Factors related to falls, weight‐loss and pressure ulcers – more insight in risk assessment among nursing home residents

Lannering, Christina; Bravell, Marie Ernsth; Midlöv, Patrik; Östgren, Carl Johan; Mölstad, Sigvard

doi:10.1111/jocn.13154

Cited by 32 publications

(55 citation statements)

References 33 publications

(36 reference statements)

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“…There is a well-known relationship between poor nutritional status and pressure ulcers [10,45]. The lowest prevalence of falls was found among those with risk for malnutrition and pressure ulcers probably explained by these individuals being less mobile and more often bed ridden compared to the rest of the population, as was also shown in an earlier study [46].…”

Section: Discussionmentioning

confidence: 64%

The impact of a national quality register in the analysis of risks and adverse events among older adults in nursing homes and hospital wards—a Swedish Senior Alert survey

et al. 2018

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Background: The proportion of elderly in the population in Sweden is increasing. Older adults are more vulnerable to disease and disability which in turn increases the prevalence of negative events as pressure ulcers, malnutrition, falls, and oral health problems. Methods: By using Senior Alert (SA), a quality registry for care prevention, analyze data concerning risks and adverse events and show the potential of the register for quality improvement and research in nursing homes and hospitals. Results: There are differences in the prevalence of pressure ulcers and weight loss in nursing homes compared to hospitals, explained by different risk scores in the assessment tools used as well as differences in the populations with regard to age and days to follow-up. Falls are more prevalent in nursing homes. Fall prevalence decreases more with higher pressure ulcer risk due to factors such as degree of mobility; the fall prevalence decreases for even higher pressure ulcer risk. Conclusions: The team around the older person needs a more inter-professional profile including healthcare such as physiotherapists, occupational therapists, dietitians, and dental health professionals. Trial registration: The study is an observational retrospective register-based study, using data from SA during 2015.

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Section: Discussionmentioning

confidence: 64%

The impact of a national quality register in the analysis of risks and adverse events among older adults in nursing homes and hospital wards—a Swedish Senior Alert survey

et al. 2018

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“…The mean age at inclusion was 85 years (±6.9) and the median age was 85, with a range between 65 and 101 years. In some earlier studies on the SHADES cohort 429 subjects were included [129][130][131][132][133][134], but one subject was found to be 64 years old and excluded from later studies.…”

Section: Resultsmentioning

confidence: 99%

“…Papers III-IV focus on anaemia, associations between falls and drugs, and cognitive impairment respectively. In addition to the papers on which this thesis is based, there are several other articles published on various aspects of the SHADES population [129][130][131][132][133][134][135][136][137][138][139].…”

Section: Discussionmentioning

confidence: 99%

Geriatric Aspects of Frail Nursing Home Residents : A Swedish cohort study

Westerlind

2019

Linköping University Medical Dissertations

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“…In addition to risk management, institutions must contemplate an environment that fosters the well being and dignity of older adults, recognizing the complexity of promoting their safety when institutionalized (29) . A study in Sweden revealed that merely 4% of the institutionalized older adults had not suffered falls, malnutrition or pressure ulcers (30) . This is to be expected, considering the dependency and frailty of most older adults residing in long-term care institutions.…”

Section: Discussionmentioning

confidence: 99%

Indicators of health and safety among institutionalized older adults

Cavalcante

Borges

Moura

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers -all of which are related to the safety of institutionalized older adults. Method: This was a documentary retrospective study developed in a longterm residential care institution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. Results: The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from 12% to 20%. Conclusion: Analysis of the health indicators revealed a high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators can help improve the quality of nursing care.

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Factors related to falls, weight‐loss and pressure ulcers – more insight in risk assessment among nursing home residents

Cited by 32 publications

References 33 publications

The impact of a national quality register in the analysis of risks and adverse events among older adults in nursing homes and hospital wards—a Swedish Senior Alert survey

The impact of a national quality register in the analysis of risks and adverse events among older adults in nursing homes and hospital wards—a Swedish Senior Alert survey

Geriatric Aspects of Frail Nursing Home Residents : A Swedish cohort study

Indicators of health and safety among institutionalized older adults

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