Fall concern about older persons shifts to carers as changing health policy focuses on family, home-based care

Ang, Seng Giap Marcus; O’Brien, Anthony; Wilson, Amanda

doi:10.11622/smedj.2018005

Cited by 8 publications

(5 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12,13 Some studies suggest that an individual's awareness, positive attitude, and health concerns are important factors in preventing falls. 13,14 Quality of life is a term used in many fields and has a wide range of contexts depending on utility, health status, lifestyle, and satisfaction, 15 in addition, quality of life is related to the perception individuals have of their life expectancy in the context of the community and culture in which they live. [15][16][17] However, studies show that older Thai people are experiencing a deteriorating quality of life due to numerous factors, including regular alcohol consumption, lack of exercise, chronic health conditions, 18 and a poor social environment; in addition, falling is one of the factors that impacts health and quality of life among elders.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Fall Awareness, Falls, and Quality of Life Among Ethnic Minority Older Adults in Upper Northern Thailand

Kantow¹,

Seangpraw²,

Ong-Artborirak³

et al. 2021

CIA

View full text Add to dashboard Cite

Background Falls are a major public health issue and one of the leading causes of morbidity and mortality among the older adults in many countries. Falls and their consequences have an impact on people’s quality of life, particularly the older adults. However, there have been very few studies on falls among ethnic minority groups living in rural areas. The aim of this study was to examine factors related to fall awareness, falls, and quality of life among ethnic minority older adults living in northern Thailand. Methods A cross-sectional study was conducted among 462 older adults from ethnic minority groups living in rural communities in Phayao and Lamphun provinces of northern Thailand using a multi-stage sampling technique. The data were collected through face-to-face interviews, with structured questionnaires covering health information, fall awareness, and quality of life (WHOQOL-OLD). The factors were determined using simple linear regression and binary logistic regression. Results The mean age of the participants was 68.2, Karen (35.5%), Mien (24.2%), indigenous (20.8%), and Hmong (19.5%). In the previous 12 months, 20.6% of elders had experienced a fall, and 4.5% of them had experienced multiple falls. More than half of the elders had moderate fall awareness and quality of life (71.6% and 68.6%, respectively). Univariate analysis revealed that minority group, sociodemographic characteristics, sleep duration, and fear of falling were all found to be associated with fall awareness, falls, and quality of life score (p<0.001). There was a significant relationship among fall awareness, falls, and quality of life score (p<0.001). Compared to those who had not fallen in the previous year, the quality of life of the older adults who had fallen was about 11 points lower. Conclusion Several independent variables were discovered to be fall risk factors and quality of life indicators. It is critical to recognize the risk factors to promote fall prevention programs that are appropriate for the older adults among ethnic minorities. Therefore, public health agencies and local government should be aware of the problem and initiate an implementation program and policy to prevent falls and improve the quality of life among ethnic minority older adults.

show abstract

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Fall Awareness, Falls, and Quality of Life Among Ethnic Minority Older Adults in Upper Northern Thailand

Kantow¹,

Seangpraw²,

Ong-Artborirak³

et al. 2021

CIA

View full text Add to dashboard Cite

show abstract

“…Like older people (care recipients), falls can also affect their carers [6]. Previous research has highlighted that after a fall has occurred, most carers experience increased concern about their care recipients falling again [7, 8].…”

Section: Introductionmentioning

confidence: 99%

Understanding carers’ fall concern and their management of fall risk among older people at home

2019

View full text Add to dashboard Cite

Background Many older people (care recipients) experience long-term psychological distress due to the fear of falling again. Falls can affect carers due to concerns about their care recipients falling. Understanding carers’ fall concern is crucial to determine if carers are coping with the provision of care or have adequate knowledge and support in preventing their care recipients from falling at home. Methods A descriptive qualitative study was conducted to explore carers’ concern about their care recipients being at risk of falling and their management of fall risk at home. Twenty-two carers were recruited from two research registers and a large tertiary hospital in a regional centre of Australia. Carers were interviewed face-to-face, or by telephone using a semi-structured interview guide about their fall concern. The data was analysed using an inductive content analysis method. Results Eight major themes emerged from the interviews. Four themes described key factors influencing carers’ fall concern which include: 1) carers’ perception of fall and fall risk, 2) care recipients’ behaviour and attitude towards fall risk, 3) care recipients’ health and function, and 4) care recipients’ living environment. Another four themes described the management of care recipients’ fall risk which include: 5) fall prevention strategies used, 6) risk of preventing falls, 7) support from family and friends, and 8) support from healthcare professionals. Conclusions The findings from this qualitative study provide an insight into the carers’ awareness of fall risk, knowledge, and the availability of support in preventing their care recipients from falling at home. Healthcare professionals are encouraged to include carers and address their fall concern to improve fall prevention programmes for care recipients at risk of falling at home.

show abstract

“…41 Therefore, self-perceived fear of falling assessment is important in identifying patients who are at risk of readmission. 43 Interventions aiming to reduce fear of falling, which include strategies such as medication reviews, home safety assessment, osteoporosis prevention, regular eye examination, weight-bearing exercise programs, and caregiver-targeted fall prevention education, 42,44 might enhance self-confidence and selfefficacy in falls prevention.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Readmissions in Geriatric Rehabilitation Patients: RESORT

Wan

Reijnierse

Maier

2021

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

To evaluate the risk factors associated with 30-and 90-day hospital readmissions in geriatric rehabilitation inpatients. Design: Observational, prospective longitudinal inception cohort. Setting: Tertiary hospital in Victoria, Australia. Participants: Geriatric rehabilitation inpatients of the REStORing Health of Acutely Unwell AdulTs (RESORT) cohort evalutated by a comprehensive geriatric assessment including potential readmission risk factors (ie, demographic, social support, lifestyle, functional performance, quality of life, morbidity, length of stay in an acute ward). Of 693 inpatients, 11 died during geriatric rehabilitation. The mean age of the remaining 682 inpatients was 82.2AE7.8 years, and 56.7% were women. Interventions: Not applicable. Main Outcome Measures: Thirty-and 90-day readmissions after discharge from geriatric inpatient rehabilitation. Results: The 30-and 90-day unplanned all-cause readmission rates were 11.6% and 25.2%, respectively. Risk factors for 30-and 90-day readmissions were as follows: did not receive tertiary education, lower quality of life, higher Charlson Comorbidity Index and Cumulative Illness Rating Scale (CIRS) scores, and a higher number of medications used in the univariable models. Formal care was associated with increased risk for 90-day readmissions. In multivariable models, CIRS score was a significant risk factor for 30-day readmissions, whereas high fear of falling and CIRS score were significant risk factors for 90-day readmissions. Conclusions: High fear of falling and CIRS score were independent risk factors for readmission in geriatric rehabilitation inpatients. These variables should be included in hospital readmission risk prediction model developments for geriatric rehabilitation inpatients.

show abstract

Fall concern about older persons shifts to carers as changing health policy focuses on family, home-based care

Cited by 8 publications

References 11 publications

Risk Factors Associated with Fall Awareness, Falls, and Quality of Life Among Ethnic Minority Older Adults in Upper Northern Thailand

Risk Factors Associated with Fall Awareness, Falls, and Quality of Life Among Ethnic Minority Older Adults in Upper Northern Thailand

Understanding carers’ fall concern and their management of fall risk among older people at home

Risk Factors of Readmissions in Geriatric Rehabilitation Patients: RESORT

Contact Info

Product

Resources

About