Physical condition, activity pattern, and environment as factors in falls by adult care facility residents

Fleming, Beth Erasmus; Pendergast, David R.

doi:10.1016/0003-9993(93)90161-3

Cited by 50 publications

(25 citation statements)

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“…또한, 낙상 발 생률도 높은 수치를 보여 전국노인생활실태 및 욕구조사 (Jeong et al, 2005) (Fleming & Pendergast, 1993;Ganz, Bao, Shekelle, & Rubenstein, 2007;Moon, 2005;Rubenstein & Josephson, 2006;Yoo & Choi, 2007) …”

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Fall Risk in Low-Income Elderly People in One Urban Area

Choi

Lee

2010

J Korean Acad Nurs

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Purpose:The purpose of this study was to investigate the factors that increase of the risk for falls in low-income elders in urban areas. Methods: The participants were elderly people registered in one of public health centers in one city. Data were collected by interviewing the elders, assessing their environmental risk factors, and surveying relevant secondary data from the public health center records. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 14. Results: Stroke, diabetes, visual deficits, frequency of dizziness, use of assistive devices and moderate depression were statistically significant risk factors. The comorbidity of chronic diseases with other factors including depression, visual deficit, dizziness, and use of assistive devices significantly increased the risk of falls. From multiple logistic regression analysis, statistically significant predictors of falls were found to be stroke, total environmental risk scores, comorbiditiy of diabetes with visual deficits, and with depression. Conclusion: Fall prevention interventions should be multifactorial, especially for the elders with stroke or diabetes, who were identified in this study as the high risk group for falls. A fall risk assessment tool for low-income elders should include both the intrinsic factors like depression, dizziness, and use of assistive devices, and the extrinsic factors.

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Fall Risk in Low-Income Elderly People in One Urban Area

Choi

Lee

2010

J Korean Acad Nurs

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“…Fleming and Pendergast (1993) found that the majority of falls occurred in patients' rooms. Vlahov et al (1990) report an injury rate of 13%, while Alcee (2000) found that 26% of patients sustained minor injuries and 3.5% sustained injuries categorised as moderate to grave.…”

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confidence: 99%

Who, where and why: situational and environmental factors contributing to patient falls in the hospital setting

Donoghue¹,

Graham²,

Gibbs³

et al. 2003

Aust. Health Review

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“…These accidents constitute a major cause of mortality, reduced functioning and premature nursing home placement [69]. In general, falls occur as a result of an interaction of various risk factors and situations which is modified by age, pathology, and environmental hazards [22]. This problem is further amplified by older adults' lack of responsiveness toward informing the physicians of their fall-related disorders and as a result, the problems remain undetected until preventable injury and disability occur [17].…”

Section: Epidemiology Of Falls Among the Elderlymentioning

confidence: 99%

“…Causes of falls among the elderly are many, and the classification of falls can lead to ambiguous descriptors due to the lack of consistency in the falls literature. In general, factors intrinsic to the elderly (e.g., sensory and musculoskeletal degradations), the types of activity engaged, and the hazards and demands of the environment contribute to most falls in varying extent [22]. Overall, about 55% of falls were related to medically diagnosed conditions (postural hypotension [72], drop attack [73], and dizziness/vertigo [49], and 37% were related to environmental hazards.…”

Section: Epidemiology Of Falls Among the Elderlymentioning

confidence: 99%

An integrated approach towards identifying age-related mechanisms of slip initiated falls

Lockhart

2008

Journal of Electromyography and Kinesiology

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The causes of slip and fall accidents, both in terms of extrinsic and intrinsic factors and their associations are not yet fully understood. Successful intervention solutions for reducing slip and fall accidents require a more complete understanding of the mechanisms involved. Before effective fall prevention strategies can be put into practice, it is central to examine the chain of events in an accident, comprising the exposure to hazards, initiation of events and the final outcome leading to injury and disability. These events can be effectively identified and analyzed by applying epidemiological, psychophysical, biomechanical and tribological research principles and methodologies. In this manuscript, various methods available to examine fall accidents and their underlying mechanisms are presented to provide a comprehensive array of information to help pinpoint the needs and requirements of new interventions aimed at reducing the risk of falls among the growing elderly population.

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Physical condition, activity pattern, and environment as factors in falls by adult care facility residents

Cited by 50 publications

References 11 publications

Fall Risk in Low-Income Elderly People in One Urban Area

Fall Risk in Low-Income Elderly People in One Urban Area

Who, where and why: situational and environmental factors contributing to patient falls in the hospital setting

An integrated approach towards identifying age-related mechanisms of slip initiated falls

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