scholarly journals ´Feet are second class citizens`: exploring the perceptions of Scottish and Portuguese older adults about feet, falls and exercise- a qualitative study

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Monserrat Conde ◽  
Gordon J. Hendry ◽  
Jim Woodburn ◽  
Dawn A. Skelton
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Qualitative Study ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Main Theme ◽  
Foot And Ankle ◽  
Falls Risk ◽  
Risk Factors For Falls

Abstract Introduction Foot problems are likely to contribute to falls risk in older adults. Foot and ankle exercises may be beneficial, but uptake may be influenced by cultural factors. Few studies have explored the views of older adults from different cultural backgrounds about foot-specific falls risk factors, and foot and ankle falls prevention exercises. Objectives To explore the views of Scottish and Portuguese community-dwelling older adults who have experienced a fall, about any foot risk factors for falls, and foot and ankle exercises. Methods Cross-cultural qualitative study with (n = 6) focus groups exploring the perceptions of Scottish (n = 10, mean age 76 yrs) and Portuguese older adults (n = 14, mean age 66 years) aged, applying thematic analysis. Results One main theme `evolving awareness about feet and falls prevention´ and three subthemes; (i) Feet are often forgotten, (ii) the important role of footwear, (iii) need to look at my feet and do the exercises were identified. Scottish participants had more experience of falls prevention but there was a lack of knowledge surrounding foot-specific falls risk factors, and the role of ankle and foot exercise in the prevention of falls. Portuguese participants exhibited a fatalistic approach to falls. Conclusions Older adults from both nations had little knowledge of foot-specific falls risk factors, being initially unaware of the functional status of their feet and of the role of exercise in foot care and falls management. There were differences between national groups that should be accounted for when developing culturally adequate interventions.

Falls Risks and Prevention Behaviors Among Community-Dwelling Homebound and Non-Homebound Older Adults

2016 ◽  
Vol 37 (9) ◽  
pp. 1085-1106 ◽  
Author(s):  
Carri Casteel ◽  
Jennifer Jones ◽  
Paula Gildner ◽  
James M. Bowling ◽  
Susan J. Blalock
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Negative Binomial ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Falls Risk ◽  
Homebound Older Adults ◽  
Risk Factors For Falls

The objectives were to examine falls risk factors to determine how the magnitude of risk may differ between homebound and non-homebound older adults, and to describe falls prevention behaviors and participation in falls prevention education. A cross-sectional survey was conducted with convenience samples of community-dwelling older adults recruited through Meals on Wheels programs (homebound, n = 80) and senior centers (non-homebound, n = 84) in North Carolina. Data were collected during home visits and included an interview and medication inventory. Multivariate negative binomial regression with robust variance estimation modeled risk factors for falls. Risk factors for falls observed in both the homebound and non-homebound populations are consistent with what is known in the literature. However, the magnitude of the risk was higher in the homebound than in the non-homebound population with respect to vision impairments, number of high-risk and over-the-counter medications, and use of walking aids .Few participants reported participating in a falls prevention program.

scholarly journals Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age

2021 ◽  
Vol 9 ◽  
Author(s):  
Asmidawati Ashari ◽  
Tengku Aizan Hamid ◽  
Mohd Rizal Hussain ◽  
Rahimah Ibrahim ◽  
Keith D. Hill
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Multiple Logistic Regression Analysis ◽  
Community Dwelling ◽  
Activity Level ◽  
Step Test ◽  
Cross Sectional ◽  
Falls Risk ◽  
Risk Factors For Falls ◽  
Community Dwelling Older Adults

Objective: Study aimed to identify the prevalence of falls and associated contributory factors among older Malaysians.Methods: A cross sectional study among community dwelling older adults aged 50 years and above. Self-administered questionnaires on history of falls in the previous 12 months, physical assessment and computerized and clinical measures of balance were assessed on a single occasion.Results: Forty nine (31.0%) participants fell, with 4.4% reported having multiple falls within the previous 12 months. Slips were the most prevalent cause of falls, accounting for 49% of falls. More than half (54.5%) of falls occurred in the afternoon while participants walked inside the home (32.7%), outside home (30.6%), and 36.7% were in community areas. More than half of respondents were identified as having turning instability. Step Test, turn sway, depression, physical activity level and edge contrast sensitivity were significantly worse for fallers (p < 0.05). Multiple logistic regression analysis showed that turning performance, visual acuity and back pain were significantly associated with falls risk, accounting for 72% of the variance of risk factors for falls among studied population.Conclusion: Falls are common among community dwelling older Malaysians. The findings provide information of falls and falls risk factors among community dwelling older adults in Malaysia. Future intervention studies should target locally identified falls risk factors. This study has highlighted the importance of instability during turning as an important fall risk factor.

The role of meaning in life in community-dwelling older adults with depression and relationship to other risk factors

2017 ◽  
Vol 23 (1) ◽  
pp. 100-106 ◽  
Author(s):  
Jana Volkert ◽  
Martin Härter ◽  
Maria Christina Dehoust ◽  
Berta Ausín ◽  
Alessandra Canuto ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Meaning In Life ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Effects of the falls and fractures clinic as an integrated multidisciplinary model of care in Australia: a pre–post study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027013 ◽  
Author(s):  
Fernando Gomez ◽  
Carmen Lucia Curcio ◽  
Sharon Lee Brennan-Olsen ◽  
Derek Boersma ◽  
Steven Phu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Fracture Prevention ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Care Plan ◽  
Secondary Outcome ◽  
Clinical Approach ◽  
Model Of Care ◽  
Mineral Density ◽  
Risk Factors For Falls

ObjectivesTraditionally, the approach to fracture prevention has focused on increasing bone mineral density while typically lacking a combined clinical approach to falls prevention and vice versa. To resolve this gap, we implemented and evaluated a novel combined model of care to the assessment and prevention of osteoporosis and falls in the outpatients setting.SettingFalls and Fractures Clinic (FFC) at Nepean Hospital (Penrith, NSW, Australia).ParticipantsPre-effects and posteffects assessment of 106 community-dwelling older patients referred from the community.Primary and secondary outcome measuresPrevious falls and fractures were recorded. Clinical, functional and paraclinical evaluations were performed. A comprehensive multidisciplinary care plan was then tailored based on the presence of risk factors. Six-month follow-ups were performed assessing the incidence of falls and fractures, change in risk factors for falls and level of risk, with the recommended plan.ResultsWe report that 97% of patients had a fall in the preceding 6 months, 47.6% of whom experienced a fracture from the fall. Furthermore, 64% of patients had a marked risk for falling by Physiological Profile Assessment (PPA), 90% had intermediate–high 10-year probability of fracture according to FRAX and 78% had sarcopenia. At 6-month follow-up, we observed more than an 80% reduction in falls and recurrent falls, and 50% reduction in fractures. In addition, 65% of patients had reduced PPA and a 57% reduction in 10-year fracture probability.ConclusionsIn conclusion, we suggest that a multidisciplinary FFC can provide substantial reductions in falls and fractures for high-risk older people, even over a relatively short 6-month time period. The current model of service provision via traditional falls clinics could be significantly improved by encompassing fracture prevention within the multifactorial approach to interventions.

scholarly journals Increasing Physical Activity In Older Australians to Reduce Falls: A Program Evaluation

2021 ◽  
Author(s):  
Kristy Robson ◽  
Nazmul Ahasan ◽  
Carly Barnes ◽  
Kylie Murphy ◽  
Rodney Pope
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Older People ◽  
Falls Prevention ◽  
Activity Levels ◽  
Risk Of Falling ◽  
Post Intervention ◽  
Falls Risk ◽  
Physical Activity Levels

Purpose: As people age, they are at greater risk of injurious falls. Falling has a significant impact not only on the individual but also the wider community. Undertaking physical activity is effective in reducing the rate of falls in this population. Therefore, providing targeted education during group-based falls prevention programs may increase the awareness and amount of physical activity older people undertake to assist in reducing their risk of falling. Methods: A longitudinal cohort design involving a pre-post intervention survey was conducted over an eight-month period with community-dwelling older adults who participated in a fall-prevention program. Participants were N = 161 (123 female and 38 male), aged 65 years and over, with the most common age bracket being 75 to 84 years. Demographic information was collected at baseline. It included falls history and self-reported physical activity levels. Immediately post-intervention, self-reported changes in the awareness of the role of physical activity and awareness of falls risks were measured. Six months post-intervention, participants self-reported their physical activity levels and post-program fall history. Results: An increase in awareness of the role of physical activity in reducing falls risk as well as falls risk factors was reported in most participants after completing the program. Despite this, only around a third of participants increased their physical activity levels during the six months after the program even though a decrease in falls rates was noted. Conclusions: The targeted education within the falls prevention program demonstrated an increase in awareness of falls risk factors and the importance of regular physical activity to minimise the risk of falling. However, this awareness did not seem to result in an increase in the amount of physical activity participants undertook after the program, even though falls rates across the participants reduced. Further research is needed to explore why older people who understand the benefits of undertaking regular physical activity did not increase their activity levels.

scholarly journals PROXIMAL DETERMINANTS OF FALLS IN OLDER ADULTS: THE MOBILIZE BOSTON STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S469-S469
Author(s):  
Hyun Gu Kang ◽  
Jonathan Hsu
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Community Dwelling ◽  
Movement Speed ◽  
Hazardous Environments ◽  
Motor Activities ◽  
Complex Motor ◽  
The Disabled ◽  
Boston Study ◽  
Risk Factors For Falls

Abstract Objectives: To study risk factors for falling, we examined risk factors for falls among older people according to the proximal determinants present at the time of the fall. Methods: Data came from MOBILIZE Boston, a prospective cohort study of 765 community-dwelling women and men, mainly aged 70 years or older. Over 4.3 years, 1737 falls were recorded, along with narrative reports describing proximal determinants at the time of the fall. Proximal determinants were identified from narrative reports and falls were classified into categories. Categorization was verified using three raters. Results: 14 categories of proximal determinants were identified. Of these, environmental determinants were the largest contributor to falls (74%). Participants with poor mobility and executive function were more likely to fall while performing activities of daily living, specifically while trying to stand and bending over. However, participants with poor mobility also had lower likelihood of falling to environmental hazards and dual-tasking cognition. In contrast, high-functioning older adults with naturally fast movement speed tend to fall to environmental factors while engaging in complex motor activities. Conclusions: Our results suggest there may be two populations of fallers, the healthy and the disabled, each with their own set of distinct risk factors and triggers. Cognitively functional older adults who choose to engage in vigorous activities in hazardous environments may increase their chances of falling to dual-task cognition. Community fall prevention efforts may benefit from examining the needs of specific subpopulations.

Risk factors for falls in homebound community‐dwelling older adults

2019 ◽  
Vol 36 (6) ◽  
pp. 772-778 ◽  
Author(s):  
Yunchuan (Lucy) Zhao ◽  
Jenny Alderden ◽  
Bonnie Lind ◽  
Jennifer Stibrany
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Community Dwelling ◽  
Risk Factors For Falls ◽  
Community Dwelling Older Adults

scholarly journals Incidence of and Risk Factors for Falls Following Hip Fracture in Community-dwelling Older Adults

2005 ◽  
Vol 85 (7) ◽  
pp. 648-655 ◽  
Author(s):  
Anne Shumway-Cook ◽  
Marcia A Ciol ◽  
William Gruber ◽  
Cynthia Robinson
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Hip Fracture ◽  
Functional Status ◽  
Functional Independence ◽  
Medical Problem ◽  
Community Dwelling ◽  
Self Report ◽  
Risk Factors For Falls ◽  
Community Dwelling Older Adults

Abstract Background and Purpose. Hip fracture is a major medical problem among older adults, leading to impaired balance and gait and loss of functional independence. The purpose of this study was to determine the incidence of and risk factors for falls 6 months following hospital discharge for a fall-related hip fracture in older adults. Subjects. Ninety of 100 community-dwelling older adults (≥65 years of age) hospitalized for a fall-related hip fracture provided data for this study. Methods. An observational cohort study used interviews and medical records to obtain information on demographics, prefracture health, falls, and functional status. Self-report of falls and performance-based measures of balance and mobility were completed 6 months after discharge. Results. A total of 53.3% of patients (48/90) reported 1 or more falls in the 6 months after hospitalization. Older adults who fell following discharge had greater declines in independence in activities of daily living and lower performance on balance and mobility measures. Prefracture fall history and use of a gait device predicted postdischarge falls. Discussion and Conclusion. Falls following hip fracture can be predicted by premorbid functional status.

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