Implementing A Modified Otago Exercise Program For Fall Prevention Using The Health Belief Model For Communty Dwelling Seniors In The Senior Center Setting

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Implementing a Modified Otago Exercise Program for Fall Prevention Using the Health Belief Model for Communty-dwelling Seniors in the Senior Center Setting

Author : Theodora Barenholtz
Publisher :
ISBN 13 :
Total Pages : 92 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Implementing a Modified Otago Exercise Program for Fall Prevention Using the Health Belief Model for Communty-dwelling Seniors in the Senior Center Setting by : Theodora Barenholtz

Download or read book Implementing a Modified Otago Exercise Program for Fall Prevention Using the Health Belief Model for Communty-dwelling Seniors in the Senior Center Setting written by Theodora Barenholtz and published by . This book was released on 2018 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this study, the implementation of a fall prevention exercise program for community-dwelling seniors based on a behavior change component using the Health Belief Model (HBM) was studied. The Otago Exercise Program (OEP) was administered to groups of seniors in three senior center settings for five sessions over eight weeks with a follow-up at 12 weeks. The study design was a quasi-experimental, nonrandomized control group with blinded pre-test and post-test. The primary outcome was balance ability, measured using the Berg Balance Scale (BBS). The secondary outcomes were attitudes toward fall prevention using a survey based on the HBM constructs. The study hypothesis was that the OEP with behavior change based on the HBM would yield a more significant increase in the BBS score than the OEP group without the behavior change component. The results retained the null hypothesis, and there was not a significant difference between the groups. Both the OEP group and the OEP + HBM group experienced a significant improvement in balance as measured by the BBS. There was no significant change in attitudes as measured by the survey for the intervention group. The clinical importance of this study was the investigation of a novel approach to implementing a fall prevention exercise program. The study indicates that as few as five sessions of group fall prevention exercises can achieve significant improvements in balance for community-dwelling seniors.

Understanding Current Fall Prevention Program Design in Community-based Exercise Programs for Older Adults in Canada

Author : Alexie Touchette
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Understanding Current Fall Prevention Program Design in Community-based Exercise Programs for Older Adults in Canada by : Alexie Touchette

Download or read book Understanding Current Fall Prevention Program Design in Community-based Exercise Programs for Older Adults in Canada written by Alexie Touchette and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Falls - events by which an individual inadvertently comes to rest on the ground, floor, or lower level - present a major public health concern as they have potential to cause serious injury, admission to long-term care, and even death. Research has shown that training balance through exercise is effective at reducing falls in community-dwelling older adults. Specifically, evidence-based fall prevention exercise recommendations include at least three hours of high challenge balance exercise per week, on an ongoing basis. Community exercise programs are a potential delivery mode for implementing effective fall prevention exercises, however, little is known regarding current practice and whether they include effective fall prevention exercise recommendations. Objective: To describe characteristics of fall prevention and balance training community exercise programs for adults aged 50 years and older in Canada and determine whether the programs include the evidence-based exercise recommendations. To determine instructor and program characteristics associated with the inclusion of evidence-based recommendations. Methods: Instructors of fall prevention community exercise programs completed an electronic self-report questionnaire following a modified Dillman recruitment strategy. Questions explored program design, exercise content, target population, and demographic information. Exercises were coded for balance challenge using a previous coding scheme based on existing recommendations. Analysis followed stated objectives using descriptive statistics and multiple logistic regression. Results: 140 completed eligible responses were analyzed. One program (0.7%) included all recommendations for effective fall prevention exercise. 59 programs (42%) were offered on an ongoing basis, 1 program (0.7%) conducted at least three hours of balance exercises a week, and 133 programs (95%) prescribed mostly moderate or high challenge balance exercises. Based on descriptive statistics of programs including the recommendations, exploratory multiple logistic regression was conducted to determine instructor and/program characteristics associated with program duration. Instructor educational background in a related field and the prescription of home exercises were significantly associated with program duration. Conclusions: Most programs included at least one recommendation for effective fall prevention exercise, with only one program included all three. Future studies should focus on barriers and facilitators influencing design and delivery of community fall prevention exercise programs.

Evidence-Based Practices to Reduce Falls and Fall-Related Injuries Among Older Adults

Author : Cassandra W. Frieson
Publisher : Frontiers Media SA
ISBN 13 : 2889456099
Total Pages : 198 pages
Book Rating : 4.8/5 (894 download)

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Book Synopsis Evidence-Based Practices to Reduce Falls and Fall-Related Injuries Among Older Adults by : Cassandra W. Frieson

Download or read book Evidence-Based Practices to Reduce Falls and Fall-Related Injuries Among Older Adults written by Cassandra W. Frieson and published by Frontiers Media SA. This book was released on 2018-09-20 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls and fall-related injuries among older adults have emerged as serious global health concerns, which place a burden on individuals, their families, and greater society. As fall incidence rates increase alongside our globally aging population, fall-related mortality, hospitalizations, and costs are reaching never seen before heights. Because falls occur in clinical and community settings, additional efforts are needed to understand the intrinsic and extrinsic factors that cause falls among older adults; effective strategies to reduce fall-related risk; and the role of various professionals in interventions and efforts to prevent falls (e.g., nurses, physicians, physical therapists, occupational therapists, health educators, social workers, economists, policy makers). As such, this Research Topic sought articles that described interventions at the clinical, community, and/or policy level to prevent falls and related risk factors. Preference was given to articles related to multi-factorial, evidence-based interventions in clinical (e.g., hospitals, long-term care facilities, skilled nursing facilities, residential facilities) and community (e.g., senior centers, recreation facilities, faith-based organizations) settings. However, articles related to public health indicators and social determinants related to falls were also included based on their direct implications for evidence-based interventions and best practices.

Effectiveness of a Fall Prevention Program on Wellbeing of Community-dwelling Elders

Author : Therese Nicole Henning
Publisher :
ISBN 13 :
Total Pages : 370 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Effectiveness of a Fall Prevention Program on Wellbeing of Community-dwelling Elders by : Therese Nicole Henning

Download or read book Effectiveness of a Fall Prevention Program on Wellbeing of Community-dwelling Elders written by Therese Nicole Henning and published by . This book was released on 2017 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls represent a growing public health concern and can lead to both physical and psychological consequences that challenge the quality of life of community-dwelling elders. The purpose of this retrospective study explores the potential health benefits of participation in a multifaceted fall prevention program. The study enrolled 91 community-dwelling older adults between the ages of 65 and 93 into a six-month program. Participation in the program was voluntary, 69% of participants were female participants and 31% male. Program components include: access to a six-week exercise-based class, a fall prevention workshop, and a home safety assessment. The study measures number of falls, hospitalizations, fall risk, and quality of life using evidence-based assessment tools over the duration of six-months. Significant study findings show an 86% enrollment in the six-week class, 76% improvement in balance and strength, 28% reduction in "at risk" participants, a 33% decrease in number of falls, 87% increase in perceived safety, 82% increase in confidence, and 79% perceived decrease in fall risk. Additionally, the study demonstrates a correlation between quality of life and fall risk. Findings show that among the participants, the 55% that lowered their overall risk of falling experienced an improvement in quality of life. In conclusion, the study demonstrates the potential health benefits of participation in a fall prevention program but also highlights the challenges of recruitment and the importance of understand falls self-efficacy and the stigma of falling prior to launching a program.

Efficacy of a Community- and Group-based Intervention to Reduce Fall Risk Among Older People

Author : Patricia Lynn Ritter Ratliff
Publisher :
ISBN 13 :
Total Pages : 88 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Efficacy of a Community- and Group-based Intervention to Reduce Fall Risk Among Older People by : Patricia Lynn Ritter Ratliff

Download or read book Efficacy of a Community- and Group-based Intervention to Reduce Fall Risk Among Older People written by Patricia Lynn Ritter Ratliff and published by . This book was released on 2011 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Systematic reviews and meta-analyses of fall prevention programs support the use of exercise as an effective intervention to improve strength and balance, thus decreasing fall risks. The Arthritis Foundation Exercise Program (AFEP) has not been evaluated for its potential to improve measures of physical functioning relating to falls risk management. Objective: To analyze the effect of an 8-week, 16 session AFEP intervention on performance-based measures of balance, functional fitness and self-rated health-related quality of life measures for senior adults. Design: A quasi-experimental pretest-posttest group design study, with each subject serving as her or his own control. Setting: An Alabama senior residential and wellness facility. Subjects: Forty-five senior volunteers. Methods: Balance and functional fitness measures were assessed using the Berg Balance Scale (BBS) and the Senior Fitness Test (SFT), which consists of six validated performance tests and assessment of Body Mass Index (BMI). Self-reported health-related quality of life was assessed using the RAND 36-Item Health Survey, Version 1.0. Results: Paired-sample t-test analyses identified the AFEP intervention as significantly associated with improvements in BB, SFT measures for arm curl strength, chair sit-and-reach and back scratch flexibility, and six-minute walk distance. There was no significant effect on SFT measures for BMI, 8-foot up-and-go, or any of the RAND-36 subgroups. Conclusion: The AFEP is a potentially effective fall prevention exercise intervention strategies for seniors.

Fall Reduction Program for Seniors

Author : Julianna Whitehead
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Fall Reduction Program for Seniors by : Julianna Whitehead

Download or read book Fall Reduction Program for Seniors written by Julianna Whitehead and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on documented studies older adults/elderly falls are a major concern. Approximately 1/3 of community dwelling adults will fall in a year (Dickson and others, 2012). Falls can lead to mobility deficits, broken bones, loss of independence and death. In addition falls are the main cause for fatal injury in older adults. The financial burden of falls will be $67.7 billion by 2020 (CDC 2014). Research has shown that community dwelling seniors are at a high risk for falls. Implementing a free community based fall prevention program with education on intrinsic and extrinsic factors including activity of daily living (ADL's) and balance techniques the program can reduce potential for falls by 24.86% (Kittipimpanon, Amnatusatsue, Kerdmangkol, Jarupat- Maruo, and Nityasuddhi, 2012). This project would include a multidisciplinary team with classes to be held once a month. The program will start with introductions and a handout to assess the participant's knowledge of fall risk and fall prevention. The program will cover who, what, where, when and why falls occur with a power point presentation. Instructions will be given for safety in the home and community. Exercise basics will be taught to help improve balance and strength. Handouts will be provided to offer guidance in making one's environment safer as well as information on adaptive equipment to assist with reaching and bending, instructions on medications and ways to prevent orthostatic hypotension and dizziness. A survey at the end of the class will be given to assess for an increase in knowledge, option for a home evaluation and a follow up phone interview 6 months later to assess how the patient did and if any falls have occurred. A fall reduction program would benefit participants by raising awareness about falls and it would benefit the host facility because participants would be more likely to return to their facility when in need of care. When looking at the physical, emotional and financial toll falls have on an individual, their family and community, implementation of a fall reduction program will benefit stakeholder and participants.

Implementing Multifactorial Education Modules with Older Adults

Author : Salvador Chavez
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (981 download)

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Book Synopsis Implementing Multifactorial Education Modules with Older Adults by : Salvador Chavez

Download or read book Implementing Multifactorial Education Modules with Older Adults written by Salvador Chavez and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls are a significant concern for community-dwelling older adults (OAs), with one in four OAs reporting a fall every year. Occupational therapy students collaborated with first responders of the Novato Fire District to identify gaps in fall prevention community outreach programs and found that many interventions lack an interactive or individualized approach. Based on the gap analysis and current literature, seven education modules were developed to address key risk factors including home safety hazards, polypharmacy, fear of falling, and strength and balance exercises. Thirty community-dwelling OAs participated in the education modules that were implemented at two senior community sites in Marin County. Participants were screened via Functional Reach Test (FRT) and completed a survey to determine their personal risk factors for falling, which guided their personalized fall prevention education. Of the participants, 90% rated their experience with the education modules as "very good" or "excellent," and a majority indicated greatest satisfaction with the balance exercises. The interactive 1:1 education modules are an effective and innovative method for fall prevention education and highlight the importance of client-centered treatment.

A CDC Compendium of Effective Fall Interventions

Author : Judy A. Stevens
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (84 download)

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Book Synopsis A CDC Compendium of Effective Fall Interventions by : Judy A. Stevens

Download or read book A CDC Compendium of Effective Fall Interventions written by Judy A. Stevens and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Older adults value their independence and a fall can significantly limit their ability to remain self-sufficient. More than one-third of people aged 65 and older fall each year, and those who fall once are two to three times more likely to fall again. Fall injuries are responsible for significant disability, loss of independence, and reduced quality of life. In 2000, direct medical costs for fall injuries totaled $19 billion. However, we know that falls are not an inevitable result of aging. In recent years, systematic reviews of fall intervention studies have established that prevention interventions can reduce falls. The Centers for Disease Control and Prevention (CDC) developed the CDC Compendium of Effective Fall Interventions to help public health practitioners use the best scientific evidence to effectively address the problem of falls. The Compendium includes 22 specific interventions for community-dwelling older adults that have rigorous scientific evidence of effectiveness, and provides relevant information about these interventions to public health practitioners, aging service providers, and others who wish to implement fall prevention programs.

Best Practices of Fall Prevention Programs for Seniors

Author : Christina Bui
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (1 download)

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Book Synopsis Best Practices of Fall Prevention Programs for Seniors by : Christina Bui

Download or read book Best Practices of Fall Prevention Programs for Seniors written by Christina Bui and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Older adults wish to remain in their own home for as long as possible as they age, which is called "aging in place". Elders prefer to stay at home since it creates a sense of independence. However, their current homes are built for their middle aged years, which might not be safe for them as they continue to age in the same house. As older adults age, they become more prone to falling, so fall prevention programs are emerging around the nation. Philadelphia does not have a multifaceted fall prevention program to offer their seniors. Objectives: The Philadelphia division of AARP wants to know the best practices of a fall prevention program and how it can be brought to Philadelphia. Therefore, the purpose of this study is to determine the best practices of fall prevention programs around the nation and the best way to socially market the program. Then a recommendation is made to the Philadelphia division of AARP based on the best practices. Methods: Researching the best practices of fall prevention programs and social marketing techniques around the nation through a literature review. When it was necessary, the program coordinator was contacted via e-mail for more information on their program. Then various tables were created to show the best practices. Results: The best practices of fall prevention programs around the nation provide home modification, exercise, medication review, and vision care. The best social marketing practices were a Governor's Proclamation, state coalition, and educational and promotional materials. There are various for-profit, not-for-profit, and governmental stakeholders in the Philadelphia community that should be considered as potential partners in operating a fall prevention program for seniors. Conclusions: It is recommended to the Philadelphia division of AARP that a Philadelphia fall prevention program needs to include home modification, exercise, medication review, and vision care. Stakeholders might have a difficult time connecting home modification to fall prevention, so it is advised that AARP presented the program through the health related parts first before bringing in the best practices of home modification.

Effect of Exercise on Fall Prevention of Community-Dwelling Elderly

Author : Wai-Ming Priscilla Lui
Publisher : Open Dissertation Press
ISBN 13 : 9781361315156
Total Pages : pages
Book Rating : 4.3/5 (151 download)

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Book Synopsis Effect of Exercise on Fall Prevention of Community-Dwelling Elderly by : Wai-Ming Priscilla Lui

Download or read book Effect of Exercise on Fall Prevention of Community-Dwelling Elderly written by Wai-Ming Priscilla Lui and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Effect of Exercise on Fall Prevention of Community-dwelling Elderly" by Wai-ming, Priscilla, Lui, 雷慧明, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Objective: To evaluate the effectiveness of exercises on fall prevention among community-dwelling elderly. Design: Systematic review of randomized controlled trials. Method: The literature search of articles was conducted through the electronic databases of PubMed, Medline and EMBASE and manual search, and was confined to articles in English language with full text and publications from 2002 to 2012. Randomized controlled trials with exercise as the only intervention which aimed at reducing falls in older people aged 60 or above in community i.e. community-dwelling elderly were included. The primary outcomes were number of fallers, fall rate, time to the first and subsequent falls. Data Extraction: A total of 145 articles were retrieved through the electronic data bases (137 articles) and manual search (8 articles) of which 10 were selected after applying the inclusion criteria. According to the checklist developed by National Institute for Health and Clinical Excellence (NICE) for randomized controlled trials, the overall methodological quality of the 10 studies was rated as good as they had fulfilled 79%-93% of the assessment criteria in the NICE checklist. Results: The studies involved a sample size of 3,138 at the median age of 69 to 83. All the subjects were ambulatory and able to mobilize independently. The duration of exercise interventions ranged from 1.5 months to 12 months at a total of 11-156 hours. Eight studies showed that exercises were effective in fall prevention whereas two studies found no evidence of such effectiveness. The effect of exercises on fall prevention was multifactorial including the duration, frequency and continuity of the exercise programs, the health status of the target population and the individuals' adherence to the exercise programs. Shorter exercise programs and make-up class arrangement resulted in higher adherence rate. Tailor-made (based on the functional capabilities of the subjects) and progressive (gradual increase of the intensity and challenge of the exercises during the intervention period) nature of the exercise programs also enhanced their effectiveness on the elderly. For the studies in which exercise did not have any positive effect on fall prevention, the subjects were generally older (median age at 81) and frailer (with 3-7 frail attributes). Conclusions: This review suggests exercise may be an effective intervention for fall prevention among community-dwelling elderly. Different types of exercise including strengthening, balance, endurance and weight-bearing exercises as well as Tai Chi may prevent falls. The elderly's age and health status must be taken into consideration when designing exercise intervention programs for the elderly. Further researches are recommended to determine the optimal type, intensity, frequency and duration of exercises in fall prevention. Observations from the studies provide insights for future researches, such as the fall prevention effect of group and home exercises, tailor-made and progressive exercise programs. In Hong Kong, no randomized controlled trial studies have been conducted to examine different intervention programs on fall prevention. To achieve generalizabilty of the studies in the review, further local researches, particularly well designed and powered randomized controlled trials have to be conducted to assess the effect of different kinds of exercise interventions on fal

Reducing Older Adult Falls Through an Advanced Practice Nurse-led Fall Prevention Program Set in the Faith Community

Author : Heather Seierstad
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Reducing Older Adult Falls Through an Advanced Practice Nurse-led Fall Prevention Program Set in the Faith Community by : Heather Seierstad

Download or read book Reducing Older Adult Falls Through an Advanced Practice Nurse-led Fall Prevention Program Set in the Faith Community written by Heather Seierstad and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: One in four older adults report falling every year. Over one-third of those falls result in an injury that requires medical attention or restricted activity. Falls also have significant psychological consequences, including developing a fear of falling and resultant social isolation. Using a quasi-experimental design, this grant proposal intends to study the impact of the fall prevention program, A Matter of Balance, on older adults aged 65+ who faith community nurses recruit in the setting of Christian churches. The fall prevention program will consist of eight two-hour classes for four intervention groups and surveys only for a control group. The hypothesis is that the fall prevention program will decrease fear of falling and increase falls efficacy and physical activity in the intervention groups. This study is significant to nursing not only because it increases the awareness of the need for assessment of falls in older adults by advanced practice nurses (APNs) in primary care, but especially because it encourages APNs to implement fall prevention programs in faith community settings. This is a currently underutilized strategy for APNs in fall prevention and health promotion.

Adapting the Lifestyle-integrated Functional Exercise Program for Medically Underserved Older Adults

Author : Yi-Ling Hu
Publisher :
ISBN 13 :
Total Pages : 132 pages
Book Rating : 4.:/5 (11 download)

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Book Synopsis Adapting the Lifestyle-integrated Functional Exercise Program for Medically Underserved Older Adults by : Yi-Ling Hu

Download or read book Adapting the Lifestyle-integrated Functional Exercise Program for Medically Underserved Older Adults written by Yi-Ling Hu and published by . This book was released on 2019 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls are a growing public health problem among the aging population. Structured exercise programs are effective in preventing falls, and many have been implemented for community-dwelling older adults in the U.S. However, low adherence rates for structured exercise are reported consistently for this population. The need to translate alternative evidence-based exercise programs the diverse older adult population is important. One promising alternative program, the Lifestyle-integrated Functional Exercise Program (LiFE), can significantly reduce falls but has not yet been implemented for diverse older adults residing in the US. To initiate the translation of LiFE, we targeted older adults residing in medically underserved (MU) areas, who traditionally have less access to health prevention programs and have the lowest adherence rates for structured exercise programs.First (Chapter 2), we used a scoping review to map the nature and extent of research conducted on exercise and physical activity (PA) participation, interventions and components of effective programs for MU older adults. We found that few exercise-based fall-prevention programs were available specifically for older adults, and adapted materials should be tailored to specific subgroups. This study confirmed the need for translating LiFE for MU older adults, and identified the crucial direction for the next phase of this dissertation study.Second (Chapter 3), we developed an adapted LiFE program, Diverse Older Adults doing LiFE (DO LiFE), using a two-stage mixed method study. In the first stage, perspectives from local MU older adults and occupational therapy (OT) service providers were incorporated to develop a manual for new users. In the second stage, preliminary feasibility was established for DO LiFE in a single-group pilot study. We also developed critical insights for the next stage of the study, including using new recruitment strategies, refined inclusion criteria and measurements.Last, we conducted a randomized feasibility study with attention control (flexibility exercise) to evaluate process outcomes of DO LiFE in preparation for larger studies. For diverse older adults residing in MU areas, DO LiFE has demonstrated good feasibility with high reach, adherence, fidelity, and acceptance, but a revision is needed that addresses barriers before proceeding to larger-scale translational studies.Together, the results indicate that DO LiFE is feasible for further investigation in larger trials among diverse older adults residing in MU areas. The significance of this study is to accelerate translation of an evidence-based fall-prevention program for the in-need, diverse aging population into real-world settings.

EVIDENCE-BASED GUIDELINES OF F

Author : Man-Wai Law
Publisher : Open Dissertation Press
ISBN 13 : 9781361004289
Total Pages : 84 pages
Book Rating : 4.0/5 (42 download)

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Book Synopsis EVIDENCE-BASED GUIDELINES OF F by : Man-Wai Law

Download or read book EVIDENCE-BASED GUIDELINES OF F written by Man-Wai Law and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Evidence-based Guidelines of Fall Prevention Programme for Hospitalized Older Patients" by Man-wai, Law, 羅敏慧, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background: Falls are one of the most common and serious problems facing the elderly and are known to be associated with significant mortality, morbidity, decreased functioning and premature institutionalization. In Hong Kong, the prevalence of falls among community-dwelling older adults is 19.3%. Moreover, the incidence of falls among older people in institutions is almost three times the fall rates for the community-dwelling elderly. Institutional falls are regarded as common adverse events in hospitalized older patients. Significant mortality, morbidity and healthcare costs associated with institutional falls led institutions to recognize falls as a high-priority safety risk for hospitalized patients. This demonstrated the significance of providing the health care providers with an evidenced-based practice guideline of an effective multifactorial fall prevention programme in order to prevent in-patient falls. Objectives: The objectives of the study are to systematically review and present the best evidence for the effectiveness of multifactorial fall prevention interventions in reducing falls in hospitals, to translate the reviewed evidence and to develop evidence-based practice guidelines for the multifactorial fall prevention programme as well as to develop a plan for implementing and evaluating the multifactorial fall prevention programme. Methods: The relevant literature was searched by several electronic databases. The related literature was then retrieved, reviewed and synthesized. The quality assessment of the studies was performed according to the methodological checklist for controlled trials designed by the Scottish intercollegiate Guideline Network (SIGN). Evidenced-based practice guidelines for the multifactorial fall prevention programme were then synthesized according to the findings of the reviewed literature, while the implementation potential being assessed in terms of transferability, feasibility and the cost-benefit ratio. Results: Five studies were identified according to the inclusion and exclusion criteria set. "Evidence-based guidelines of fall prevention programme for hospitalized older patients" were formulated based on the review of the selected studies. Fourteen recommendations of the evidence-based guidelines are formulated and graded according to the grading system of Scottish Intercollegiate Guidelines Network (SIGN). The evidence-based recommendations can offer nurses and other health care professionals the standards and strategies required for implementing multifactorial fall risk assessment and multifactorial fall prevention interventions, including environmental modifications, knowledge, medication reviews and exercise. A communication plan for various parties in hospitals including a pilot test for determining the feasibility of the innovation and an evaluation plan to determine the effectiveness of the fall prevention programme were subsequently developed. Conclusion: This study reviewed evidence for the effectiveness of the multifactorial fall prevention programme in reducing the incidence of falls, translated the reviewed evidence and developed evidence-based guidelines for a multifactorial fall prevention programme, which can provide the health care practitioners with an evidence-based approach in fall risk assessment and management so as to prevent in-patient falls. DOI: 10.5353/th_b5088408 Subjects: Fa

Using an Online Learning Module in a Nursing Program to Improve Knowledge and Skills to Prevent Falls in the Community Dwelling Older Adult Population

Download Using an Online Learning Module in a Nursing Program to Improve Knowledge and Skills to Prevent Falls in the Community Dwelling Older Adult Population PDF Online Free

Author : Susan Kane Patton
Publisher :
ISBN 13 :
Total Pages : 298 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Using an Online Learning Module in a Nursing Program to Improve Knowledge and Skills to Prevent Falls in the Community Dwelling Older Adult Population by : Susan Kane Patton

Download or read book Using an Online Learning Module in a Nursing Program to Improve Knowledge and Skills to Prevent Falls in the Community Dwelling Older Adult Population written by Susan Kane Patton and published by . This book was released on 2016 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nationally, 28.4% of older adults fall each year. Falls and resulting injury result in decreased mobility, functional impairment, loss of independence, and increased mortality. Utilization of evidence based protocols by providers to identify older adults at risk of falling is limited and rates of participation by older adults in prevention activities is low. Because of nursing's increasing role in caring for older adults, development of fall prevention education for nursing students would result in increased awareness of the need for fall prevention in community dwelling older adults and increased access of older adults to falls risk assessment. There is a need to extend research to inform teaching and learning strategies for fall prevention. After pretesting, a convenience sample of 52 BSN students and 20 graduate nursing students completed an online education program and performed a falls risk assessment on an older adult before completing a posttest and self-efficacy survey. Data were analyzed using multivariate statistical tests. A qualitative approach was used to investigate a subset of student's views about relationships between acquiring knowledge, self-efficacy, and skill mastery and their perceptions of barriers and facilitators to incorporating falls risk assessment into practice. Data were analyzed using the constant comparative method to review, code, and categorize data. Results revealed a rise in knowledge and student self-reporting of self-efficacy with falls risk assessment skills. Themes that emerged from semi-structured interviews included nurses are too busy to perform fall risk assessments, the older adult is a barrier, the importance of increasing awareness of falls prevention among nurses, opportunities to address health beliefs of older adults, and need for policies or guidelines. In conclusion, an online program enhanced with opportunity for hands on practice provides an effective environment for learning to use falls risk tools and should be incorporated into nursing education in order to increase older adults' access to fall risk assessment.

The Effect of a Fall Prevention Program on Gait and Balance of Community-dwelling Elders

Author : Naiyana Piphatvanitcha
Publisher :
ISBN 13 :
Total Pages : 400 pages
Book Rating : 4.:/5 (769 download)

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Book Synopsis The Effect of a Fall Prevention Program on Gait and Balance of Community-dwelling Elders by : Naiyana Piphatvanitcha

Download or read book The Effect of a Fall Prevention Program on Gait and Balance of Community-dwelling Elders written by Naiyana Piphatvanitcha and published by . This book was released on 2006 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Preventing Falls in the Community Dwelling Older Adult Population Through Education, Exercise, and Strategic Partnerships

Author : Julie Kay Philbrook
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Preventing Falls in the Community Dwelling Older Adult Population Through Education, Exercise, and Strategic Partnerships by : Julie Kay Philbrook

Download or read book Preventing Falls in the Community Dwelling Older Adult Population Through Education, Exercise, and Strategic Partnerships written by Julie Kay Philbrook and published by . This book was released on 2017 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Minnesota Department of Public Health cited unintentional falls as the leading cause of injury-related emergency room visits, hospitalizations, and deaths for Minnesotans aged 65 and older. The purpose of this project was to implement the evidence-based older adult falls prevention program Stepping On for community-dwelling older adults. This was accomplished by creating strategic partnerships between Transcultural Nurse Leaders, Faith Community Nurses, and other community stakeholders. The project was grounded on Rosemarie Parse's Human Becoming Theory. The Older Adult Fall Prevention Sunflower Model illustrates the interrelationships of the core concepts for the project. This active approach is also in alignment with Parse's theory which stresses the value of co-participative and person-centered nursing. Using this theory allows nurses to walk alongside older adults to openly explore all aspect of falls and assist them to create an action plan to prevent them from occurring. Addressing fall prevention for older adults is a nursing challenge that will require a collaborative teamwork approach that is both interdisciplinary and inter-professional. This project advanced nursing by providing the nurse leader with the tools needed to implement the evidence-based injury prevention education program for community-dwelling older adults. It also provides a framework that will facilitate collaboration with other healthcare experts and community-based organizations to form strategic partnerships that will reach older adults and prevent falls.

Implementing a Fall Prevention Program: a Quality Improvement Project to Promote Patient Mobility on the Medical-surgical Unit

Author : Alba Araiza
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (128 download)

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Book Synopsis Implementing a Fall Prevention Program: a Quality Improvement Project to Promote Patient Mobility on the Medical-surgical Unit by : Alba Araiza

Download or read book Implementing a Fall Prevention Program: a Quality Improvement Project to Promote Patient Mobility on the Medical-surgical Unit written by Alba Araiza and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Implementing a fall prevention program is imperative in acute healthcare settings. Falls are one of the top reported events that occur in hospitals and it is a patient safety concern that requires the implementation of evidence-based practices to reduce falls. This quality improvement project will be developed by a master's prepared clinical nurse leader (CNL) on a medical-surgical unit to improve patient safety. Problem Maintaining patient safety is the most important priority in health care. Health care organizations implement protocols, policies and procedures to ensure that care is provided in a safe manner to minimize preventable harms. However, falls are unexpected incidences that occur in health care settings but are considered to be preventable occurrences. Falls can lead to serious injuries and even death; these events are known as sentinel events (The Joint Commission [TJC], 2013). According to the TJC (2016) inpatient falls are one of the top reported sentinel events occurring in hospitals and are considered a serious problem because it compromises patient safety. According to Walsh et al. (2018) and Zhao et al. (2019) in the U.S. the average fall rate of adults in a medical and surgical (M/S) unit is 3-5 falls per 1,000 patient days, in which 26.1% result in serious injuries including death. The existing problem in a Medical-Surgical (M/S) unit is that there was a 44% increase in falls this year in comparison to the previous year. Therefore, implementing a fall prevention program focusing on patient mobility is imperative. Context The M/S is an inpatient unit that has three floors with a total of 110 beds that serves a diverse population of patients. The M/S unit provides medical services adult patients. The unit provides treatment for acute and chronic medical conditions such as cardiovascular, pulmonary, and renal diseases as well as others. The M/S unit has been diligently working on focusing on purposeful hourly rounding as a method to decrease in patient falls but it has not yielded the desirable outcome of a reduction in falls. Interventions The proposed plan is to implement a fall prevention program that is centered around promoting patient mobility on the M/S unit to decrease patient falls. The CNL will establish a multidisciplinary team known as the mobility/fall task force to collaborate on developing a standardized mobility program that can be modified to meet the needs of each patient. This program will be multifaceted as it will also include performing a fall and mobility assessment and the use of several mobility tools in place along with the development of a patient mobility goal plan tool that will be incorporated into this fall prevention program. The goal is to reduce the incidence of inpatient falls occurring in the M/S unit by 25% by the end of December 2019 and 50% by December 2020. This program is currently underway. Measures To determine the success of this project, several data sets will be collected by auditing nursing documentation of the following: nursing fall risk and functional mobility assessments, patient daily mobility activities, and hourly rounding. Additional data will be collected through the review of incident fall reports as well as the review of monthly length of stay. These measurements will be analyzed first on a weekly basis for two weeks, followed by a bi-weekly basis for four weeks, then monthly for six months, and every three months thereafter. The data collected will then be entered in a Microsoft Excel spreadsheet to graph the information to depict the changes occurring over time. The graphs will reflect if there are any changes indicating positive outcomes through the introduction of this fall prevention program. Results The fall prevention program was initiated in August 5, 2019 and trialed for two weeks on all three floors in the M/S unit. The program officially began on August 19, 2019. The outcomes measured included fall rates, percent of patient being ambulated and length of stay. At this point, there is insufficient data available to determine the trend of the success, but the initial results indicate positive outcomes since the program was implemented. Although it is not the target goal of 25% reduction, data indicates that there has been a 7% reduction in falls. Further, data shows that there also was a decrease in length of stay (LOS). However, the percent of patients being ambulated was below the desired target goal. Conclusion The preliminary results indicate that having the CNL implement and lead the fall prevention program has shown positive outcomes in the reduction of falls occurring in the M/S unit per month. To continue the success of the program, the CNL will continue working closely with staff to assign a unit champion by floor per shift to ensure sustainability. The mobility/fall task force will continue meeting regularly to monitor success of the program and discuss ways to continue preventing falls. The success of this program will indicate that having a CNL collaborate with a team to implement quality improvement projects can lead to improved patient safety and better patient outcomes.