Journal ArticleDOI
Falls, Injuries Due to Falls, and the Risk of Admission to a Nursing Home
TLDR
Among older people living in the community falls are a strong predictor of placement in a skilled-nursing facility; interventions that prevent falls and their sequelae may therefore delay or reduce the frequency of nursing home admissions.Abstract:
Background Falls warrant investigation as a risk factor for nursing home admission because falls are common and are associated with functional disability and because they may be preventable. Methods We conducted a prospective study of a probability sample of 1103 people over 71 years of age who were living in the community. Data on demographic and medical characteristics, use of health care, and cognitive, functional, psychological, and social functioning were obtained at base line and one year later during assessments in the participants' homes. The primary outcome studied was the number of days from the initial assessment to a first long-term admission to a skilled-nursing facility during three years of follow-up. Patients were assigned to four categories during follow-up: those who had no falls, those who had one fall without serious injury, those who had two or more falls without serious injury, and those who had at least one fall causing serious injury. Results A total of 133 participants (12.1 perce...read more
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Unidades de prevención de caídas y de fracturas osteoporóticas. Propuesta del Grupo de Osteoporosis, Caídas y Fracturas de la Sociedad Española de Geriatría y Gerontología
Enric Duaso,Álvaro Casas,Francesc Formiga,Montserrat Lázaro del Nogal,Antoni Salvà,Teresa Marcellán,Carmen Navarro +6 more
TL;DR: A consensus model falls register is presented, common to community level and institutional areas, with the objective of being useful and easy to fill in at any care level.
Journal ArticleDOI
Risk factors associated with visiting or not visiting the accident & emergency department after a fall
Alice C. Scheffer,Pieter Boele van Hensbroek,Nynke van Dijk,Jan S. K. Luitse,J.C. Goslings,René H Luigies,Sophia E. de Rooij +6 more
TL;DR: All modifiable risk factors for falling were found to be shared between community-dwelling elderly individuals with a fall history who visited the A&E Department and those who did not visit the Department, although the prevalence of these factors was somewhat lower in the A &E group.
Journal ArticleDOI
Outcomes of a consult fall prevention screening clinic.
Karen L. Perell,Maria Lyn P. Manzano,Robert Weaver,Mona Fiuzat,Michelle Voss-Mccarthy,Dorene Opava-Rutter,Steven C. Castle +6 more
TL;DR: Patients who attended the fall prevention screening clinic demonstrated improved confidence during activities of daily living and reduced falls and reported high satisfaction with the clinic format.
Journal ArticleDOI
Prevalence of Geriatric ‘;Syndromes' in a Tertiary Hospital
TL;DR: This data indicates that old age is associated with the syndromes of confusion, incontinence, immobility, falls and polypharmacy, which are more likely to be hospitalised and to consume more health resources.
Journal ArticleDOI
Motion-Detection Threshold and Measures of Balance in Older Adults: The SEE Project
TL;DR: Problems with balance in older adults may be due, in part, to decreased ability to detect small movements and/or visual field reduction.
References
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“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician
Marshal F. Folstein,Marshal F. Folstein,Susan E B Folstein,Susan E B Folstein,Paul R. McHugh,Paul R. McHugh +5 more
TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
A practical method for grading the cognitive state of patients for the clinician
TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal ArticleDOI
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
TL;DR: The CES-D scale as discussed by the authors is a short self-report scale designed to measure depressive symptomatology in the general population, which has been used in household interview surveys and in psychiatric settings.
Manual for the State-Trait Anxiety Inventory
TL;DR: The STAI as mentioned in this paper is an indicator of two types of anxiety, the state and trait anxiety, and measure the severity of the overall anxiety level, which is appropriate for those who have at least a sixth grade reading level.
Journal ArticleDOI
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
M. P. Lawton,Elmne M. Brody +1 more
TL;DR: Two scales first standardized on their own population are presented, one of which taps a level of functioning heretofore inadequately represented in attempts to assess everyday functional competence, and the other taps a schema of competence into which these behaviors fit.