Analysis of the Nursing Diagnosis Risk for Falls in Older Adults with Hypertension

Ferreira, Glauciano de Oliveira; Moreira, Rafaella Pessoa; Felício, Janiel Ferreira; Guerra, Francisca Valúzia Guedes; Cavalcante, Tahissa Frota; Rouberte, Emília Soares Chaves

doi:10.1111/2047-3095.12303

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…(2004), decreased visual acuity appeared in 47% of the study population who had diagnosis of risk of falls. Factors such as advanced age, history of falls, cognitive function alteration, and gait disorders can increase the risk of falls (Ferreira et al., 2020). Nursing interventions such as Risk for Falls ND can help identify risk factors and reduce the occurrence of falls.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the use of a nursing diagnosis Risk for Falls in the Community of Madrid (Spain) Primary Care System

Domínguez-Fernández

Bazán

Pérez‐Rivas

2023

Int J of Nursing Knowl

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PurposeThe purpose of this study was to describe the use of the nursing diagnosis Risk for Falls in Primary Care System of the Community of Madrid.MethodsA retrospective review of the clinical histories was carried out in 262 health centers from January 2005 to December 2015. The study population are the patients who have recorded in their electronic health record the nursing diagnosis Risk for Falls.FindingsFrequency of use of the Risk for Falls ND in the Community of Madrid was 53,340 diagnoses, increasing from 650 nursing diagnosis in 2005 to 14,695 in 2015. NOC Nursing Outcomes total identified were 109,145, which represents an average of 2.05 NOC Nursing Outcomes per diagnosis. NOC Nursing Outcomes frequently appeared as follows: Fall Prevention Behavior (35.9%), Safe Home Environment (11.3%), and Risk Control (10.5%). NIC Nursing Interventions total identified were 104,293, representing an average of 1.96 NIC nursing interventions per diagnosis. NIC Nursing Interventions frequently appeared as follows: Fall Prevention (45.9%), Environmental Management: Safety (27%), and Risk Identification (5.8%).ConclusionsNursing diagnosis of Risk for Falls and the care process related to this diagnosis is starting to be used by the primary care nurses of the Community of Madrid.Implication for nursing practiceRisk factors related to the nursing diagnosis of risk for falls identified in our study can be addressed with activities that nurses must implement to prevent falls. Nursing methodology in general and specifically the diagnosis of risk for falls must be included in guides and protocols for the prevention of falls, and its use should be promoted by primary care nurses.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the use of a nursing diagnosis Risk for Falls in the Community of Madrid (Spain) Primary Care System

Domínguez-Fernández

Bazán

Pérez‐Rivas

2023

Int J of Nursing Knowl

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“…The most prevalent risk factors were 65 years or older, use of loose mats, walking difficulties, acute illness, and impaired vision. In addition, retirement was associated with the nursing diagnosis Risk for falls, but none of the antihypertensive medications investigated was related to this diagnosis (Ferreira et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

Effects of the nursing intervention Fall prevention in older adults with arterial hypertension using NANDA‐I, NIC, and NOC

Moreira

Guerra²,

Ferreira³

et al. 2021

Int J of Nursing Knowl

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Purpose: To measure the effects of the NIC intervention fall prevention on the magnitude of the NANDA-I Risk for falls' risk factors and of NOC indicators related to falls in older adults with arterial hypertension. Background: Nurses can use nursing taxonomies to provide effective care in preventing falls in specific populations. Methods: Clinical, randomized, open, parallel, and multicenter trial following the CON-SORT recommendations for nonpharmacological trials. The clinical trial was registered. The research was conducted with 118 older adults allocated to intervention and control groups and matched by sex and age. The intervention was conducted in the participants' homes in three different moments and consisted of nursing activities belonging to the NIC Fall prevention and implemented with the aid of a protocol with operational definitions.Findings: Three months after the intervention, there was a significant intergroup difference in the frequency of Risk for falls and of the following factors/conditions: cluttered environment, unfamiliar setting, exposure to unsafe weather-related condition, insufficient anti-slip material in the bathroom, history of falls, acute illness, orthostatic hypotension, hearing impairment, and impaired vision. There was also a positive change in the magnitude of the following NOC indicators: risk control, cognitive orientation, knowledge: fall prevention, safe home environment, comfort level, vision compensation behavior, and leisure participation. Conclusions:The NIC intervention Fall prevention was effective in modifying risk factors belonging to Risk for falls and NOC indicators related to falls in older adults. Implications for nursing practice:The tested intervention is important and should be instituted, mainly by nurses from primary care services who make home visits to older adults.

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Change in gait speed and fall risk among community-dwelling older adults with and without mild cognitive impairment: a retrospective cohort analysis

et al. 2023

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Background Although slow gait speed is an established risk factor for falls, few studies have evaluated change in gait speed as a predictor of falls or considered variability in effects by cognitive status. Change in gait speed may be a more useful metric because of its potential to identify decline in function. In addition, older adults with mild cognitive impairment are at an elevated risk of falls. The purpose of this research was to quantify the association between 12-month change in gait speed and falls in the subsequent 6 months among older adults with and without mild cognitive impairment. Methods Falls were self-reported every six months, and gait speed was ascertained annually among 2,776 participants in the Ginkgo Evaluation of Memory Study (2000–2008). Adjusted Cox proportional hazards models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI) for fall risk relative to a 12-month change in gait speed. Results Slowing gait speed over 12 months was associated with increased risk of one or more falls (HR:1.13; 95% CI: 1.02 to 1.25) and multiple falls (HR:1.44; 95% CI: 1.18 to 1.75). Quickening gait speed was not associated with risk of one or more falls (HR 0.97; 95% CI: 0.87 to 1.08) or multiple falls (HR 1.04; 95% CI: 0.84 to 1.28), relative to those with a less than 0.10 m/s change in gait speed. Associations did not vary by cognitive status (pinteraction = 0.95 all falls, 0.25 multiple falls). Conclusions Decline in gait speed over 12 months is associated with an increased likelihood of falls among community-dwelling older adults, regardless of cognitive status. Routine checks of gait speed at outpatient visits may be warranted as a means to focus fall risk reduction efforts.

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Analysis of the Nursing Diagnosis Risk for Falls in Older Adults with Hypertension

Cited by 3 publications

References 20 publications

Evaluation of the use of a nursing diagnosis Risk for Falls in the Community of Madrid (Spain) Primary Care System

Evaluation of the use of a nursing diagnosis Risk for Falls in the Community of Madrid (Spain) Primary Care System

Effects of the nursing intervention Fall prevention in older adults with arterial hypertension using NANDA‐I, NIC, and NOC

Change in gait speed and fall risk among community-dwelling older adults with and without mild cognitive impairment: a retrospective cohort analysis

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