Are the Elderly Safe at Home?

Moss, Anne B.

doi:10.1207/s15327655jchn0901_2

Cited by 8 publications

(6 citation statements)

References 17 publications

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“…Health promotion in older people remains an important and developing role for public health nurses (Davis, 1994). Falls prevention and tools that assess the potential for falls, should be included in any comprehensive nursing assessment of community‐living older people (Lange, 1996; Moss, 1992; Williams & Nolan, 1993). This study sought to develop and test a short screening tool that could be used by community nurses to assess home environments and home behavior that may constitute a risk for falls.…”

Section: Discussionmentioning

confidence: 99%

Home‐Screen: A Short Scale to Measure Fall Risk in the Home

Johnson

Cusick

Chang

2001

Public Health Nursing

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Community nurses are often the health professionals with whom older Australians living at home have most contact. The home environment has been identified to have a number of hazards associated with falls in older people. The Home-screen scale was specifically designed as a nurse-administered instrument to identify environmental and behavioral risks that alert nurses to the need for action to reduce fall risks in the home. A 14-item scale was administered to 1,165 older people receiving community nursing services. Psychometric investigation confirmed a 10-item scale with construct validity and internal consistency (alpha = 0.86, n = 989), explaining 60% of the construct of home safety (safe home environment and safe home behaviors). In addition, differences in mean scores were found in clients able and unable to transfer independently (t = 4.5 [df = 323.1] p < 0.001 [Group 1: M = 82.14, SD = 15.56; Group 2: M = 75.54, SD = 20.83, n = 989]). Similarly, an association existed between clients with low scores on the Home-screen scale and the perceived need for home modification. A score of 74 on this scale has been identified as a critical point for potential client injury. The use of this scale, both as an initial screening instrument and as a monitoring tool for community nurses working with older people, is recommended.

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Section: Discussionmentioning

confidence: 99%

Home‐Screen: A Short Scale to Measure Fall Risk in the Home

Johnson

Cusick

Chang

2001

Public Health Nursing

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“…Metabolic disorders, anaemia and dehydration, and cardiopulmonary disorders may also contribute to increased risk of falls, as may acute illness (Abram 1995; Alexandr 2002; Hill 2002). The most common aetiologies of falls are listed in Table 1 (Abram 1995; Fuller 2002; Moss 1992; Wang & Wollin 2004).…”

Section: Aetiologymentioning

confidence: 99%

“…A home‐safety checklist can guide the visit and ensure a thorough evaluation (Fig. 1) (Fuller 2000, 2002; Moss 1992; Preboth 2002; Stevens & Olson 2002).…”

Section: Evaluation Of the Older Patient Who Fallsmentioning

confidence: 99%

Falls in the elderly: what can be done?

2007

International Nursing Review

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“…Environmental risk: Environmental risk is defined as any part of the environment in the home areas (the kitchen, the bathroom, the bedroom, the stairways, and the sidewalk); transition areas (the entrance or back door); and outside areas (street or sidewalk) which are associated with falls. Environment risk will be operationalized by researcher assessment of the elders' environment using the Environment Hazards Checklist (Tideiksaar & Arthur, 1986; Tideiksaar, 1989b; Moss, 1992; Reinsch, MacRae, Lachenbruch, & Tobis, 1992; Northridge et al, 1995).…”

Section: Theoretical and Operational Definitionsmentioning

confidence: 99%

“…But in elderly, additional intrinsic factors contribute to the increased incidence of falling, including decline in physiologic functions such as balance, muscle weakness, pathologic disease processes, psychological factors, and the effects of medications. (Tideiksaar & Arthur, 1986; Schulman & Acquaviva, 1987; Tideiksaar, 1989b; Overstall, 1990; Moss, 1992; Kippenbrock & Soja, 1993; Northridge, Nevitt, Kelsey, & Link, 1995). The problem of falls is a multifactorial condition that requires multiple considerations as an approach to prevention.…”

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confidence: 99%

Effectiveness of Home Visit Falls Prevention Strategy for Taiwanese Community‐Dwelling Elders: Randomized Trial

Huang¹,

Acton²

2004

Public Health Nursing

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The purpose of this research was to examine the effect of a multifactorial intervention to prevent falls by increasing self-efficacy to prevent falls, improving the knowledge of medication safety, and decreasing the number of environmental risks in older persons dwelling in the community. A sample of 120 cognitively intact residents of this community who were 65 years of age and older were recruited into a two-group pretest-post-test experimental design and randomly assigned to an experimental group and a comparison group (60 in each group). The intervention was delivered, and data were collected during three home visits in a 4-month period. (1) Experimental subjects improved their fall self-efficacy, environmental safety, and knowledge of medication safety significantly (p < 0.01) as compared with those in the comparison group at post-test; (2) the incidence of falls was reduced at post-test in both groups compared to pretest scores, and the falling was more serious in the comparison group at post-test compared to that in the experimental group. The results can help community health professionals to individualize their interventions to the specific needs of the elderly, thus helping to prevent falls among community-dwelling elders.

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Are the Elderly Safe at Home?

Cited by 8 publications

References 17 publications

Home‐Screen: A Short Scale to Measure Fall Risk in the Home

Home‐Screen: A Short Scale to Measure Fall Risk in the Home

Falls in the elderly: what can be done?

Effectiveness of Home Visit Falls Prevention Strategy for Taiwanese Community‐Dwelling Elders: Randomized Trial

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