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
Citations
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Journal ArticleDOI
Prediction of the Future Need for Institutional Care in Finnish Older People: A Comparison of Two Birth Cohorts.
Marika Salminen,Sini Eloranta,Jenni Vire,Paula Viikari,Laura Viikari,Tero Vahlberg,Aapo Lehtonen,Seija Arve,Maarit Wuorela,Matti Viitanen +9 more
TL;DR: The 1940 cohort performed better in health as well as psychosocial and physical status than the 1920 cohort, and the predicted rates of future need for institutional care were high, especially at the ages of 85 and 90 years, among those with a lowered cognitive or physical status.
Journal ArticleDOI
Is the Drug Burden Index Related to Declining Functional Status at Follow-up in Community-Dwelling Seniors Consulting for Minor Injuries? Results from the Canadian Emergency Team Initiative Cohort Study.
Edeltraut Kröger,Marilyn Simard,Marie-Josée Sirois,M. Giroux,Caroline Sirois,Lisa Kouladjian-O'Donnell,Lisa Kouladjian-O'Donnell,Emily Reeve,Emily Reeve,Sarah N. Hilmer,Sarah N. Hilmer,Pierre-Hugues Carmichael,Marcel Émond +12 more
TL;DR: ED visits are considered missed opportunities for optimal care interventions in seniors; identifying their DBI and adjusting treatment accordingly may help limit functional decline in those at risk after minor injury.
Journal ArticleDOI
Behavioral interventions to reduce risk of falls in nursing home residents.
TL;DR: An updated Cochrane review found that multicomponent group exercise programs reduced the risk and rate of falling, as did Tai Chi and home-based individual exercise programs, and multifactorial interventions based on assessment also reduced the rate of falls.
References
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Journal ArticleDOI
“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.