scholarly journals Predictive Model Development and Validation of the Emergency Hester Davis Scale© for Fall Risk Screening

2020 ◽  
Vol Volume 10 ◽  
pp. 1-7
Author(s):  
Stella Kientz ◽  
Amy Hester
2021 ◽  
pp. 073346482110040
Author(s):  
Lotte M. Barmentloo ◽  
Vicki Erasmus ◽  
Branko F. Olij ◽  
Juanita A. Haagsma ◽  
Johan P. Mackenbach ◽  
...  

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.


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

Author(s):  
Hazel Williams-Roberts ◽  
Catherine Arnold ◽  
Daphne Kemp ◽  
Alexander Crizzle ◽  
Shanthi Johnson

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.


2019 ◽  
Vol 43 (4) ◽  
pp. 185-193
Author(s):  
Lee Karlsson ◽  
Kelsey Doe ◽  
Meghan Gerry ◽  
Brooke Moore ◽  
Mariana Wingood ◽  
...  

2014 ◽  
Vol 43 (suppl 2) ◽  
pp. ii18-ii18
Author(s):  
L. Neumann ◽  
V. S. Hoffmann ◽  
B. Klugmann ◽  
S. Golgert ◽  
J. Hasford ◽  
...  

2020 ◽  
Vol Volume 15 ◽  
pp. 1625-1636
Author(s):  
WMA Meekes ◽  
Chantal Leemrijse ◽  
JC Korevaar ◽  
JMAE Henquet ◽  
M Nieuwenhuis ◽  
...  

2020 ◽  
Vol 4 (s1) ◽  
pp. 132-132
Author(s):  
Jennifer L. Vincenzo ◽  
Tiffany Shubert ◽  
Jennifer S. Brach ◽  
Jennifer Tripken ◽  
Lori Schrodt ◽  
...  

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.


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