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
Falls and Balance Issues in Long-Term Care
Journal ArticleDOI
A Longitudinal Study Examining the Change in Functional Independence Over Time in Elderly Individuals With a Functioning Kidney Transplant.
TL;DR: Fuctuations in disability states are common among older adults living with renal transplants andEpisodes of functional disability may place individuals at higher risk of persistent and/or progressive disability.
Journal ArticleDOI
Transitioning of older Australian women into and through the long-term care system: a cohort study using linked data
TL;DR: The transition to either HACC or RAC was associated with several demographic and health-related factors and the findings are important for the planning and improvement of long-term care among future generations of older people.
Journal ArticleDOI
Geriatric Polypharmacy: Pharmacist as Key Facilitator in Assessing for Falls Risk: 2019 Update.
TL;DR: The importance of a stepwise comprehensive approach to falls assessment by pharmacists in collaboration with other clinicians is elucidated and the vital role of the pharmacist, regardless of practice setting, in assessing and reducing falls risk is placed.
Journal ArticleDOI
Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall-Related Hospitalization.
Samuel D. Towne,Kayla Fair,Matthew Lee Smith,Matthew Lee Smith,Diane Dowdy,SangNam Ahn,SangNam Ahn,Obioma Nwaiwu,Marcia G. Ory +8 more
TL;DR: Understanding risk factors for costly discharges to institutional settings enables targeted fall-prevention interventions with identification of at-risk groups and allows for identifying policy-related factors associated with discharge status.
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.