Skilled nursing resident adherence with wearable technology to offer safer mobility and decreased fall injuries

2020 ◽  
pp. 251604352097919
Author(s):  
Rebecca J Tarbert ◽  
Wamis Singhatat
Keyword(s):  
At Risk ◽  
Hip Fracture ◽  
Older Adult ◽  
Hip Protector ◽  
Skilled Nursing ◽  
Fall Injuries ◽  
Sensing Technology ◽  
Risk Of Falls ◽  
Single User

Hip fractures are a debilitating event for thousands of older adults each year in our communities and in our care facilities. The outcomes of sustaining a hip fracture include disability, significant cost and increased mortality in a growing population of those at risk of falls and fracture. Traditional methods of injury prevention from falls for those at risk of hip fracture include the wearing of hip protector clothing with limited adherence. A smart wearable designed to overcome barriers to adherence and offer hip protection with fall-sensing technology is emerging in older adult resident facilities to capture the fall as it occurs and avoid injury. This hip protection device has been evaluated in older adult residential settings to decrease fall injuries and support a culture of mobility. Adherence to the wear of the motion sensing technology can be accomplished by embedding the program into the daily care for residents identified as at risk of hip fracture. Successful adherence and shared results are illustrated with specific insight articulated in a single user case study.

scholarly journals Implementation of an Opioid and Benzodiazepine Deprescribing Program for Older Adults in an Outpatient Setting

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 906-906
Author(s):  
Lori Armistead ◽  
Jan Busby-Whitehead ◽  
Stefanie Ferreri ◽  
Cristine Henage ◽  
Tamera Hughes ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
At Risk ◽  
Older Adult ◽  
Adult Population ◽  
Primary Care Providers ◽  
The United States ◽  
Outpatient Setting ◽  
Care Providers ◽  
Risk Of Falls

Abstract The United States spends $50 billion each year on 2.8 million injuries and 800,000 hospitalizations older adults (age 65 years and older) incur as the result of falls. Chronic use of central nervous system (CNS)-active medications, such as opioid and/or benzodiazepine (BZD) medications, increases the risk of falls and falls-related injuries in this older adult population. This Centers for Disease Control and Prevention (CDC)-funded randomized control trial uses electronic health record (EHR) data from primary care outpatient clinics to identify older adult patients at risk for falls due to chronic opioid or BZD use. The primary program aim is to test the efficacy of a targeted consultant pharmacist service to reduce the dose burden of these medications in the targeted population. Impact of this intervention on the risk of falls in this population will also be assessed. Licensed clinical pharmacists will review at-risk patients’ medical records weekly and make recommendations through the EHR to primary care providers for opioid or BZD dose adjustments, alternate medications, and/or adjunctive therapies to support deprescribing for approximately 1265 patients in the first two cohorts of intervention clinics. One thousand three hundred eighty four patients in the control clinics will receive usual care. Outcome measures will include reduction or discontinuation of opioids and BZDs and falls risk reduction as measured by the Stop Elderly Accidents, Death and Injuries (STEADI) Questionnaire. Primary care provider adoption of pharmacists’ recommendations and satisfaction with the consult service will also be reported.

scholarly journals EVALUATION OF SMART BELT HIP PROTECTION IN A SKILLED NURSING FACILITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S926-S926
Author(s):  
Rebecca J Tarbert ◽  
Wamis Singhatat
Keyword(s):  
Hip Fracture ◽  
High Risk ◽  
Hip Fractures ◽  
Skilled Nursing Facility ◽  
High Risk Population ◽  
Care Providers ◽  
Prevention Measures ◽  
Hip Protector ◽  
Skilled Nursing ◽  
Increased Risk

Abstract Hip fractures impact > 300,000 US older adults yearly resulting in 70,000 deaths and are expected to gain in numbers with the rising population. Residents of skilled nursing facilities are among the highest at risk of sustaining hip fractures due to increased risk of falls and frailty. These most vulnerable stand to experience the most serious results of hip fracture with > 50% resulting in total dependency and/or death. Care providers are focused on providing an environment of safety with implementation of traditionally utilized fall prevention measures. Unfortunately, the maintenance of safety in this high-risk population often comes at the price of limiting independent mobility. The utilization of passive hip protector padding for those recognized as being at high risk of hip fracture can decrease the risk of hip fracture by 82%; however, challenges to adherence of hip protectors limit the effectiveness of this widely utilized measure. Emerging technology in the form of a smart belt was evaluated in a skilled nursing setting to offer insight into efficacy and user adherence. The smart belt is capable of sensing when the wearer is experiencing a motion that would likely result in a fall onto the hip, deploy an anatomically conforming airbag and alert caregivers that a fall has occurred. The embedding of the hip protection technology into care planning led to daily patient utilization totaling over 3000 hours. Specific findings of the user derived motion and experience will be articulated through case studies and illustration of the technology captured motion data.

Case study and event analysis for mitigation of unpredictable volcanic hazard

Impact ◽  
2020 ◽  
Vol 2020 (3) ◽  
pp. 26-28
Author(s):  
Tsukasa Ohba
Keyword(s):  
At Risk ◽  
Graduate School ◽  
Volcanic Hazard ◽  
Hazard Mitigation ◽  
Scientific Discipline ◽  
Mitigation Measures ◽  
Event Analysis ◽  
Traditional Methods ◽  
Risk Communities

Volcanology is an extremely important scientific discipline. Shedding light on how and why volcanoes erupt, how eruptions can be predicted and their impact on humans and the environment is crucial to public safety, economies and businesses. Understanding volcanoes means eruptions can be anticipated and at-risk communities can be forewarned, enabling them to implement mitigation measures. Professor Tsukasa Ohba is a scientist based at the Graduate School of International Resource Studies, Akita University, Japan, and specialises in volcanology and petrology. Ohba and his team are focusing on volcanic phenomena including: phreatic eruptions (a steam-driven eruption driven by the heat from magma interacting with water); lahar (volcanic mudflow); and monogenetic basalt eruptions (which consist of a group of small monogenetic volcanoes, each of which erupts only once). The researchers are working to understand the mechanisms of these phenomena using Petrology. Petrology is one of the traditional methods in volcanology but has not been applied to disastrous eruptions before. The teams research will contribute to volcanic hazard mitigation.

scholarly journals A Comparative Analysis of Two Major Approaches for Mapping the Wildland-Urban Interface: A Case Study in California

Land ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 679
Author(s):  
Avi Bar-Massada
Keyword(s):  
At Risk ◽  
Comparative Analysis ◽  
Spatial Patterns ◽  
Practical Purpose ◽  
Spatial Arrangement ◽  
Spatial Accuracy ◽  
Wildland Urban Interface ◽  
Spatial Correspondence ◽  
Data Requirements

The Wildland Urban Interface (WUI) is where human settlements border or intermingle with undeveloped land, often with multiple detrimental consequences. Therefore, mapping the WUI is required in order to identify areas-at-risk. There are two main WUI mapping methods, the point-based approach and the zonal approach. Both differ in data requirements and may produce considerably different maps, yet they were never compared before. My objective was to systematically compare the point-based and the zonal-based WUI maps of California, and to test the efficacy of a new database of building locations in the context of WUI mapping. I assessed the spatial accuracy of the building database, and then compared the spatial patterns of WUI maps by estimating the effect of multiple ancillary variables on the amount of agreement between maps. I found that the building database is highly accurate and is suitable for WUI mapping. The point-based approach estimated a consistently larger WUI area across California compared to the zonal approach. The spatial correspondence between maps was low-to-moderate, and was significantly affected by building numbers and by their spatial arrangement. The discrepancy between WUI maps suggests that they are not directly comparable within and across landscapes, and that each WUI map should serve a distinct practical purpose.

scholarly journals Clinical Use of Surface Electromyography to Track Acute Upper Extremity Muscle Recovery after Stroke: A Descriptive Case Study of a Single Patient

2021 ◽  
Vol 4 (2) ◽  
pp. 32
Author(s):  
Heather A. Feldner ◽  
Christina Papazian ◽  
Keshia M. Peters ◽  
Claire J. Creutzfeldt ◽  
Katherine M. Steele
Keyword(s):  
Muscle Activity ◽  
Surface Electromyography ◽  
Inpatient Rehabilitation ◽  
Stroke Survivor ◽  
Structured Interview ◽  
Routine Care ◽  
Stroke Recovery ◽  
Descriptive Case Study ◽  
Sensing Technology

Arm recovery varies greatly among stroke survivors. Wearable surface electromyography (sEMG) sensors have been used to track recovery in research; however, sEMG is rarely used within acute and subacute clinical settings. The purpose of this case study was to describe the use of wireless sEMG sensors to examine changes in muscle activity during acute and subacute phases of stroke recovery, and understand the participant’s perceptions of sEMG monitoring. Beginning three days post-stroke, one stroke survivor wore five wireless sEMG sensors on his involved arm for three to four hours, every one to three days. Muscle activity was tracked during routine care in the acute setting through discharge from inpatient rehabilitation. Three- and eight-month follow-up sessions were completed in the community. Activity logs were completed each session, and a semi-structured interview occurred at the final session. The longitudinal monitoring of muscle and movement recovery in the clinic and community was feasible using sEMG sensors. The participant and medical team felt monitoring was unobtrusive, interesting, and motivating for recovery, but desired greater in-session feedback to inform rehabilitation. While barriers in equipment and signal quality still exist, capitalizing on wearable sensing technology in the clinic holds promise for enabling personalized stroke recovery.

scholarly journals The Role of Hip Abductor Strength in Identifying Older Persons at Risk of Falls: A Diagnostic Accuracy Study

2020 ◽  
Vol Volume 15 ◽  
pp. 645-654 ◽  
Author(s):  
Simone Chantal Gafner ◽  
Caroline Henrice Germaine Bastiaenen ◽  
Serge Ferrari ◽  
Gabriel Gold ◽  
Andrea Trombetti ◽  
...  
Keyword(s):  
At Risk ◽  
Diagnostic Accuracy ◽  
Older Persons ◽  
Diagnostic Accuracy Study ◽  
Risk Of Falls ◽  
Hip Abductor ◽  
Accuracy Study ◽  
Abductor Strength

A case study of an older adult with severe anemia refusing blood transfusion

2007 ◽  
Vol 19 (1) ◽  
pp. 43-48 ◽  
Author(s):  
C. Michelle Thomas ◽  
Harriet R. Coleman ◽  
Leslie-Faith Morritt Taub
Keyword(s):  
Blood Transfusion ◽  
Older Adult ◽  
Severe Anemia

scholarly journals Racial Differences in Post-Acute Transition After Hip Fracture in Medicare Patients With ADRD

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 666-667
Author(s):  
Indrakshi Roy ◽  
Amol Karmarkar ◽  
Amit Kumar ◽  
Meghan Warren ◽  
Patricia Pohl ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Racial Differences ◽  
Home Health Care ◽  
Multinomial Logistic Regression ◽  
Skilled Nursing Facility ◽  
Ethnic Disparities ◽  
Inpatient Rehabilitation ◽  
Patient Characteristics ◽  
Nursing Facility ◽  
Skilled Nursing

Abstract The incidence of hip fractures in patients with Alzheimer’s disease and related dementias (ADRD) is 2.7 times higher than it is in those without ADRD. However, there are no standardized post-acute transition models for patients with ADRD after hip fracture. Additionally, there is a lack of knowledge on how post-acute transitions vary by race/ethnicity. Using 100% Medicare data (2016-2017) for 120,179 older adults with ADRD, we conduct multinomial logistic regression, to examine the association between race and post-acute discharge locations (proportion discharged to skilled nursing facility [SNF], inpatient rehabilitation facility [IRF], and Home with Home Health Care [HHC]), after accounting for patient characteristics. Compared to non-Hispanic Whites, Hispanics have a significantly lower odds ratio for discharge to HHC 0.62 (95%CI=0.53-0.73), IRF 0.44 (CI=0.39-0.51), and SNF 0.26 (CI=0.23-0.30). Improving care in patients with ADRD and reducing racial and ethnic disparities in quality of care and health outcomes will be discussed.

scholarly journals Older adults and hackathons: a qualitative study

2017 ◽  
Vol 23 (4) ◽  
pp. 1895-1930 ◽  
Author(s):  
Wiesław Kopeć ◽  
Bartłomiej Balcerzak ◽  
Radosław Nielek ◽  
Grzegorz Kowalik ◽  
Adam Wierzbicki ◽  
...  
Keyword(s):  
Older Adults ◽  
Software Engineering ◽  
Qualitative Study ◽  
Qualitative Methods ◽  
Older Adult ◽  
Good Practices ◽  
Adult Participation ◽  
Modern Technologies

Abstract Globally observed trends in aging indicate that older adults constitute a growing share of the population and an increasing demographic in the modern technologies marketplace. Therefore, it has become important to address the issue of participation of older adults in the process of developing solutions suitable for their group. In this study, we approached this topic by organizing a hackathon involving teams of young programmers and older adults participants. Below we describe a case study of that hackathon, in which our objective was to motivate older adults to participate in software engineering processes. Based on our results from an array of qualitative methods, we propose a set of good practices that may lead to improved older adult participation in similar events and an improved process of developing apps that target older adults.

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