%

“…A higher number of falls take place in the areas of an apartment with lower levels of adoption of the principles of UD (e.g. the kitchen; Letts et al 2010;Stevens et al 2001). 3.…”

Section: The Conceptual Frameworkmentioning

confidence: 99%

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Assessing the quality of the indoor environment of senior housing for a better mobility: a Swedish case study

Bamzar

2018

J Hous and the Built Environ

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The aims of this article are to assess the quality of the indoor living environment of a senior housing (rental apartments for older adults aged 65+) in Hässelgården, Stockholm Municipality (Sweden's capital), in 2014, in relation to their mobility, and to suggest improvement strategies. First, the physical indoor environment of older adults is examined via a fieldwork checklist devised in accordance with the principles of universal design (UD). Second, their indoor environment is assessed through a survey that includes subjective questions about seniors' use of space, experience of falls, and safety perception. Third, the study explores whether the applications of UD in the seniors' indoor living environment contribute to the understanding of their use of space, experience of falls, and safety perception. Fieldwork inspections and a detailed survey with residents are used as a basis for the empirical analysis. Overall, 27 out of 56 questionnaires were collected, and ten apartments have been visited in the fieldwork. Findings indicate that the living room has the highest UD score compared with those for the kitchen and the bedroom. The older adults spend most of their time in the living room and the kitchen. A low UD score (e.g. kitchen and bedroom) is associated with a higher number of falls but not with low levels of safety perception and use of space. The article concludes with suggestions to improve housing safety of Hässelgården's senior housing, which may also help prevent falls in the older population elsewhere.

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Home Hazard Removal to Reduce Falls Among Community-Dwelling Older Adults

et al. 2021

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IMPORTANCE Falls are the leading preventable cause of morbidity, mortality, and premature institutionalization for community-dwelling older adults.OBJECTIVE To test the effectiveness of a behavioral intervention on fall risk among older adults receiving services from an Area Agency on Aging. DESIGN, SETTING, AND PARTICIPANTSThis randomized clinical trial examined a home hazard removal intervention in the community using a race-and sex-stratified randomization design. Older adults receiving services from the Area Agency on Aging in urban St Louis, Missouri, were assigned to a home hazard removal intervention delivered over 2 weeks with a 6-month booster or usual care control. Eligible participants were adults aged 65 years or older who did not have dementia, were at high risk for falling, and resided in the community. Enrollment occurred from January 2015 to

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Preventing Falls in Older People: Impact of an Intervention to Reduce Environmental Hazards in the Home

Cited by 139 publications

References 30 publications

Perfil dos idosos que sofreram trauma em Londrina - Paraná

Perfil dos idosos que sofreram trauma em Londrina - Paraná

Assessing the quality of the indoor environment of senior housing for a better mobility: a Swedish case study

Home Hazard Removal to Reduce Falls Among Community-Dwelling Older Adults

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