Falls in older adults

Kenny, Rose Anne; Romero-Ortuño, Román; Kumar, Rahul

doi:10.1016/j.mpmed.2016.10.007

Cited by 49 publications

(52 citation statements)

References 4 publications

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“…However, they reported that evaluation tools during home visits were missing; it was a major issue neglected by supervisors and, therefore, partly by students as well. Overall, based on previous studies, it can be a challenge for professionals to use screening tools and questionnaires [6,13,16] to support older people in understanding and recognising the risk of falls in home surroundings [16].…”

Section: Evaluation Of Falls At Older Clients' Homes Based On Systemamentioning

confidence: 99%

“…Fall prevention is a significant part of supporting older people's independent living [6,7], and it is therefore globally an important area of development in the field of healthcare. It is estimated that more than one-third of people aged 65 or older experience falls [8], causing suffering, functional decline [9], and increased need for healthcare services that incur significant financial costs for healthcare [10].…”

Section: Introductionmentioning

confidence: 99%

“…Falls at home can also lead to long-term institutional care and even death [13]. Moreover, it was found that older people have a higher risk of death if they had fallen two or more times [6].…”

Section: Introductionmentioning

confidence: 99%

“…Home care professionals can play a significant role in recognising and evaluating risks for falls during home visits. However, based on previous studies, it can be a challenge for professionals to take into account risks of falls [6,13,16] and to support older home care clients in understanding and recognising their risks of falls in home surroundings [16]. In addition, nursing students will be in the key role in the future of preventing older clients' falls when working as professionals.…”

Section: Introductionmentioning

confidence: 99%

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A Qualitative Study of Nursing Students’ Experiences in Fall Prevention for Older Home Care Clients

Turjamaa

Äijö

Tervo‐Heikkinen

et al. 2020

Journal of Aging Research

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The aim of this study was to describe the experiences of nursing students in fall prevention during clinical practice in the context of older home care clients. This was a qualitative focus group study of nursing students (n = 9) who had completed clinical practice in older clients’ home care. The data were analysed using inductive content analysis. The nursing students described their experiences regarding falls and fall prevention in older clients’ home care from two perspectives: evaluation of falls at older people’s homes and fall prevention during home visits. Systematic evaluation of falls was based on physical examination and is the basis of fall prevention. However, evaluation of nutrition and adverse drug effects seemed to be ignored. In addition, fall prevention during home visits included concrete fall prevention in authentic client situations, confidential relationships with older clients, and evidence-based knowledge. From the perspective of fall prevention, there was a lack of comprehensive evaluation and understanding of the meaning of psychological factors, such as fear of falling. In order to be able to prevent falls in the older client population, students need more guidance regarding a comprehensive approach based on evaluation of falls. In addition, there is a need for continuous collaboration between education and home care services to develop educational approaches that interlink knowledge and skills in fall prevention.

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Section: Evaluation Of Falls At Older Clients' Homes Based On Systemamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Qualitative Study of Nursing Students’ Experiences in Fall Prevention for Older Home Care Clients

Turjamaa

Äijö

Tervo‐Heikkinen

et al. 2020

Journal of Aging Research

View full text Add to dashboard Cite

show abstract

“…Falling of the elderly as a noteworthy issues and chief health issues among the ageing population has raised extensive discussion among gerontologists and physical therapists [1]. Annually, falls influence a third of the grownups being above 65 years old and 50 % of the adults over the age of 80.…”

Section: Introductionmentioning

confidence: 99%

Effects of Combined exergame and conventional exercise to reduce and prevent fall risk among elderly people: A Hypothesis

Saad

Amri

Razeghi

et al. 2017

Int J Appl Exerc Physiol

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ABSTRACT:Background: Falling among old individuals has provoked ceaseless discussion among gerontologists and physical therapists and it is still one of the greatest issues among this population. Loss of the balance and functional mobility is the main reason of falling. There have been numerous studies conducting the effect of the conventional balance exercise and exergame independently on balance and functional mobility of elderly. Previous studies lacked dealing with the effect of combined exergame and conventional exercise on the balance and functional mobility. Combined exercises are enjoyable and may have more effective to improve balance and performance to reduce risk of fall among elderly people. This package would be preferable for older people. Objective: We hypothesize that while conventional balance exercise and exergame improve balance and functional mobility, combined both types of exercise would superior improvements in elderly performance. Conclusion: Ultimately we expect that this hypothesis will provide a useful framework for facilitating combined exergame and conventional balance intervention in older people.

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Classification of Fracture Risk in Fallers Using Dual‐Energy X‐Ray Absorptiometry (DXA) Images and Deep Learning‐Based Feature Extraction

Senanayake,

Seneviratne,

Imani

et al. 2023

JBMR Plus

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Dual‐energy X‐ray absorptiometry (DXA) scans are one of the most frequently used imaging techniques for calculating bone mineral density, yet calculating fracture risk using DXA image features is rarely performed. The objective of this study was to combine deep neural networks, together with DXA images and patient clinical information, to evaluate fracture risk in a cohort of adults with at least one known fall and age‐matched healthy controls. DXA images of the entire body as, well as isolated images of the hip, forearm, and spine (1488 total), were obtained from 478 fallers and 48 non‐faller controls. A modeling pipeline was developed for fracture risk prediction using the DXA images and clinical data. First, self‐supervised pretraining of feature extractors was performed using a small vision transformer (ViT‐S) and a convolutional neural network model (VGG‐16 and Resnet‐50). After pretraining, the feature extractors were then paired with a multilayer perceptron model, which was used for fracture risk classification. Classification was achieved with an average area under the receiver‐operating characteristic curve (AUROC) score of 74.3%. This study demonstrates ViT‐S as a promising neural network technique for fracture risk classification using DXA scans. The findings have future application as a fracture risk screening tool for older adults at risk of falls. © 2023 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.

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Falls in older adults

Cited by 49 publications

References 4 publications

A Qualitative Study of Nursing Students’ Experiences in Fall Prevention for Older Home Care Clients

A Qualitative Study of Nursing Students’ Experiences in Fall Prevention for Older Home Care Clients

Effects of Combined exergame and conventional exercise to reduce and prevent fall risk among elderly people: A Hypothesis

Classification of Fracture Risk in Fallers Using Dual‐Energy X‐Ray Absorptiometry (DXA) Images and Deep Learning‐Based Feature Extraction

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