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Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention Rapid Synthesis Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 30 April 2017 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 30 April 2017 Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 2 (...) relevance. Acknowledgments The authors wish to thank Shane Natalwalla for help with data extraction. We would also like to thank Bonny Jung and Maureen Markle-Reid for their insightful comments and suggestions. Citation Waddell K, Wilson MG. Rapid synthesis: Examining the impact of interprofessional training and patient engagement on falls prevention. Hamilton: McMaster Health Forum, 30 April 2017. Product registration numbers ISSN 2292-7999 (online) Examining the Impact of Interprofessional Training
Older adult falls prevention behaviors 60 days post-discharge from an urban emergency department after treatment for a fallFalls are a common and debilitating health problem for older adults. Older adults are often treated and discharged home by emergency department (ED)-based providers with the hope they will receive falls prevention resources and referrals from their primary care provider. This descriptive study investigated falls prevention activities, including interactions with primary (...) care providers, among community-dwelling older adults who were discharged home after presenting to an ED with a fall-related injury.We enrolled English speaking patients, aged ≥ 65 years, who presented to the ED of an urban level one trauma center with a fall or fall related injury and discharged home. During subjects' initial visits to the ED, we screened and enrolled patients, gathered patient demographics and provided them with a flyer for a Matter of Balance course. Sixty-days post enrollment
A home program of strength training, movement strategy training and education did not prevent falls in people with Parkinson`s disease: a randomised trial For people with idiopathic Parkinson's disease, does a 6-week, comprehensive, home exercise program reduce falls and disability and improve health-related quality of life? Is the program cost-effective?Randomised, controlled trial with concealed allocation and assessor blinding.One hundred and thirty-three community-dwelling adults (...) with Parkinson's disease.The experimental group completed a 6-week home program comprising progressive resistance strength training, movement strategy training and falls education. The control group completed 6 weeks of non-specific life skills training. Participants in both groups received weekly therapist-guided sessions for 6 consecutive weeks and a weekly self-directed home program.The primary outcome was the rate of falls, documented for the 12-month period immediately after therapy. Secondary outcomes
Paramedic Assessment of Older Adults After Falls, Including Community Care Referral Pathway: Cluster Randomized Trial We aim to determine clinical and cost-effectiveness of a paramedic protocol for the care of older people who fall.We undertook a cluster randomized trial in 3 UK ambulance services between March 2011 and June 2012. We included patients aged 65 years or older after an emergency call for a fall, attended by paramedics based at trial stations. Intervention paramedics could refer (...) the patient to a community-based falls service instead of transporting the patient to the emergency department. Control paramedics provided care as usual. The primary outcome was subsequent emergency contacts or death.One hundred five paramedics based at 14 intervention stations attended 3,073 eligible patients; 110 paramedics based at 11 control stations attended 2,841 eligible patients. We analyzed primary outcomes for 2,391 intervention and 2,264 control patients. One third of patients made further
Fall Risk Score at the Time of Discharge Predicts Readmission Following Total Joint Arthroplasty Readmission among Medicare recipients is a leading driver of healthcare expenditure. To date, most predictive tools are too coarse for direct clinical application. Our objective in this study is to determine if a pre-existing tool to identify patients at increased risk for inpatient falls, the Hendrich Fall Risk Score, could be used to accurately identify Medicare patients at increased risk (...) for readmission following arthroplasty, regardless of whether the readmission was due to a fall.This study is a retrospective cohort study. We identified 2437 Medicare patients who underwent a primary elective total joint arthroplasty (TJA) of the hip or knee for osteoarthritis between 2011 and 2014. The Hendrich Fall Risk score was recorded for each patient preoperatively and postoperatively. Our main outcome measure was hospital readmission within 30 days of discharge.Of 2437 eligible TJA recipients
Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients To evaluate the accuracy of the inpatient fall risk screening tool and to identify the most critical fall risk factors in inpatients.Variations exist in several screening tools applied in acute care hospitals for examining risk factors for falls and identifying high-risk inpatients.Secondary data analysis.A subset of inpatient data for the period from June 2011-June 2014 (...) was extracted from the nursing information system and adverse event reporting system of an 818-bed teaching medical centre in Taipei. Data were analysed using descriptive statistics, receiver operating characteristic curve analysis and logistic regression analysis.During the study period, 205 fallers and 37,232 nonfallers were identified. The results revealed that the inpatient fall risk screening tool (cut-off point of ≥3) had a low sensitivity level (60%), satisfactory specificity (87%), a positive
Historical Perspective on the Rise and Fall and Rise of Antibiotics and Human Weight Gain. In recent medical and popular literature, audiences have been asked to consider whether antibiotics have contributed to the rising obesity epidemic. Prominent magazines have stated that weight may be adversely affected by antibiotics that destroy existing microbiomes and replace them with less helpful ones. However, there is a long history of efforts to investigate the relationship between antibiotics
Reducing falls in residential care Reducing falls in residential care 1 Reducing falls in residential care Citation Garrubba M, Melder A, Joseph C. 2017. Reducing falls in residential care: Systematic Review. Centre for Clinical Effectiveness, Monash Innovation and Quality, Monash Health, Melbourne, Australia. Background The Deputy Director of Nursing / Operations – Residential Services, Kingston Centre and Satellites on behalf of a falls prevention task force have requested a review (...) of the literature focusing on the investigation of any falls prevention management strategies that could be implemented to assist Monash Health in reducing the rate of falls and falls with injury across the older aged population. Question 1. What is the effectiveness of interventions designed to reduce falls by older people in residential care settings? 2. What is the effectiveness of strategies to implement falls prevention programs/initiatives/interventions? Methods A systematic search of papers in English
Accuracy of validated falls risk assessment tools and clinical judgement Accuracy of validated falls risk assessment tools and clinical judgement Page 1 Accuracy of validated falls risk assessment tools and clinical judgement Citation Yap G. and Melder A. Accuracy of validated falls risk assessment tools and clinical judgement: Rapid Review. Centre for Clinical Effectiveness, Monash Innovation and Quality, Monash Health, Melbourne, Australia. Abstract Background The Executive Director (...) judgement. 2) To identify the best validated risk assessment tools (or alternative) that accurately assesses and predict falls in hospital inpatients. Methodology A search for synthesised evidence published in English from 2012 to present was conducted in Ovid MEDLINE® and CINAHL Plus (Table 5 and Table 6) and documents were screened according to inclusion criteria and exclusion criteria listed in Table 2. A brief assessment was made on the quality of the evidence included in the report based
Preventing falls and reducing injury from falls, fourth edition. Preventing falls and reducing injury from falls, fourth edition. | National Guideline Clearinghouse success fail May JUN 10 2017 2018 2019 08 Jun 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites for the sake of history and digital heritage. The group (...) is 100% composed of volunteers and interested parties, and has expanded into a large amount of related projects for saving online and digital history. History is littered with hundreds of conflicts over the future of a community, group, location or business that were "resolved" when one of the parties stepped ahead and destroyed what was there. With the original point of contention destroyed, the debates would fall to the wayside. Archive Team believes that by duplicated condemned data
Complex and Simple Clinical Reaction Times Are Associated with Gait, Balance, and Major Fall Injury in Older Subjects with Diabetic Peripheral Neuropathy The aim of this work was to identify relationships between complex and simple clinical measures of reaction time (RTclin) and indicators of balance in older subjects with and without diabetic peripheral neuropathy (DPN).Prospective cohort design. Complex RTclin accuracy, simple RTclin latency, and their ratio were determined using a novel (...) device in 42 subjects (mean ± SD age, 69.1 ± 8.3 yrs), 26 with DPN and 16 without. Dependent variables included unipedal stance time (UST), step width variability and range on an uneven surface, and major fall-related injury over 12 months.In the DPN subjects, the ratio of complex RTclin accuracy to simple RTclin latency was strongly associated with longer UST (R/P = 0.653/0.004), and decreased step width variability and range (R/P = -0.696/0.001 and -0.782/<0.001, respectively) on an uneven surface
Imbalanced: The confusing, circular nature of falls researchâ€¦and a possible antidote 27984251 2018 10 10 2018 11 13 1537-7385 96 1 2017 01 American journal of physical medicine & rehabilitation Am J Phys Med Rehabil Imbalanced: The Confusing Circular Nature of Falls Research…and a Possible Antidote. 55-59 Richardson James K JK From the Department of Physical Medicine and Rehabilitation, University of Michigan Health Systems, Ann Arbor, Michigan. eng R01 AG026569 AG NIA NIH HHS United States (...) Journal Article United States Am J Phys Med Rehabil 8803677 0894-9115 AIM IM Accidental Falls prevention & control statistics & numerical data Accidents, Home prevention & control Aged Aged, 80 and over Geriatric Assessment methods Health Behavior Health Education methods Health Status Humans Independent Living Peripheral Nervous System Diseases prevention & control Postural Balance Risk Factors 2016 12 17 6 0 2016 12 17 6 0 2018 10 12 6 0 ppublish 27984251 10.1097/PHM.0000000000000591 00002060
Preventing Falls and Reducing Injury from Falls, Fourth Edition Clinical Best Practice Guidelines Preventing Falls and Reducing Injury from Falls Fourth Edition SEPTEMBER 2017Disclaimer These guidelines are not binding on nurses, other health-care providers, or the organizations that employ them. The use of these guidelines should be flexible, and based on individual needs and local circumstances. They constitute neither a liability nor discharge from liability. While every effort has been made (...) , the balance of this document may be produced, reproduced, and published in its entirety, without modification, in any form, including in electronic form, for educational or non-commercial purposes. Should any adaptation of the material be required for any reason, written permission must be obtained from RNAO. Appropriate credit or citation must appear on all copied materials as follows: Registered Nurses’ Association of Ontario. (2017). Preventing Falls and Reducing Injury from Falls (4 th ed.). Toronto
The correlation between white matter hyperintensity and balance disorder and fall risk: An observational, prospective cohort study The presence of an association between white matter hyperintensity (WMH) and the risk of falls in older people is uncertain, with little supporting prospective evidence available at present. We aimed to determine whether WMH was associated with dysfunctions of balance and gait, and other sensorimotor factors leading to falls, and the independent factors related (...) to falls in older Chinese people. The protective effect of exercise against falls was also addressed.In a representative sample of hospital-based individuals aged 50 years and older in China, the patients' history of falls, magnetic resonance imaging data, scores on the 9-item Berg Balance Scale (BBS-9) test and timed up-and-go test (TUGT), and sensorimotor measures of computerized dynamic posturography (CDP) were analyzed. Incident falls were recorded prospectively over a 12-month period. Using
Virtual reality exercise to improve balance control in older adults at risk of falling. 26908338 2016 12 13 2016 12 30 1024-2708 22 Suppl 2 2016 Feb Hong Kong medical journal = Xianggang yi xue za zhi Hong Kong Med J Virtual reality exercise to improve balance control in older adults at risk of falling. S19-22 Tsang W W N WW Department of Rehabilitation Sciences, The Hong Kong Polytechnic University. Fu A S N AS eng Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't (...) China Hong Kong Med J 9512509 1024-2708 IM Accidental Falls prevention & control Aged Aged, 80 and over Exercise Therapy methods Female Hong Kong Humans Male Postural Balance Treatment Outcome Virtual Reality Exposure Therapy methods 2016 2 25 6 0 2016 2 26 6 0 2016 12 15 6 0 ppublish 26908338
Accidental falls related to clearing heavy snow on rooftops in a rural heavy snow area in Japan The purpose of this study is to describe our experience with patients who fell from rooftops while clearing snow. The falls occurred in rural areas that receive heavy snowfall and are undergoing depopulation and an increasing proportion of elderly residents.A retrospective observational chart review was carried out at the sole hospital providing emergency services in a rural heavy snow area (...) in Japan.A total of 70 patients were enrolled during four winter seasons between December 2009 and March 2013. Their mean age was 61 years, and 90% were male. The mean vertical height of falls was 4.1 m. A total of 174 injuries was observed, averaging 2.5 injuries per patient. Fractures accounted for 78% of all injuries, and main fractures included vertebra with lower extremities or rib fractures; 86% of patients sustained a maximum abbreviated injury scale score of 2-3.In a rural heavy snow area