Fear of Falling: Significant Barrier in Fall Prevention Approaches

2021 ◽  
pp. 155982762110353
Author(s):  
Subhalakshmi Chandrasekaran ◽  
Hidetaka Hibino ◽  
Stacey L. Gorniak ◽  
Charles S. Layne ◽  
Craig A. Johnston
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Fall Prevention ◽  
Fear Of Falling ◽  
Comfort Level ◽  
Critical Component ◽  
Care Providers ◽  
Limited Mobility ◽  
Significant Barrier ◽  
Prevention Activities

Fear of falling is a critical component in fall prevention approaches; however, it is often overlooked in the majority of fall prevention exercises. Alternative fall prevention approaches that take fear of falling into account are necessary. This article discusses fall prevention activities that are feasible for individuals with limited mobility who have an increased fear of falling. Health care providers should consider the degree to which a patient has a fear of falling and recommend activities that fit most to their patient’s comfort level.

Pediatric Health Care Providers’ Attitudes and Referral Predictors for Therapeutic Massage and Acupuncture

2005 ◽  
Vol 10 (2) ◽  
pp. 119-131 ◽  
Author(s):  
Mary C. McLellan ◽  
Ellen Silver Highfield ◽  
Alan D. Woolf
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Comfort Level ◽  
Pediatric Care ◽  
Health Providers ◽  
Care Providers ◽  
Convenience Sample ◽  
Pediatric Health ◽  
Pediatric Health Care ◽  
Therapeutic Massage

The objective of this study was to assess pediatric health providers’ attitudes, experience, and referral patterns with respect to therapeutic massage and acupuncture (TM&A). A written survey of experience with and attitudes about TM&A was distributed to a convenience sample of pediatric health care providers attending a regional postgraduate course in April 2002. Bivariate analyses were performed using Fisher’s exact test and the chisquare statistic. Pediatric care providers’ practices of referring patients to TM&A were associated with their own familiarity with and prior use of TM&A as well as their professed comfort level in discussing these modalities. There were no significant differences by professional status, gender, or years in practice in 42% of the respondents who reported making TM&A referrals. Pediatric health care providers’practices in referring patients for TM&A are positively associated with their familiarity with and personal use of TM&A.

Medicinal Cannabis

2016 ◽  
Vol 34 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Beatriz H. Carlini ◽  
Sharon B. Garrett ◽  
Gregory T. Carter
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Online Survey ◽  
Descriptive Analysis ◽  
Scientific Basis ◽  
Washington State ◽  
Comfort Level ◽  
Care Providers ◽  
Clinical Practices ◽  
Medicinal Cannabis

Introduction: Washington State allows marijuana use for medical (since 1998) and recreational (since 2012) purposes. The benefits of medicinal cannabis (MC) can be maximized if clinicians educate patients about dosing, routes of administration, side effects, and plant composition. However, little is known about clinicians’ knowledge and practices in Washington State. Methods: An anonymous online survey assessed providers’ MC knowledge, beliefs, clinical practices, and training needs. The survey was disseminated through health care providers’ professional organizations in Washington State. Descriptive analysis compared providers who had and had not authorized MC for patients. Survey results informed the approach and content of an online training on best clinical practices of MC. Results: Four hundred ninety-four health care providers responded to the survey. Approximately two-third were women, aged 30 to 60 years, and working in family or internal medicine. More than half of the respondents were legally allowed to write MC authorizations per Washington State law, and 27% of those had issued written MC authorizations. Overall, respondents reported low knowledge and comfort level related to recommending MC. Respondents rated MC knowledge as important and supported inclusion of MC training in medical/health provider curriculum. Most Washington State providers have not received education on scientific basis of MC or training on best clinical practices of MC. Clinicians who had issued MC authorizations were more likely to have received MC training than those who had not issued MC authorization. Discussion: The potential of MCs to benefit some patients is hindered by the lack of comfort of clinicians to recommend it. Training opportunities are badly needed to address these issues.

Caring for adolescents in Guatemala: provider perspectives

2017 ◽  
Vol 0 (0) ◽  
Author(s):  
Areej Hassan ◽  
Juan Carlos Reyes Maza ◽  
Hayley G. Teich ◽  
Erwin H. Calgua Guerra
Keyword(s):  
Health Care ◽  
Adolescent Health ◽  
Health Care Providers ◽  
Strong Support ◽  
Comfort Level ◽  
Care Providers ◽  
Framework Analysis ◽  
Provider Perspectives ◽  
Healthcare Needs ◽  
Medical Education And Training

AbstractPurposeToday’s generation of adolescents is the largest in history, creating a major challenge for low and middle income countries faced with the necessity of addressing their growing healthcare needs. Our objective was to assess the extent to which health care providers in Guatemala are trained, knowledgeable and feel comfortable providing services to adolescents.MethodsA sample of 20 medical providers were recruited from the School of Medicine at San Carlos University and its affiliated hospitals. Providers were interviewed face-to-face for 30–40 min using a semi-structured guide exploring their training, knowledge, skills and experience in adolescent health care. Recruitment continued until thematic saturation was reached. Interviews were recorded and transcribed verbatim, and then analyzed for emergent themes using principles of framework analysis.ResultsThe provider’s mean age was 33.7 years [standard deviation (SD) = 10.2]. Most were female (65%) and practiced medicine in a metropolitan location. Results revealed the presence of five major themes: (1) Need for dedicated adolescent health services; (2) Presence of a multitude of barriers to providing adolescent health care; (3) Perceived comfort level in communicating with adolescents; (4) Limited knowledge of current adolescent specific services, programs, and guidelines; and (5) Gaps in medical education and training.ConclusionProviders recognize the need for increased and dedicated adolescent health care services. There is strong support for the creation of a credentialed national adolescent health training program.

scholarly journals From Their Perspective: Baby Boomers’ Health Information Searching Behaviors

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 422-422
Author(s):  
Tammy Walkner
Keyword(s):  
Health Care ◽  
Health Information ◽  
Baby Boomers ◽  
Health Care Providers ◽  
Healthy Aging ◽  
Cognitive Theory ◽  
Comfort Level ◽  
Social Connections ◽  
Care Providers ◽  
Information Searching

Abstract People frequently turn to the Internet for health information, especially as they get older. But searches and results can be influenced by many factors including the comfort level for using digital technology, input from social connections, and personal knowledge. The Baby Boom generation is changing the age structure of the U.S. toward an older age demographic. Despite the significance of this cohort, little is known about how they apply health information to manage personal health. This study focused on Baby Boomers to increase knowledge about their health information searching behavior, the role social support plays in that behavior, and to better understand their perceptions of healthy aging. Social cognitive theory (Bandura, 2004) was the framework to investigate micro-level factors that may influence Baby Boomers’ decisions about health information and whether they apply that information for healthy aging. Findings confirm Baby Boomers use online health information to advocate for specific treatments and more appropriate medications, to change their diet and exercise routines as well as to maintain their quality of life as they age. They also routinely rely on social connections when gathering information and implementing changes. Knowledge about Baby Boomers’ health information seeking behaviors has broad implications for health care professionals, web page designers, policy makers, and others interested in promoting healthy aging. Insight into older adults’ perceptions about using newer digital devices and their perseverance to learn new procedures like accessing electronic health records may spark changes in the communication between health care providers and patients of all abilities.

Perceptions of Family Members, Nurses, and Physicians on Involving Patients’ Families in Delirium Prevention

2017 ◽  
Vol 37 (6) ◽  
pp. 48-57 ◽  
Author(s):  
Pamela L. Smithburger ◽  
Amanda S. Korenoski ◽  
Sandra L. Kane-Gill ◽  
Sheila A. Alexander
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Care Providers ◽  
Family Members ◽  
Care Providers ◽  
The Family ◽  
Delirium Prevention ◽  
Nurses And Physicians ◽  
Prevention Activities

BACKGROUND Delirium occurs in up to 80% of patients admitted to an intensive care unit. Nonpharmacologic delirium-prevention strategies, which are commonly used by the bedside nurse, have reduced the incidence and duration of delirium in patients in the intensive care unit. With increasing demands on the nurse, strategies such as including the patient’s family in delirium prevention activities should be investigated. OBJECTIVE To determine opinions and willingness of health care providers to involve patients’ families in nonpharmacologic delirium-prevention activities in the intensive care unit, and of patients’ families to be involved. METHODS Two surveys, one for intensive care unit nurses and physicians and one for patients’ families, were developed and administered. The provider survey focused on current delirium-prevention practices and opinions about family involvement. The family survey concentrated on barriers and willingness to participate in prevention activities. RESULTS Sixty nurses and 58 physicians completed the survey. Most physicians (93%) and all nurses believed families could assist with delirium prevention. Only 50% reported speaking with family members about delirium and delirium prevention. The family survey was completed by 60 family members; 38% reported a provider spoke with them about delirium. Family members reported high levels of comfort in participating in delirium-prevention activities. CONCLUSIONS Health care providers and family members are supportive of the latter performing delirium-prevention activities. Family of patients in the intensive care unit may work collaboratively with nurses to reduce the incidence and duration of delirium in these patients.

Engaging Home Health Care Providers in a Fall Prevention Best Practice Initiative

2013 ◽  
Vol 32 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Jay Shaw ◽  
Katharina Sidhu ◽  
Colleen Kearney ◽  
Mary Keeber ◽  
Sandra McKay
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Home Health Care ◽  
Fall Prevention ◽  
Best Practice ◽  
Home Health ◽  
Care Providers
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