Pharmacotherapy as a fall risk factor

As for the third age, psychophysical abilities of humans gradually decrease, while the ability of adaptation to endogenous and exogenous burdens is going down. In 1987, "Harada" et al. (1) have found out that 9.5 million persons in USA have difficulties running daily activities, while 59% of them (which is 5.6 million) are older than 65 years in age. The study has encompassed 77 questioned persons of both sexes with their average age 71.73 +/- 5.63 (scope of 65-90 years in age), chosen by random sampling. Each patient has been questioned in his/her own home and familiar to great extent with the methodology and aims of the questionnaire. Percentage of questioned women was 64.94% (50 patients) while the percentage for men was 35.06% (27 patients). As for the value of risk factor score achieved conducting the questionnaire and B-POMA test, there are statistically significant differences between men and women, as well as between patients who fell and those who never did. As for the way of life (alone or in the community), there are no significant statistical differences. Average results gained through B-POMA test in this study are statistically significantly higher in men and patients who did not provide data about falling, while there was no statistically significant difference in the way of life. In relation to the percentage of maximum number of positive answers to particular questions, regarding gender, way of life and the data about falling, there were no statistically significant differences between the value of B-POMA test and the risk factor score (the questionnaire).

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Eat Well, Fall Less: Malnutrition's Role as a Fall Risk Factor

Journal of the Academy of Nutrition and Dietetics ◽

10.1016/j.jand.2016.06.270 ◽

2016 ◽

Vol 116 (9) ◽

pp. A77

Author(s):

M. Carney ◽

M. Julius ◽

M. Turcoliveri ◽

K. Denise ◽

C. Burant ◽

...

Keyword(s):

Risk Factor ◽

Fall Risk ◽

Fall Risk Factor

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The physical environment as a fall risk factor in older adults: Systematic review and meta-analysis of cross-sectional and cohort studies

Australian Occupational Therapy Journal ◽

10.1111/j.1440-1630.2009.00787.x ◽

2010 ◽

Vol 57 (1) ◽

pp. 51-64 ◽

Cited By ~ 37

Author(s):

Lori Letts ◽

Julie Moreland ◽

Julie Richardson ◽

Liliana Coman ◽

Mary Edwards ◽

...

Keyword(s):

Systematic Review ◽

Older Adults ◽

Risk Factor ◽

Cohort Studies ◽

Physical Environment ◽

Fall Risk ◽

Meta Analysis ◽

Cross Sectional ◽

Fall Risk Factor

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The Learning Effectiveness of Nurses Participating in a Simulated Management of Fall Risk Factor Assessment

10.2991/assehr.k.210930.017 ◽

2021 ◽

Author(s):

Chih-Ying Tu ◽

Sheng-Hong Lin

Keyword(s):

Risk Factor ◽

Fall Risk ◽

Learning Effectiveness ◽

Risk Factor Assessment ◽

Fall Risk Factor

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Changes in Physical Therapy Providers' Use of Fall Prevention Strategies Following a Multicomponent Behavioral Change Intervention

Physical Therapy ◽

10.1093/ptj/85.5.394 ◽

2005 ◽

Vol 85 (5) ◽

pp. 394-403 ◽

Cited By ~ 31

Author(s):

Cynthia J Brown ◽

Margaret Gottschalk ◽

Peter H Van Ness ◽

Richard H Fortinsky ◽

Mary E Tinetti

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Physical Therapy ◽

Fall Prevention ◽

Behavioral Change ◽

Fall Risk ◽

Fall Risk Factor ◽

Practice Behaviors ◽

Fall Risk Factors ◽

Reduction Strategies

Abstract Background and Purpose. An abundance of evidence suggests that interventions targeting fall risk factors are effective; however, it remains unknown whether, or to what extent, this body of evidence has affected the clinical practice of physical therapy providers. The purposes of this study were: (1) to describe knowledge of, and attitudes toward, fall risk factors and fall reduction strategies; (2) to assess self-reported use of fall reduction strategies with patients; and (3) to identify factors associated with increased use of fall reduction strategies with patients among physical therapy providers exposed to a behavioral change strategy. Subjects and Methods. A cross-sectional survey of physical therapy providers from hospital-based and freestanding outpatient physical therapy facilities throughout north-central Connecticut was conducted between October 2002 and April 2003. The participants were 94 physical therapy providers who had been exposed to the Connecticut Collaboration for Fall Prevention (CCFP) behavioral change effort. The CCFP program uses multicomponent professional behavioral change strategies to embed fall risk factor assessment and management, based on evidence from randomized controlled trials, into the clinical care of older patients. A telephone questionnaire—focusing on fall risk factor knowledge and attitudes and self-reported fall risk factor assessment and management practices before and after exposure to the CCFP efforts—was administered to consenting physical therapy providers. Results. Environmental hazards and gait and balance deficits were named as fall risk factors by 86 (91%) and 73 (78%) participants, respectively. All of the targeted risk factors were mentioned by at least 30% of the participants. Sixty-four participants (68%) reported increased fall reduction practice behaviors. The area of multiple medications was noted most frequently, with 77 participants (82%) noting new practices related to medication use. Only knowledge of fall risk factors and pre-CCFP behaviors were associated with increased fall reduction practices. Discussion and Conclusion. Physical therapy providers reported an increase in practice behaviors in response to the multicomponent behavioral change strategy. Knowledge of fall risk factors was associated with increased fall reduction practice behaviors, most likely due to the focused nature of the education strategy.

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