Evaluating the Relationship Between Inattention and Impulsivity-Related Falls in Hospitalized Older Adults

Harrison, Barbara; Ferrari, Marisa; Campbell, Cathy; Maddens, Michael; Whall, Ann L.

doi:10.1016/j.gerinurse.2009.09.002

Cited by 11 publications

(14 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Administrators also faced challenges with preventing falls in patients who demonstrated risk taking or impulsive behaviour. Fall prevention studies have recognized the role of behavioural factors such as a person’s decision making and a person’s risky behaviour as contributors to falls [33, 40]. Informed risk taking is one approach that clinicians can use to educate patients who exhibit impulsive or risk taking behaviour.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing fall prevention for patients with spinal cord injury from the perspectives of administrators in Canadian rehabilitation hospitals

Singh

Craven

Flett

et al. 2019

BMC Health Serv Res

View full text Add to dashboard Cite

Background Fall prevention is a priority in Canadian tertiary rehabilitation hospitals. We aimed to understand the perspectives of hospital administrators on the challenges experienced when implementing fall prevention policies/procedures for patients with spinal cord injury (SCI) in tertiary rehabilitation hospitals. Methods Semi-structured interviews were conducted with 10 administrators employed in six Canadian tertiary rehabilitation hospitals. Guided by an interpretive description framework, interviews were analyzed using a constant comparison approach. Results Challenges with fall prevention experienced by administrators fell into the three categories: 1) fall prevention policy and procedural challenges (e.g. fall prevention policy not SCI-specific, expectation of zero falls, determining contributing factors, learning from falls, and overall effectiveness of the fall prevention policy), 2) clinician-related challenges (e.g. variable staff adherence with the organizations’ fall prevention procedures, inconsistent delivery of fall prevention education, and integrating individualized fall risks to guide clinical practice), and 3) patient-related challenges (e.g. balancing risk vs independence and rehabilitation progress, responsibility for fall prevention, and non-preventable falls). Conclusions Fall prevention policies/procedures required by the hospitals were insufficient for clinical practice in SCI rehabilitation. Electronic supplementary material The online version of this article (10.1186/s12913-019-4233-8) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors influencing fall prevention for patients with spinal cord injury from the perspectives of administrators in Canadian rehabilitation hospitals

Singh

Craven

Flett

et al. 2019

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5] From a perspective of vulnerability, the need for patient care companions during a hospital stay has increased over time. [2][3][4][5] From a perspective of vulnerability, the need for patient care companions during a hospital stay has increased over time.…”

mentioning

confidence: 99%

Close Observation Unit to Prevent Falls and Minimize Use of Patient Care Companions

Skowronsky¹,

Bena²,

Albert³

2015

Journal of Nursing Care Quality

View full text Add to dashboard Cite

Fall rates and patient companion use were examined after opening a close observation unit (COU) for patients with internal medicine diagnoses. Of 2023 patients (COU, n = 145; internal medicine unit, n = 1878), COU patients had more neurologic and psychiatric problems, had a longer mean length of stay, and were discharged home less often than internal medicine unit patients. Although COU patients had higher acuity, there were no differences between groups in fall rates per 100 patient-days and no use of patient companions in the COU.

show abstract

“…Falls by older adults with CI may be characterized as impulsive when using the Conley Fall Risk Assessment (Conley, Schultz, & Selvin, ). These falls have been described as impulsivity‐related falls (IRF) (Ferrari, Harrison, Campbell, Maddens, & Whall, ; Harrison, Ferrari, Campbell, Maddens, & Whall, ) and a relationship between CI and impulsivity was described. This study attempts to replicate the previous study in a different population and retest the relationship.…”

mentioning

confidence: 99%

The Risk Factors for Impulsivity-Related Falls Among Hospitalized Older Adults

Ferrari

Harrison

Lewis

2012

Rehabilitation Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

Evaluating the Relationship Between Inattention and Impulsivity-Related Falls in Hospitalized Older Adults

Cited by 11 publications

References 29 publications

Factors influencing fall prevention for patients with spinal cord injury from the perspectives of administrators in Canadian rehabilitation hospitals

Factors influencing fall prevention for patients with spinal cord injury from the perspectives of administrators in Canadian rehabilitation hospitals

Close Observation Unit to Prevent Falls and Minimize Use of Patient Care Companions

The Risk Factors for Impulsivity-Related Falls Among Hospitalized Older Adults

Contact Info

Product

Resources

About