scholarly journals Can Fall Risk Screening and Fall Prevention Advice in Hospital Settings Motivate Older Adult Patients to Take Action to Reduce Fall Risk?

2021 ◽  
pp. 073346482110040
Author(s):  
Lotte M. Barmentloo ◽  
Vicki Erasmus ◽  
Branko F. Olij ◽  
Juanita A. Haagsma ◽  
Johan P. Mackenbach ◽  
...  
Keyword(s):  
Fall Risk ◽  
Individual Risk ◽  
Preventive Action ◽  
Dutch Hospital ◽  
Risk Screening ◽  
Patients At Risk ◽  
Individual Risk Factors ◽  
Fall Risk Screening ◽  
Tailored Advice

Objective: We investigated whether an in-hospital intervention consisting of fall risk screening and tailored advice could prompt patients to take preventive action. Method: Patients (≥70) attending the emergency department and nephrology outpatient clinic in a Dutch hospital were screened. Patients at high risk received tailored advice based on their individual risk factors. Three months after screening, preventive steps taken by patients were surveyed. Results: Two hundred sixteen patients were screened. Of the 83 patients completing a 3-month follow-up, 51.8% took action; among patients who received tailored advice ( n = 20), 70% took action. Patients most often adhered to advice on improving muscle strength and undergoing vision checkups (20%). Tailored advice and a reported low quality of life were associated with consulting a health care provider. Discussion: Patients at risk in these settings are inclined to take action after screening. However, they do not always adhere to the tailored prevention advice.

scholarly journals P036: A comprehensive quality improvement initiative to prevent falls in the emergency department

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S90
Author(s):  
P. Samuel ◽  
J. Park ◽  
F. Muckle ◽  
J. Lexchin ◽  
S. Mehta ◽  
...  
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Quality Improvement ◽  
Literature Review ◽  
Fall Risk ◽  
Screening Tool ◽  
Risk Screening ◽  
Constructive Feedback ◽  
Patients At Risk ◽  
Fall Risk Screening

Introduction: Patients from all population groups visit the emergency department (ED), with increasing visits by elderly patients. Patient falls in the ED are a significant safety concern, and they can lead to serious injuries and worse outcomes. Toronto Western Hospital’s ED Quality Improvement (QI) team identified as a problem our assessment and management of patients at risk for falls. The aim of this project was to develop a comprehensive and standardized approach to patients at risk of falls in the ED, including implementing timely interventions for fall prevention. Methods: A literature review of existing tools was completed to develop our own reliable and valid fall risk screening tool for ED patients. QI methods were used to devise a comprehensive strategy starting with detection at triage and implementation of action-driven steps at the bedside, through multiple PDSA cycles, randomized audits, surveys, and education. Repeated measurements were undergone throughout the project, as were staff satisfaction surveys. Results: The chart audits showed a five-fold increase in the completion rate of the fall risk screening tool in the ED by the end of the QI initiative (from 10% to 50%). Constructive feedback by an engaged team of nurses was used to iteratively improve the tool, and there was mostly positive feedback on it after various PDSA cycles were completed. The various component of this novel and useful ED-based falls screening tool and bundle will be presented in tables and figures for other leaders to replicate in their EDs. Conclusion: We developed a completely new ED-specific fall risk screening tool through literature review, front-line provider feedback, and iterative PDSA cycles. It was used for the identification, prevention, and management of ED patients with fall risk. We also contributed to a positive change in the culture of a busy ED environment towards the promotion of patient safety. Education and feedback continue to be provided to the ED nurses for reflective practice, and we hope to continue to improve our tool and to share it with other EDs.

Using the Care Dependency Scale for fall risk screening

2007 ◽  
Vol 58 (6) ◽  
pp. 594-601 ◽  
Author(s):  
Elke I. Mertens ◽  
Ruud J.G. Halfens ◽  
Theo Dassen
Keyword(s):  
Fall Risk ◽  
Risk Screening ◽  
Care Dependency ◽  
Fall Risk Screening

scholarly journals Nutritional Risk Screening and Assessment

2019 ◽  
Vol 8 (7) ◽  
pp. 1065 ◽  
Author(s):  
Emilie Reber ◽  
Filomena Gomes ◽  
Maria F. Vasiloglou ◽  
Philipp Schuetz ◽  
Zeno Stanga
Keyword(s):  
Quality Of Life ◽  
At Risk ◽  
Nutritional Support ◽  
Nutritional Risk ◽  
Nutritional Management ◽  
Risk Screening ◽  
Care Plans ◽  
Patients At Risk ◽  
Nutritional Risk Screening

Malnutrition is an independent risk factor that negatively influences patients’ clinical outcomes, quality of life, body function, and autonomy. Early identification of patients at risk of malnutrition or who are malnourished is crucial in order to start a timely and adequate nutritional support. Nutritional risk screening, a simple and rapid first-line tool to detect patients at risk of malnutrition, should be performed systematically in patients at hospital admission. Patients with nutritional risk should subsequently undergo a more detailed nutritional assessment to identify and quantify specific nutritional problems. Such an assessment includes subjective and objective parameters such as medical history, current and past dietary intake (including energy and protein balance), physical examination and anthropometric measurements, functional and mental assessment, quality of life, medications, and laboratory values. Nutritional care plans should be developed in a multidisciplinary approach, and implemented to maintain and improve patients’ nutritional condition. Standardized nutritional management including systematic risk screening and assessment may also contribute to reduced healthcare costs. Adequate and timely implementation of nutritional support has been linked with favorable outcomes such as a decrease in length of hospital stay, reduced mortality, and reductions in the rate of severe complications, as well as improvements in quality of life and functional status. The aim of this review article is to provide a comprehensive overview of nutritional screening and assessment methods that can contribute to an effective and well-structured nutritional management (process cascade) of hospitalized patients.

Scoping Review of Clinical Practice Guidelines for Fall Risk Screening and Assessment in Older Adults across the Care Continuum

2020 ◽  
pp. 1-18
Author(s):  
Hazel Williams-Roberts ◽  
Catherine Arnold ◽  
Daphne Kemp ◽  
Alexander Crizzle ◽  
Shanthi Johnson
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Scoping Review ◽  
Fall Risk ◽  
Community Dwelling ◽  
Risk Screening ◽  
Care Continuum ◽  
Fall Risk Screening

ABSTRACT Given the rising numbers of older adults in Canada experiencing falls, evidence-based identification of fall risks and plans for prevention across the continuum of care is a significant priority for health care providers. A scoping review was conducted to synthesize published international clinical practice guidelines (CPGs) and recommendations for fall risk screening and assessment in older adults (defined as 65 years of age and older). Of the 22 CPGs, 6 pertained to multiple settings, 9 pertained to community-dwelling older adults only, 2 each pertained to acute care and long-term care settings only, and 3 did not specify setting. Two criteria, prior fall history and gait and balance abnormalities, were applied either independently or sequentially in 19 CPG fall risk screening algorithms. Fall risk assessment components were more varied across CPGs but commonly included: detailed fall history; detailed evaluation of gait, balance, and/or mobility; medication review; vision; and environmental hazards assessment. Despite these similarities, more work is needed to streamline assessment approaches for heterogeneous and complex older adult populations across the care continuum. Support is also needed for sustainable implementation of CPGs in order to improve health outcomes.

Outcomes of a Physical Therapist-Led, Statewide, Community-Based Fall Risk Screening

2019 ◽  
Vol 43 (4) ◽  
pp. 185-193
Author(s):  
Lee Karlsson ◽  
Kelsey Doe ◽  
Meghan Gerry ◽  
Brooke Moore ◽  
Mariana Wingood ◽  
...  
Keyword(s):  
Fall Risk ◽  
Physical Therapist ◽  
Community Based ◽  
Risk Screening ◽  
Fall Risk Screening

59 * FALL-RISK FACTORS' PREVALENCE IN HOSPITALISED PATIENTS AND PERFORMANCE OF THE LUCAS FALL-RISK SCREENING

2014 ◽  
Vol 43 (suppl 2) ◽  
pp. ii18-ii18
Author(s):  
L. Neumann ◽  
V. S. Hoffmann ◽  
B. Klugmann ◽  
S. Golgert ◽  
J. Hasford ◽  
...  
Keyword(s):  
Risk Factors ◽  
Fall Risk ◽  
Risk Screening ◽  
Fall Risk Factors ◽  
Hospitalised Patients ◽  
And Performance ◽  
Fall Risk Screening

scholarly journals Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol

2020 ◽  
Vol Volume 15 ◽  
pp. 1625-1636
Author(s):  
WMA Meekes ◽  
Chantal Leemrijse ◽  
JC Korevaar ◽  
JMAE Henquet ◽  
M Nieuwenhuis ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Study Protocol ◽  
Fall Risk ◽  
Care Setting ◽  
Primary Care Setting ◽  
Screening Strategy ◽  
Risk Screening ◽  
Frail Older Adults ◽  
Fall Risk Screening

scholarly journals 4025 Fall Risk Screening and Referrals to Community-Based Programs among Physical Therapy Professionals

2020 ◽  
Vol 4 (s1) ◽  
pp. 132-132
Author(s):  
Jennifer L. Vincenzo ◽  
Tiffany Shubert ◽  
Jennifer S. Brach ◽  
Jennifer Tripken ◽  
Lori Schrodt ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Therapy ◽  
Fall Risk ◽  
Health Needs ◽  
Community Based ◽  
Risk Screening ◽  
Web Based ◽  
Community Based Programs ◽  
Aging Adults ◽  
Fall Risk Screening

OBJECTIVES/GOALS: To describe trends in fall risk screening and referrals to community-based programs among physical therapy professionals.To compare fall risk screening practices to clinical practice guidelines amongTo identify gaps in fall risk screening and referrals to community-based programs among physical therapy professionals.METHODS/STUDY POPULATION: A panel of experts between the American Physical Therapy Association (APTA) - Geriatrics, and the National Council on Aging (NCOA) developed a web-based survey to identify practices among physical therapy professionals (PTs) for fall risk screenings and community-based referrals for older adults. The web-based survey was disseminated to PTs via email, e-blasts, and social media. The survey focused on questions related to knowledge of fall risk screening tools, fall risk management for older adults, and knowledge of and referrals to community-based interventions. RESULTS/ANTICIPATED RESULTS: To date, 453 PTs representing 50 states completed the survey. The majority of PTs (50.9%) had over 20 years of experience in various settings. Eighty-three percent regularly screen older adults for fall risk. Approximately 40% conduct community-based screenings. The majority (81.3%) were somewhat to very familiar with the CDC-recommended STEADI (Stopping Elderly Accidents, Deaths, and Injuries) screening toolkit. Despite familiarity, only 32% responded to the question if they used STEADI for screening. Of those, 83.4% used the tool. The majority (73.4%) of PTs were aware that NCOA recommends evidence-based programs to address health needs of aging adults and 59.6% refer. PTs did not refer due to lack of knowledge that programs existed (21.3%) or lack of knowledge of availability (33.3%). DISCUSSION/SIGNIFICANCE OF IMPACT: Although PTs are have some familiarity with the STEADI for fall risk screening, the tool is not common in practice. PTs are lacking awareness of local evidence-based community programs to address health needs of aging adults. Educational efforts should target these knowledge gaps and provide additional resources to improve referrals.

Sign in / Sign up

Export Citation Format

Share Document